Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Mandy Patzlaff-Günther
  • Michael Fromm
  • Thomas Kern
  • Martin Bartram
  • Anna Schwäblein
  • Dag Heinemann
  • Sonja Johannsmeier
  • Carsten Framme
  • Tammo Ripken

External Research Organisations

  • Laser Zentrum Hannover e.V. (LZH)
  • Rowiak GmbH
  • Hannover Medical School (MHH)
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Details

Original languageEnglish
Pages (from-to)1891-1897
Number of pages7
JournalLasers in medical science
Volume37
Issue number3
Early online date29 Oct 2021
Publication statusPublished - Apr 2022

Abstract

Background: In this study, the tear resistance of porcine lens capsules after continuous curvilinear capsulorhexis (CCC) and femtosecond (fs)-laser-assisted capsulotomy for cataract surgery (FLC) with different laser parameters is measured with a custom-made testing setup. Methods: Forty-five fresh porcine lenses were randomly chosen for CCC (n = 15) or FLC 1 (n = 15) and FLC 2 (n = 15). The FLC 1-group was treated with smaller spot distances than the FLC 2-group. The force necessary to break the opening of the anterior capsule and the maximum displacement were measured. Results: The mean tear resistance of the CCC-group (150 ± 70 mN) was higher than that of the FLC 1-group (60 ± 20 mN) and the FLC 2-group (30 ± 20 mN). Conclusion: It could be shown that CCC leads to a significantly higher tear resistance of the opening than FLC in porcine lenses. The femtosecond laser group demonstrated that smaller spot distances lead to a higher tear resistance.

Keywords

    Cataract surgery, Continuous curvilinear capsulorhexis, Femtosecond (fs)-laser-assisted capsulotomy, Lens refilling, Phacoemulsification, Tear resistance

ASJC Scopus subject areas

Cite this

Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses. / Patzlaff-Günther, Mandy; Fromm, Michael; Kern, Thomas et al.
In: Lasers in medical science, Vol. 37, No. 3, 04.2022, p. 1891-1897.

Research output: Contribution to journalArticleResearchpeer review

Patzlaff-Günther, M, Fromm, M, Kern, T, Bartram, M, Schwäblein, A, Heinemann, D, Johannsmeier, S, Framme, C & Ripken, T 2022, 'Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses', Lasers in medical science, vol. 37, no. 3, pp. 1891-1897. https://doi.org/10.1007/s10103-021-03448-1
Patzlaff-Günther, M., Fromm, M., Kern, T., Bartram, M., Schwäblein, A., Heinemann, D., Johannsmeier, S., Framme, C., & Ripken, T. (2022). Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses. Lasers in medical science, 37(3), 1891-1897. https://doi.org/10.1007/s10103-021-03448-1
Patzlaff-Günther M, Fromm M, Kern T, Bartram M, Schwäblein A, Heinemann D et al. Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses. Lasers in medical science. 2022 Apr;37(3):1891-1897. Epub 2021 Oct 29. doi: 10.1007/s10103-021-03448-1
Patzlaff-Günther, Mandy ; Fromm, Michael ; Kern, Thomas et al. / Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses. In: Lasers in medical science. 2022 ; Vol. 37, No. 3. pp. 1891-1897.
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title = "Measurement of tear resistance after manual capsulorhexis and femtosecond laser–assisted capsulotomy of crystalline lenses",
abstract = "Background: In this study, the tear resistance of porcine lens capsules after continuous curvilinear capsulorhexis (CCC) and femtosecond (fs)-laser-assisted capsulotomy for cataract surgery (FLC) with different laser parameters is measured with a custom-made testing setup. Methods: Forty-five fresh porcine lenses were randomly chosen for CCC (n = 15) or FLC 1 (n = 15) and FLC 2 (n = 15). The FLC 1-group was treated with smaller spot distances than the FLC 2-group. The force necessary to break the opening of the anterior capsule and the maximum displacement were measured. Results: The mean tear resistance of the CCC-group (150 ± 70 mN) was higher than that of the FLC 1-group (60 ± 20 mN) and the FLC 2-group (30 ± 20 mN). Conclusion: It could be shown that CCC leads to a significantly higher tear resistance of the opening than FLC in porcine lenses. The femtosecond laser group demonstrated that smaller spot distances lead to a higher tear resistance.",
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AU - Patzlaff-Günther, Mandy

AU - Fromm, Michael

AU - Kern, Thomas

AU - Bartram, Martin

AU - Schwäblein, Anna

AU - Heinemann, Dag

AU - Johannsmeier, Sonja

AU - Framme, Carsten

AU - Ripken, Tammo

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N2 - Background: In this study, the tear resistance of porcine lens capsules after continuous curvilinear capsulorhexis (CCC) and femtosecond (fs)-laser-assisted capsulotomy for cataract surgery (FLC) with different laser parameters is measured with a custom-made testing setup. Methods: Forty-five fresh porcine lenses were randomly chosen for CCC (n = 15) or FLC 1 (n = 15) and FLC 2 (n = 15). The FLC 1-group was treated with smaller spot distances than the FLC 2-group. The force necessary to break the opening of the anterior capsule and the maximum displacement were measured. Results: The mean tear resistance of the CCC-group (150 ± 70 mN) was higher than that of the FLC 1-group (60 ± 20 mN) and the FLC 2-group (30 ± 20 mN). Conclusion: It could be shown that CCC leads to a significantly higher tear resistance of the opening than FLC in porcine lenses. The femtosecond laser group demonstrated that smaller spot distances lead to a higher tear resistance.

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