Early Experience with the Femtosecond Laser for Cataract Surgery

Bali, Shveta Jindal; Hodge, Chris; Lawless, Michael; Roberts, Timothy V.; Sutton, Gerard

doi:10.1016/j.ophtha.2011.12.025

Cited by 202 publications

(149 citation statements)

References 42 publications

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“…Indeed, in a study of 200 eyes undergoing FLACS, the mean number of docking attempts was 1.5, although this decreased as the surgeons' experience increased. 70 Occasionally, a loss of suction can occur after the eye has been docked. Bali et al 70 encountered this in 5 of 200 eyes, but in each case the footswitch was released and the laser was not initiated.…”

Section: The Docking Processmentioning

confidence: 99%

“…Once created, the capsulotomy is relatively straightforward to remove, with all patients scoring 8 out of 10 when capsulotomies were ranked on a 1-10 scale according to ease of removal. 70 Indeed, 17.5% (35/200), developed free capsulotomies requiring no manual detachment after FSL treatment, and this number increased significantly with the learning curve. 70 In 10.5% (21/200), the presence of small anterior capsular tags was noted, which led to anterior capsular tears in 4% (8/200).…”

mentioning

confidence: 98%

“…70 Indeed, 17.5% (35/200), developed free capsulotomies requiring no manual detachment after FSL treatment, and this number increased significantly with the learning curve. 70 In 10.5% (21/200), the presence of small anterior capsular tags was noted, which led to anterior capsular tears in 4% (8/200). 70 These extended posteriorly in four eyes, with three requiring anterior vitrectomy and all four needing sulcus implantation of the IOL.…”

mentioning

confidence: 98%

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The journey to femtosecond laser-assisted cataract surgery: new beginnings or a false dawn?

Trikha

Turnbull

Morris

et al. 2013

Eye

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Femtosecond laser-assisted cataract surgery (FLACS) represents a potential paradigm shift in cataract surgery, but it is not without controversy. Advocates of the technology herald FLACS as a revolution that promises superior outcomes and an improved safety profile for patients. Conversely, detractors point to the large financial costs involved and claim that similar results are achievable with conventional small-incision phacoemulsification. This review provides a balanced and comprehensive account of the development of FLACS since its inception. It explains the physiology and mechanics underlying the technology, and critically reviews the outcomes and implications of initial studies. The benefits and limitations of using femtosecond laser accuracy to create corneal incisions, anterior capsulotomy, and lens fragmentation are explored, with reference to the main platforms, which currently offer FLACS. Economic considerations are discussed, in addition to the practicalities associated with the implementation of FLACS in a healthcare setting. The influence on surgical training and skills is considered and possible future applications of the technology introduced. While in its infancy, FLACS sets out the exciting possibility of a new level of precision in cataract surgery. However, further work in the form of large scale, phase 3 randomised controlled trials are required to demonstrate whether its theoretical benefits are significant in practice and worthy of the necessary huge financial investment and system overhaul. Whether it gains widespread acceptance is likely to be influenced by a complex interplay of scientific and socio-economic factors in years to come.

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Section: The Docking Processmentioning

confidence: 99%

mentioning

confidence: 98%

mentioning

confidence: 98%

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The journey to femtosecond laser-assisted cataract surgery: new beginnings or a false dawn?

Trikha

Turnbull

Morris

et al. 2013

Eye

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“…Early studies found that surgeons with prior experience with femtosecond lasers experienced fewer complications during initial cases. 50 However, following software and hardware upgrades plus a better understanding of the training required, the learning curve has dramatically decreased. Intraoperative capsular block syndrome was reported in initial cases.…”

Section: Surgical Experiencementioning

confidence: 99%

Femtosecond Laser-assisted Cataract Surgery

Lawless¹,

Bala²

2014

US Ophthalmic Review

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Cataract surgery is one of the most commonly performed surgical procedures worldwide. Between 2000 and 2020, the number of people aged 65 or over is projected to increase from 425 million to 677 million worldwide.1 This is likely to be accompanied by a corresponding increase in the incidence of cataracts and it has been estimated that by 2020, 32 million cataract surgeries will be performed annually (see Figure 1).

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“…Our group published the fi rst clinical studies in 2009 1 ; since then a number of publications, [2][3][4][5][6][7][8] including the article by ConradHengerer et al 8 in this issue of the Journal of Refractive Surgery, have appeared in the peer-reviewed literature, and an abundance of nonpeer-reviewed "information" has become available for surgeon and patient alike.…”

Section: G U E S T E D I T O R I a Lmentioning

confidence: 99%

Femtolaser Cataract Surgery: How to Evaluate This Technology, Read the Literature, and Avoid Possible Complications

Nagy¹

2012

J Refract Surg

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Early Experience with the Femtosecond Laser for Cataract Surgery

Cited by 202 publications

References 42 publications

The journey to femtosecond laser-assisted cataract surgery: new beginnings or a false dawn?

The journey to femtosecond laser-assisted cataract surgery: new beginnings or a false dawn?

Femtosecond Laser-assisted Cataract Surgery

Femtolaser Cataract Surgery: How to Evaluate This Technology, Read the Literature, and Avoid Possible Complications

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