*4.1.1 Lens fragmentation*

*Eyesight and Imaging - Advances and New Perspectives*

interface to the eye and a proprietary OCT system, operating in the near-infrared

Proper docking requires cooperation from the patient. The liquid interface has advantages of causing less tissue distortion and minimal increase in intraocular pressure as well as less mean eye movement during capsulotomy. The cornea should be well centered in the patient interface before docking to avoid misalignment of corneal incisions. Apart from the transient learning curve, docking may cause subconjunctival hemorrhage [18]. The estimated incidence of this side effect is 34% and significantly decreased using the liquid interface device with lower suction

The capsulotomy cut opens the lens's anterior capsule in a continuous, curvilinear, and circular fashion with high precision to improve safety during intraocular maneuvers. We advise to choose a 5.2 mm diameter capsulotomy, with a delta up at

range (**Figures 13**–**15**) [17]. It obtained FDA approval for FLACS in 2016.

**26**

**3.6 Procedure**

*Eye after LDV Z8 procedure.*

**Figure 15.**

**Figure 14.**

*LDV Z8 procedure and incisions.*

**4.1 Capsulotomy**

pressure, and shorter treatment time [19].

**4. Description of the intervention**

The surgeon defines the pattern, the length, and the number of cuts. The energy level, the anterior and posterior lens capsule parameters, pattern separation and the primary incision angle have to be specified. Then, the nucleus can be easily split.
