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J Cataract Refract Surg. 2014 Jan;40(1):20-8. doi: 10.1016/j.jcrs.2013.08.046.

Complications of femtosecond laser-assisted cataract surgery.

Author information

  • 1From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA. Electronic address: nagy.zoltan_zsolt@med.semmelweis-univ.hu.
  • 2From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.

Abstract

PURPOSE:

To analyze complications of femtosecond lasers used for cataract surgery.

SETTING:

Department of Ophthalmology Semmelweis University, Budapest, Hungary.

DESIGN:

Retrospective analysis.

METHODS:

Intraoperative complications of the first 100 femtosecond laser-assisted (Alcon-Lensx, Inc.) cataract surgeries were collected. Possible complications of femtosecond capsulotomies and their management were also assessed.

RESULTS:

The complications were as follows: suction break (2%), conjunctival redness or hemorrhage (34%), capsule tags and bridges (20%), anterior tear (4%), miosis (32%), and endothelial damage due to cut within the endothelial layer (3%). There were no cases of capsule blockage or posterior capsule tear. During the learning curve, there was no complication that would require vitrectomy. All complications occurred during the first 100 cases.

CONCLUSIONS:

Femtosecond laser cataract surgery had a learning curve during the first 100 cases. With cautious surgical technique, the complications can be avoided. The femtosecond laser-assisted method was efficient and safe for cataract surgery.

Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

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PMID:
24355719
[PubMed - indexed for MEDLINE]
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