Optometry: Open Access
Open Access

Abstract

Reasons for and methods of creating a hyaloid sparing posterior capsulotomy to be described by video and discussed. Techniques including manual, femtolaser (off label), Zepto, and CapsuLaser, being developed for anterior and posterior capsulotomy are to be demonstrated. Retro-lenticular anatomy will be delineated. Cases include conversion of PCR in complications, resolution of unpolishable plaques and primary rhexis in pediatrics, uveitis and routine adults shown. Posterior optic capture into Berger’s space and innovative sulcus bicapsulotomy capture will be shown and discussed. Prospective evidence both published and, as yet unpublished, will be reviewed proving the value and safety of the posterior optic capture technique originally described in 1994 by Howard Gimbel. Benefits will be stressed; in particular, a zero rate of secondary cataract for all ages without vitrectomy, improved initial stable vision and other potentially profound advantages with regard to lens subluxation, retinal pathology and glaucoma. Economic realities and impact will be covered. At the conclusion of the symposium the attendee will be knowledgeable enough to consider a hyaloid sparing posterior capsulorhexis and optic capture technique as the future of cataract surgery, know developing automated technology for capsulotomy and its learning curve and understand the paradigm changing advantages of making cataract surgery a permanent visual solution for all ages eliminating the need for Yag capsulotomy and planned pediatric anterior vitrectomy. PCO can, must be eliminated. The knowledge, technology and technique exists; the economic impact is huge. The benefits of intact hyaloid for all; legion.

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