Femtosecond Laser–Assisted Intraocular Lens Fragmentation: Low Energy Transection

Anisimova, N. S.; Malyugin, Boris; Arbisser, Lisa Brothers; Sobolev, N.P.; Kirtaev, Roman V.; Nazirov, Alvi A.; Popov, I. A.

doi:10.3928/1081597x-20170721-02

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…90 In addition, the FL has been shown to be a useful and safe adjunct in a series of 47 eyes with subluxed cataracts selected for FLACS where manual CCC can be especially problematic due to lack of lens support to allow countertraction, with over 90% of the capsular bags successfully retained. 91 More recently, indicating its surgical potential, the FL has been used to transect IOLs which require exchange 92 and can be used without adverse effect in cataract surgery with coexisting phakic IOLs and low endothelial counts before phakic IOL removal. 93 The FL can also be used to perform a primary laser posterior capsulotomy just prior to or just after IOL insertion 94,95 and has been used to this effect in paediatric congenital cataract cases.…”

Section: Use Of Flacs In Complicated Cataract Surgerymentioning

confidence: 99%

“…More recently, indicating its surgical potential, the FL has been used to transect IOLs which require exchange 92 and can be used without adverse effect in cataract surgery with coexisting phakic IOLs and low endothelial counts before phakic IOL removal. 93 The FL can also be used to perform a primary laser posterior capsulotomy just prior to or just after IOL insertion 94,95 and has been used to this effect in paediatric congenital cataract cases.…”

Section: Use Of Flacs In Complicated Cataract Surgerymentioning

confidence: 99%

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Femtosecond laser–assisted cataract surgery: A review

Roberts,

Day,

O’Brart

2019

European Journal of Ophthalmology

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Purpose: Review scientific literature concerning femtosecond laser–assisted cataract surgery. Methods: Following databases were searched: CENTRAL (Cochrane Eyes and Vision Trials Register; Cochrane Library: Issue 2 of 12, June 2019), Ovid MEDLINE® without Revisions (1996 to June 2019), Ovid MEDLINE® (1946 to June 2019), Ovid MEDLINE® Daily Update June 2019, MEDLINE and MEDLINE Non-Indexed Items, Embase (1980–2019), Embase (1974 to June 2019), Ovid MEDLINE® and Epub Ahead of Print, in-Process & Other Non-Indexed Citations and Daily (1946 to June 2019), Web of Science (all years), the metaRegister of Controlled Trials ( www.controlled-trials.com ), ClinicalTrials.gov ( www.clinicaltrial.gov ) and World Health Organization International Clinical Trials Registry Platform ( www.who.int/ictrp/search/en ). Search terms/keywords included ‘Femtosecond laser’ combined with ‘cataract’, ‘cataract surgery’. Results: Based on quality of their methodology and their originality, 121 articles were reviewed, including randomised controlled trials, cohort studies, case-controlled studies, case series, case reports and laboratory studies. Each step of the femtosecond laser–assisted cataract surgery procedure (corneal incisions, arcuate keratotomies, capsulotomy and lens fragmentation) has been discussed with relevance to published outcomes, as well as complication rates of femtosecond laser–assisted cataract surgery, and what we can learn from the larger studies/meta-analyses and the economics of femtosecond laser–assisted cataract surgery within different healthcare settings. Conclusion: Studies suggest that the current clinical outcomes of femtosecond laser–assisted cataract surgery are not different to conventional phacoemulsification surgery and it is not cost effective when compared with conventional phacoemulsification surgery. In its current technological form, it is a useful surgical tool in specific complex cataract scenarios, but its usage has not been shown to translate into better clinical outcomes.

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Section: Use Of Flacs In Complicated Cataract Surgerymentioning

confidence: 99%

Section: Use Of Flacs In Complicated Cataract Surgerymentioning

confidence: 99%

Femtosecond laser–assisted cataract surgery: A review

Roberts,

Day,

O’Brart

2019

European Journal of Ophthalmology

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“…An experimental study showed that IOL fragmentation was feasible with FSL [113]. Anisimova et al [114] introduced a case in which a one-piece acrylic hydrophobic IOL was successfully transected using FSL with low energy parameters for explantation via a small corneal incision. Bala et al [115] also reported two cases in which FSL was used to transect hydrophilic acrylic IOL.…”

Section: Experimental Studies Regarding Potential Application Of the mentioning

confidence: 99%

Application of Femtosecond Laser in Anterior Segment Surgery

Han

Liu

Mohamed-Noriega

2020

Journal of Ophthalmology

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Femtosecond laser (FSL) is a near-infrared laser that can create reliable and reproducible tissue cutting with minimal damage to adjacent tissue. As the laser can also create incisions with various orientations, depths, and shapes, it is expected to be a useful tool for anterior segment surgery, such as cornea, refractive, and cataract surgery. In this review, the authors will introduce the application of FSL in various anterior segment surgeries and discuss the results of studies regarding the efficacy and safety of FSL in cornea, refractive, and cataract surgery. Experimental studies regarding the potential use of FSL will also be introduced. The studies discussed in this review suggest that FSL may be a useful tool for improving the prognosis and safety of surgeries of the anterior segment.

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Newer Technologies for Cataract Surgeries

Bellucci

2019

Current Advances in Ophthalmic Technology

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Femtosecond Laser–Assisted Intraocular Lens Fragmentation: Low Energy Transection

Abstract: This case illustrates a novel and effective clinical application of the femtosecond laser. [J Refract Surg. 2017;33(9):646-648.].

Cited by 3 publications

References 10 publications

Femtosecond laser–assisted cataract surgery: A review

Femtosecond laser–assisted cataract surgery: A review

Application of Femtosecond Laser in Anterior Segment Surgery

Newer Technologies for Cataract Surgeries

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