Femtosecond Posterior Capsulotomy for IOL Exchange with Pars Plana Approach

A single-piece IOL was implanted in the sulcus of a 21-mm eye, but pigment dispersion and worsening glaucoma was then noted. Since the patient had a prior small YAG capsulotomy, Dr. Morgan Micheletti used a femtosecond laser to create a new capsulotomy for planned optic capture of a new 3-piece IOL, in order to allow the optic to sit in a more physiologic and anatomically correct position.

Financial Disclosures: Dr. Morgan Micheletti discloses financial relationships with Alcon Laboratories, Johnson & Johnson Vision (Consultant/Advisor, Lecture Fees/Speakers Bureau, Grant Support), Allergan (Consultant/Advisor, Grant Support), Avellino Labs, Bausch + Lomb, Beaver-Visitec International, Carl Zeiss Meditec, Centrecity Vision, New World Medical, Tarsus Pharmaceuticals, Visus Therapeutics (Consultant/Advisor), Diamatrix (Lecture Fees/Speakers Bureau, Patents/Royalty), Glaukos Corporation, RxSight, STAAR Surgical (Consultant/Advisor, Lecture Fees/Speakers Bureau), and Ophthalmic Neo-Innovations of Texas (Patents/Royalty, Owner of Company).