Of emperors and clothes: why FLACS?

Walland, Mark J

doi:10.1111/ceo.12879

Cited by 1 publication

(1 citation statement)

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“…3 A further editorial in 2017 questioned the role of FLACS. 4 It was stated that the proposed benefits of the femtosecond laser were theoretical without there being current conclusive evidence of clinical benefit in terms of visual outcomes. 4 During the last four years, concrete evidence has started to emerge in order to answer the question as to whether FLACS has a future in cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020

Levitz

Dick

Scott

et al. 2021

OPTH

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Femtosecond laser-assisted cataract surgery (FLACS) was introduced with the hope of making cataract surgery safer and making the refractive result more predictable. It is only in the last four years that level 1 prospective randomised controlled trials (RCT) using current technology have been published. These, along with a meta-analysis of recent studies have shown that there seems to be little long-term visual benefit when using FLACS with monofocal lenses. The promised decrease in ultrasound energy required to remove a cataract has not been consistently demonstrated. There is level one evidence that the rate of posterior capsular rupture is less with FLACS using modern software. The round capsulotomy may be of increasing importance with the uptake of toric, multifocal and extended depth of focus lenses where a predictable capsulotomy size and precise placement of the lens becomes more important.

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Section: Introductionmentioning

confidence: 99%