Dr.Raghav Malik

Dr. MAHIPAL S. SACHDEV, Dr.Hemlata Gupta, Dr.Gitansha Sachdev

Abstract

AIM To determine the efficacy of the builtin ASOCT to detect posterior capsular dehiscence in posterior polar cataracts(PPC) undergoing FLACS. METHODS A Prospective, interventional case series using femtosecond laser platform. We included 50 eyes with PPC undergoing FLACS and excluded eyes with ocular comorbidities. OCT guidance was used to image the PC, which was then classified as “intact” or “dehiscent”. Phaco was performed, intraoperative status of the PC was noted and the specificity and sensitivity of the ASOCT to detect pre-existing PC dehiscence was determined. RESULTS Of the 50 eyes, ASOCT showed a dehiscence in 7(11.66%), while intra-operatively, 5 eyes(8.33%) showed discontinuity. All eyes showing intact PC on ASOCT, had an intact PC intra-operative. The sensitivity of the ASOCT for detecting PC dehiscence was 100% with a specificity of 96.36%. The PPV was 71.43%. FS-integrated Intra-operative ASOCT, is an effective screening tool to detect pre-existing PC dehiscence in PPC.