Efficacy of femtosecond laser for anterior capsulotomy in complex white cataracts

Larco, P.; Larco, C.; Borroni, D.; Godin, F.; Piñero, D.P.; Rocha‐de‐Lossada, Carlos

doi:10.1016/j.jfo.2022.10.010

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…However, the surgeon has to be mindful that incomplete capsulotomy may occur in up to one-third of eyes from FLACS. [ 43 45 46 ] A comparative study by Titiyal et al between FLACS and CPCS ( n = 40 each) found that the release of white milky fluid during femtosecond laser delivery was significantly associated with an incomplete anterior capsulotomy (19 of 40 eyes, 47.5%). [ 78 ] Staining the anterior capsule with trypan blue after femtosecond laser can help identify micro-adhesions; care should be taken to ensure that is no posterior extension in the event of an anterior capsular tear.…”

Section: White Cataractsmentioning

confidence: 99%

Femtosecond laser-assisted cataract surgery for complex cataracts – A review

Chen,

Chee

2024

Indian Journal of Ophthalmology

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Since its inception in 2009, femtosecond laser-assisted cataract surgery (FLACS) has become an alternative to conventional phacoemulsification cataract surgery (CPCS). Clinical studies were unable to demonstrate superior visual outcomes, but revealed reduced endothelial cell loss. More recently, the cost-effectiveness of FLACS over CPCS in routine cataract surgeries has been challenged. However, the unique abilities of FLACS to customize anterior capsulotomies precisely, soften and fragment the nucleus without capsular bag stress, and create corneal incisions may have special utility in complex cataract and less-common scenarios. In this article, we review the unique role of FLACS in complex cataract surgeries and how it could play a role to improve the safety and predictability of nonroutine cataract surgery.

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