Comparing Outcomes of Phacoemulsification With Femtosecond Laser–Assisted Cataract Surgery in Patients With Fuchs Endothelial Dystrophy

Yong, Wei Wei Dayna; Chai, Hui-Chen Charmaine; Shen, Liang; Ray, Manotosh; Tan, Wee Tien Anna

doi:10.1016/j.ajo.2018.08.006

Cited by 44 publications

(45 citation statements)

References 28 publications

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“…17 FLACS has a lower complication rate compared with standard phacoemulsification, particularly in certain challenging situations. [18][19][20][21][22] In this study, we have reported few technical and intraoperative complications which were not serious or vision-threatening. Although were not significant and did not affect the outcome of the surgery.…”

Section: Discussionmentioning

confidence: 86%

<p>Clinical and Surgical Outcomes of Femtosecond Laser-Assisted Cataract Surgery (FLACS) on Hard Cataracts in the Egyptian Population</p>

Elghobaier¹,

Ibrahiem

Abdelhalim

et al. 2020

OPTH

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Section: Discussionmentioning

confidence: 86%

<p>Clinical and Surgical Outcomes of Femtosecond Laser-Assisted Cataract Surgery (FLACS) on Hard Cataracts in the Egyptian Population</p>

Elghobaier¹,

Ibrahiem

Abdelhalim

et al. 2020

OPTH

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“…Based on the severity of the Fuchs’ Dystrophy, an appropriate refractive target is determined by the surgeon; in particular, with more severe disease, mild residual myopia is targeted with the expectation that the patient may eventually undergo endothelial keratoplasty with an anticipated hyperopic shift. 34 , 37 , 38 …”

Section: Discussionmentioning

confidence: 99%

Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery

Koo¹,

Paranjpe²,

Feuer³

et al. 2021

OPTH

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Purpose To investigate the refractive outcomes of eyes with Fuchs’ endothelial corneal dystrophy (FECD) following phacoemulsification. Methods This is a retrospective chart review of patients with FECD who underwent phacoemulsification. Manifest refraction at the early postoperative period (1–6 weeks) and late postoperative period (3–12 months) was collected. The spherical equivalent (SE) and variance of SE from target in diopters (D) were analyzed. Results A total of 219 eyes from 175 FECD patients (73 FLACS, 146 conventional phacoemulsification) were included. In the early postoperative period, when comparing variance from intended target, 62% (n=126) had a SE variance of ≤0.5 D, 22% (n=44) >0.5 D and ≤1 D, and 17% (n=34) >1 D. In the late postoperative period, 62% (n=85) had a SE variance of ≤0.5 D, 19% (n=26) >0.5 D and ≤1 D, and 20% (n=27) >1 D. There was no difference in the variance of SE comparing FLACS versus conventional phacoemulsification in either the early postoperative period (p=0.78) or the late postoperative period (p=0.29). Conclusion Patients with mild-to-moderate FECD had favorable refractive outcomes with phacoemulsification. There was no difference in refractive outcomes in eyes with FECD between the group that underwent FLACS versus the group that underwent conventional phacoemulsification.

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“…However, femtosecond laser may offer more help in high-risk cases. For example, FLACS has been found to be superior to phacoemulsification in reducing postoperative ECL in patients with Fuchs endothelial dystrophy, leading to a lower risk of corneal decompensation, particularly in patients with moderate or hard nucleus [ 16 ]. In our study, we observed no corneal endothelial decompensation and the mean ECL at 6 months was 8.40% and 12.86% in the FLACS group and conventional group, respectively.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification in Shallow Anterior Chambers and Glaucoma

Zhou

Zeng

et al. 2020

Journal of Ophthalmology

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Purpose. To compare femtosecond laser-assisted cataract surgery (FLACS) versus conventional phacoemulsification in shallow anterior chamber cataract patients with glaucoma or zonulysis. Methods. This was a single-center retrospective review of cataract surgeries in shallow anterior chamber and glaucoma patients between January 2016 and December 2018 in which a LenSx femtosecond laser was used. The outcome measures included pre- and postoperative uncorrected and corrected distance visual acuity (UDVA and CDVA), intraocular pressure (IOP), endothelial cell density (ECD), endothelial cell loss (ECL), and object scatter index (OSI). Results. One hundred and six eyes of 106 patients with a mean anterior chamber depth of 1.54 ± 0.51 mm were included in this study. Among them, 26 (23.2%) had zonulysis and 18 eyes had capsular tension ring implantation in general. The percentage of capsular tension ring implantation was statistically significantly lower in the FLACS group ( P = 0.027). The UDVA, CDVA, ECD, and IOP were not statistically significant between the two groups at all time points. The postoperative ECL and OSI of the FLACS group was better than those of the conventional group ( P < 0.01). Conclusions. FLACS can reduce ECL and improve visual quality compared to the conventional phacoemulsification in shallow anterior chamber patients. Also, it has the trend of reducing the use of capsular tension rings in subluxated cataracts. It is an ideal choice for patients with complicated cataract such as with shallow anterior chambers, glaucoma, and zonulysis.

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Comparing Outcomes of Phacoemulsification With Femtosecond Laser–Assisted Cataract Surgery in Patients With Fuchs Endothelial Dystrophy

Cited by 44 publications

References 28 publications

<p>Clinical and Surgical Outcomes of Femtosecond Laser-Assisted Cataract Surgery (FLACS) on Hard Cataracts in the Egyptian Population</p>

<p>Clinical and Surgical Outcomes of Femtosecond Laser-Assisted Cataract Surgery (FLACS) on Hard Cataracts in the Egyptian Population</p>

Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery

Comparison of Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification in Shallow Anterior Chambers and Glaucoma

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