Rate of Unplanned Vitrectomies in Femtosecond Laser–Assisted Cataract Surgery Compared to Conventional Phacoemulsification

Song, Christian; Baharozian, Connor; Hatch, Kathryn M; Grassett, Graham C; Talamo, Jonathan H.

doi:10.3928/1081597x-20180726-01

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…Several studies reporting collectively on nearly 1.3 million cataract surgeries have found rates of posterior capsular tear or vitreous loss ranging from 0.19% to 6.7%. 9,11,20–41 As such, the rate of unplanned vitrectomy reported in this study is similar to or lower than that reported in the literature. Likewise, the incidence of retinal complications for which the patient had to be referred to a retina surgeon (0.072%) was also lower than the literature-reported incidence of retinal detachment/retinal tear (0.18% to 1.4%).…”

Section: Discussionsupporting

confidence: 85%

Safety of office-based lens surgery: U.S. multicenter study

Kugler¹,

Kapeles²,

Durrie³

2023

J Cataract Refract Surg

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Section: Discussionsupporting

confidence: 85%

Safety of office-based lens surgery: U.S. multicenter study

Kugler¹,

Kapeles²,

Durrie³

2023

J Cataract Refract Surg

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“…10,41,97 Either way, the overall implications of all capsule-related complications (such as the need for vitreoretinal or affecting visual outcomes) seem to be not statistically significant in a global comparison between FLACS and CP. 40,79,98 Nevertheless, the impact of such events should not be underestimated in the context of premium IOL implantation, as it irrevocably compromises surgical success, as capsular integrity and further optimal centration are paramount in the final result. Unfortunately, literature comparing low-energy FLACS and CP that contemplates this niche or subgroup of refractive cataract surgery is scarce, although not absent.…”

Section: Complicationsmentioning

confidence: 99%

Update on Femtosecond Laser-Assisted Cataract Surgery: A Review

Salgado,

Torres,

Marinho

2024

OPTH

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The advent of femtosecond lasers has resulted in a new standard in cataract surgery, intended to overmatch the paradigm of conventional phacoemulsification. Femtosecond laser-assisted cataract surgery (FLACS) enables a higher level of reproducibility, precision, accuracy, and customization when performing several steps of cataract (or lens) surgery. Capsulotomy, corneal incisions, lens fragmentation, and arcuate incisions are the main procedures performed using FLACS. As the demand for better refractive outcomes and spectacle independence increases, the features of FLACS are highly relevant, especially when considering the implantation of premium intraocular lenses, such as toric, enhanced depth-of-focus, or multifocal lenses. The present article reviews the state of the art of femtosecond laser-assisted cataract (lens) surgery, contemplating the advantages and limitations of the two types of femtosecond laser pulses available (high and low energy) by evaluating their reported outcomes and complications.

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Posterior capsule dynamics during femtosecond laser lens fragmentation

et al. 2023

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Purpose The dynamics of the posterior capsule during femtosecond laser lens fragmentation has received little attention in the literature. We analysed the movements of the posterior capsule to identify the rupture risk factors, if any, and to suggest possible modification of the laser spot energy pattern during fragmentation. Materials and methods Posterior capsule ruptures during fragmentation were identified over a 10-year period of femtosecond laser use. In addition, the dynamics of the posterior capsule were identified through the real-time swept-source OCT lateral view available during the surgeries. Results Out of the 1465 laser cataract procedures performed, we recorded 1 case of posterior capsule rupture during lens fragmentation, which was caused by eye movement that was detected but ignored by the surgeon. Three types of posterior capsule dynamics were identified, all related to a gas bubble formation during the first part of the lens fragmentation. In eyes with a hard nucleus, the concussion of the posterior capsule was evident, however, with no capsule rupture. Discussion Maintaining good docking throughout the whole procedure seems important in avoiding a posterior capsule cut by the femtosecond laser. In addition, a Gaussian pattern of spot energy is suggested when fragmenting hard cataracts.

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Rate of Unplanned Vitrectomies in Femtosecond Laser–Assisted Cataract Surgery Compared to Conventional Phacoemulsification

Abstract: FLACS had a rate of unplanned vitrectomy comparable to conventional phacoemulsification. There was no statistically significant difference in unplanned vitrectomy rates between early and late FLACS cases suggesting a short learning curve. [J Refract Surg. 2018;34(9):610-614.].

Cited by 4 publications

References 29 publications

Safety of office-based lens surgery: U.S. multicenter study

Safety of office-based lens surgery: U.S. multicenter study

Update on Femtosecond Laser-Assisted Cataract Surgery: A Review

Posterior capsule dynamics during femtosecond laser lens fragmentation

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