TY - DATA T1 - The role of a femtosecond laser in congenital cataract associated with aniridia PY - 2018/09/12 AU - LuĂ­sa Nardino Gazzola AU - Mariela Regina Dalmarco Ghem AU - Crislaine Serpe AU - Marcony Rodrigues Santhiago AU - Glauco Reggiani Mello UR - https://scielo.figshare.com/articles/dataset/The_role_of_a_femtosecond_laser_in_congenital_cataract_associated_with_aniridia/7075544 DO - 10.6084/m9.figshare.7075544.v1 L4 - https://ndownloader.figshare.com/files/13010378 L4 - https://ndownloader.figshare.com/files/13010390 L4 - https://ndownloader.figshare.com/files/13010402 KW - Aniridia KW - Cataract/congenital KW - Capsulorhexis KW - Phacoemulsification KW - Lens implantation, intraocular KW - Laser therapy KW - Case reports N2 - ABSTRACT A patient with bilateral aniridia and progressive congenital cataract was treated at the age of 7 years through phacoaspiration with femtosecond laser capsulotomy, in-the-bag intraocular lens implantation, and pars plana vitrectomy (combined with posterior capsulotomy). The diameter of the planned anterior capsulotomy was 4.7 mm; however, due to elevated tension in the young capsular bag, the capsulotomy diameter increased (to around 6 mm) shortly after release of the tension by the laser. In addition, the patient had a very flat and small cornea, causing the formation of air bubbles in the curved laser interface. This was addressed by filling the gap by using a viscoelastic. A very similar situation was observed in both eyes. Use of the femtosecond laser facilitated a successful outcome in a complex congenital cataract case with a safe capsulotomy that ensured in-the-bag intraocular lens placement. ER -