Anterior Capsulotomy Integrity after Femtosecond Laser-Assisted Cataract Surgery

Femtosecond laser–assisted cataract surgery versus standard phacoemulsification cataract surgery: Outcomes and safety in more than 4000 cases at a single center

“…The only improvement in the second half of femtosecond laser-assisted cataract surgery cases was a significant reduction in anterior capsulotomy tags, which was likely the result of a software upgrade that reduced capsulotomy time considerably, resulting in a lower chance of aberrant pulses due to eye movements. 15 This suggests that the capsule complications of femtosecond laser-assisted cataract surgery in our study were not related to the surgeon learning curve but rather to other effects that may be patient-or surgery-related, as we have previously published. 15 All cases of capsule tears were reviewed and deemed to occur within the normal limits of a standard phacoemulsification procedure.…”

Comparison between femtosecond laser capsulotomy and manual continuous curvilinear digital image guided capsulorrhexis

“…They also found a direct correlation between increased energy levels and border irregularities, as well as an inverse correlation with border thickness, which could increase the likelihood of discontinuities in the anterior capsule 24 . In 2013 Ostovic et al made the same findings, as did Abell et al 22 . In our study, there were no statistically-significant differences between groups in terms of age or cataract severity, thus enabling comparisons and a correlation with cataract density, similar to other studies 16 .…”

“…While Bali et alfound in 2012 that the rate of this type of event was 4% in laser procedures, Marques et alfound in 2006a rate of 0.79% for manual CCC during routine phacoemulsification 21 carried out by an experienced surgeon. In 2014 Abell et al carried out a study comparing these rates and found 1.87% in the group using femtosecond laser and 0.12% in the manual CCC group; however, it should be noted thatin the laser-assisted group the capsulotomy was always complete 22 . Specific techniques during LACS can reduce the frequency of complicationsduring the learning period, as described by Arbisser et al in their "dimple-down" technique, where the anterior chamber is filledwith viscoelastic and the centre of the capsule is pressed down with the cannula, allowing the surgeon to identify an incomplete capsulotomy or lack of treatment 23 .…”

Clinical experience with the first 40 cases with femtosecond laser cataract surgery technology: safety of the learning curve

“…Most complications that previous papers have reported should be considered when docking is difficult (4)(5)(6) . We believe that patient cooperation, good medical-patient interaction during the procedure, and perfect docking are crucial for a safe learning curve experience.…”