Second femtosecond laser treatment application for completion of partial capsulotomy caused by suction loss.

Purpose: To describe a case of a second application of femtosecond laser-assisted capsulotomy to achieve a complete treatment pattern after an initial incomplete capsulotomy creation due to loss of suction. Methods: A 66-year-old woman presented with visually significant cataract in both eyes. She was scheduled to undergo femtosecond laser-assisted cataract surgery (FLACS) using the Victus platform. During FLACS capsulotomy of the right eye (capsulotomy diameter set at 5.0 mm), loss of suction occurred followed by laser treatment interruption, resulting in an incomplete, discontinuous capsulotomy treatment pattern. A second FLACS pretreatment was performed immediately after the first incomplete treatment, aiming for a capsulotomy diameter 0.1 mm larger than the previous (5.1 mm in diameter) and with placement of the capsulotomy treatment outside the prior incomplete capsulotomy. Results: A complete continuous treatment pattern was achieved for the capsulotomy after second application of FLACS pretreatment. No intraoperative complications were noticed. Conclusion: A second application of femtosecond laser-assisted capsulotomy to achieve a complete treatment pattern after initial incomplete capsulotomy creation due to loss of suction is feasible during the same surgical setting.