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Surv Ophthalmol. 2016 Mar-Apr;61(2):103-31. doi: 10.1016/j.survophthal.2015.09.002. Epub 2015 Sep 26.

Femtosecond laser-assisted cataract surgery-current status and future directions.

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  • 1Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
  • 2Department of Ophthalmology, Ruhr University Eye Clinic, Bochum, Germany.
  • 3Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: sbasti@northwestern.edu.
  • 4Department of Ophthalmology, Ruhr University Eye Clinic, Bochum, Germany. Electronic address: burkhard.dick@kk-bochum.de.

Abstract

Femtosecond laser-assisted cataract surgery (FLACS) putatively offers several advantages over conventional phacoemulsification. We review the current status of FLACS and discuss the evolution of femtosecond lasers in cataract surgery and the currently available femtosecond laser platforms. We summarize the outcomes of FLACS for corneal wound creation, limbal relaxing incisions, capsulotomy, and lens fragmentation. We discuss surgical planning, preoperative considerations, clinical experiences including the learning curve and postoperative outcomes with FLACS, and also the cost effectiveness of FLACS. We present the intraoperative complications and management of challenging cases where FLACS offers an advantage and also speculate on the future directions with FLACS. Further advancements in laser technology to refine its efficacy, advancement in intraocular lens design to harness the potential benefits of FLACS, and a reduction in cost are needed to establish a clear superiority over conventional phacoemulsification.

Copyright © 2016 Elsevier Inc. All rights reserved.

KEYWORDS:

cataract; femtosecond; femtosecond cataract; femtosecond cataract surgery; femtosecond laser cataract surgery; femtosecond laser–assisted cataract surgery; laser cataract; laser cataract surgery; laser-assisted cataract surgery

PMID:
26409902
[PubMed - in process]

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