{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:01:49Z","timestamp":1791475309732,"version":"4.3.4"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004770","name":"Universit\u00e0 degli Studi di Parma","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004770","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The dynamics of the posterior capsule during femtosecond laser lens fragmentation has received little attention in the literature. We analysed the movements of the posterior capsule to identify the rupture risk factors, if any, and to suggest possible modification of the laser spot energy pattern during fragmentation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>Posterior capsule ruptures during fragmentation were identified over a 10-year period of femtosecond laser use. In addition, the dynamics of the posterior capsule were identified through the real-time swept-source OCT lateral view available during the surgeries.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Out of the 1465 laser cataract procedures performed, we recorded 1 case of posterior capsule rupture during lens fragmentation, which was caused by eye movement that was detected but ignored by the surgeon. Three types of posterior capsule dynamics were identified, all related to a gas bubble formation during the first part of the lens fragmentation. In eyes with a hard nucleus, the concussion of the posterior capsule was evident, however, with no capsule rupture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>Maintaining good docking throughout the whole procedure seems important in avoiding a posterior capsule cut by the femtosecond laser. In addition, a Gaussian pattern of spot energy is suggested when fragmenting hard cataracts.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10792-023-02739-6","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T14:02:53Z","timestamp":1684245773000},"page":"3339-3343","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Posterior capsule dynamics during femtosecond laser lens fragmentation"],"prefix":"10.1007","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8710-5774","authenticated-orcid":false,"given":"Carlo","family":"Bellucci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Mora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore Antonio","family":"Tedesco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Bellucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Gandolfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"issue":"12","key":"2739_CR1","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.3928\/1081597X-20091117-04","volume":"25","author":"Z Nagy","year":"2009","unstructured":"Nagy Z, Takacs A, Filkorn T, Sarayba M (2009) Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. J Refract Surg 25(12):1053\u20131060. https:\/\/doi.org\/10.3928\/1081597X-20091117-04","journal-title":"J Refract Surg"},{"issue":"2","key":"2739_CR2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/s40662-015-0021-7.PMID:26605364;PMCID:PMC4655462","volume":"30","author":"ZZ Nagy","year":"2015","unstructured":"Nagy ZZ, McAlinden C (2015) Femtosecond laser cataract surgery. Eye Vis (Lond) 30(2):11. https:\/\/doi.org\/10.1186\/s40662-015-0021-7.PMID:26605364;PMCID:PMC4655462","journal-title":"Eye Vis (Lond)"},{"issue":"3","key":"2739_CR3","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1177\/1120672120922448","volume":"31","author":"P Kanclerz","year":"2021","unstructured":"Kanclerz P, Alio JL (2021) The benefits and drawbacks of femtosecond laser-assisted cataract surgery. Eur J Ophthalmol 31(3):1021\u20131030. https:\/\/doi.org\/10.1177\/1120672120922448","journal-title":"Eur J Ophthalmol"},{"issue":"1","key":"2739_CR4","doi-asserted-by":"publisher","first-page":"24427","DOI":"10.1038\/s41598-021-04054-5.PMID:34952916;PMCID:PMC8709839","volume":"11","author":"WJ Mayer","year":"2021","unstructured":"Mayer WJ, Ohlmann A, Schuh A, Priglinger S, Kohnen T, Shajari M (2021) Electron microscopy analysis of femtosecond laser-assisted capsulotomy before and after lens fragmentation. Sci Rep 11(1):24427. https:\/\/doi.org\/10.1038\/s41598-021-04054-5.PMID:34952916;PMCID:PMC8709839","journal-title":"Sci Rep"},{"issue":"8","key":"2739_CR5","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1097\/j.jcrs.0000000000000228","volume":"46","author":"CM Kolb","year":"2020","unstructured":"Kolb CM, Shajari M, Mathys L, Herrmann E, Petermann K, Mayer WJ, Priglinger S, Kohnen T (2020) Comparison of femtosecond laser-assisted cataract surgery and conventional cataract surgery: a meta-analysis and systematic review. J Cataract Refract Surg 46(8):1075\u20131085. https:\/\/doi.org\/10.1097\/j.jcrs.0000000000000228","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"2739_CR6","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.jcrs.2014.06.025","volume":"41","author":"RG Abell","year":"2015","unstructured":"Abell RG, Darian-Smith E, Kan JB, Allen PL, Ewe SY, Vote BJ (2015) Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: outcomes and safety in more than 4000 cases at a single center. J Cataract Refract Surg 41(1):47\u201352. https:\/\/doi.org\/10.1016\/j.jcrs.2014.06.025","journal-title":"J Cataract Refract Surg"},{"issue":"9","key":"2739_CR7","doi-asserted-by":"publisher","first-page":"610","DOI":"10.3928\/1081597X-20180726-01","volume":"34","author":"C Song","year":"2018","unstructured":"Song C, Baharozian CJ, Hatch KM, Grassett GC, Talamo JH (2018) Rate of unplanned vitrectomies in femtosecond laser-assisted cataract surgery compared to conventional phacoemulsification. J Refract Surg 34(9):610\u2013614. https:\/\/doi.org\/10.3928\/1081597X-20180726-01","journal-title":"J Refract Surg"},{"key":"2739_CR8","doi-asserted-by":"publisher","unstructured":"Day AC, Burr JM, Bennett K, Dor\u00e9 CJ, Bunce C, Hunter R, Nanavaty MA, Balaggan KS, Wilkins MR, FACT trial group (2020) Femtosecond laser-assisted cataract surgery compared with phacoemulsification cataract surgery: randomized noninferiority trial with 1-year outcomes. J Cataract Refract Surg. 46(10):1360\u20131367 https:\/\/doi.org\/10.1097\/j.jcrs.0000000000000257. Erratum in: J Cataract Refract Surg. 2021 Feb 1;47(2):286. PMID: 32773608","DOI":"10.1097\/j.jcrs.0000000000000257"},{"issue":"1","key":"2739_CR9","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1186\/s12886-019-1190-2.PMID:31399070;PMCID:PMC6688351","volume":"19","author":"J Wang","year":"2019","unstructured":"Wang J, Su F, Wang Y, Chen Y, Chen Q, Li F (2019) Intra and post-operative complications observed with femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: a systematic review and meta-analysis. BMC Ophthalmol 19(1):177. https:\/\/doi.org\/10.1186\/s12886-019-1190-2.PMID:31399070;PMCID:PMC6688351","journal-title":"BMC Ophthalmol"}],"container-title":["International Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-023-02739-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10792-023-02739-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-023-02739-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T04:06:27Z","timestamp":1691035587000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10792-023-02739-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,16]]},"references-count":9,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["2739"],"URL":"https:\/\/doi.org\/10.1007\/s10792-023-02739-6","relation":{},"ISSN":["1573-2630"],"issn-type":[{"value":"1573-2630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,16]]},"assertion":[{"value":"9 October 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors declare that they have no conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the ethics committee of reference for University Hospital of Parma, Parma (IT), and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study protocol was approved by the Ethics Committee protocol number #126\/2022, and written informed consent was obtained. This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Area Vasta Emilia Nord, Parma (IT).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}