Long-term stability of intraocular lens optic capture after femtosecond laser capsulotomy in traumatic cataract with coexisting subluxation and posterior capsule dehiscence

We report the long-term visual outcome and stability of intraocular lens (IOL) optic capture after femtosecond laser capsulotomy. A patient with a traumatic cataract and 3 clock hours of subluxation had femtosecond laser–assisted cataract surgery during which a clinically undetected posterior capsule dehiscence was noted on the integrated optical coherence tomography line scan. The laser created an appropriately sized, circular free-floating anterior capsulotomy centered on the capsular bag. Pneumodissection and lens fragmentation completed nucleus management with minimal additional zonular stress. Optic capture of the IOL by the capsulorhexis margin ensured the long-term stability and centration in this case of combined zonular dialysis and posterior capsule dehiscence.