Femtosecond laser will be the standard method for cataract extraction ten years from now

Ranka, Milan P.; Donnenfeld, Eric D.

doi:10.1016/j.survophthal.2015.02.001

Cited by 15 publications

(11 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Just like Australian patients’ free to extra FLACS costs, as the benefits of FLACS are proved, more and more insurance systems are thinking about covering these costs and then the cost considerations will mitigate. [ 18 , 19 ] As CPS gradually replaced extracapsular cataract extraction (ECCE), costs may decrease with the improvement and matureness of the technology. [ 19 , 50 ] And the wide adoption can amortize the capital costs.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing the Curative Effects between Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification Surgery: A Meta-Analysis

Chen

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

PurposeTo compare the outcomes of femtosecond laser-assisted cataract surgery (FLACS) with those of conventional phacoemulsification surgery (CPS) for age-related cataracts.MethodsA comprehensive literature search of PubMed, EMBASE, and the Cochrane Controlled Trials Register was conducted to identify randomized controlled trials (RCT) and comparative cohort studies comparing FLACS with CPS. Endothelial cell loss percentage (ECL%), central corneal thickness (CCT), corrected and uncorrected distant visual acuity (CDVA and UDVA), and mean absolute error (MAE) of refraction were used as primary outcomes. Secondary outcomes included surgically induced astigmatism (SIA), mean effective phacoemulsification time (EPT), phacoemulsification power and circularity of the capsulorhexis.ResultsNine RCTs and fifteen cohort studies including 4,903 eyes (2,861 in the FLACS group and 2,072 in the CPS group) were identified. There were significant differences between the two groups in ECL% at one week, about one month and three months postoperatively, in CCT at one day, about one month postoperatively and at the final follow-up, in CDVA at one week postoperatively, and in UDVA at the final follow-up. Significant differences were also observed in MAE, EPT, phacoemulsification power, and the circularity of capsulorhexis. However, no significant differences were observed in CDVA at one week postoperatively or in surgically induced astigmatism.ConclusionsCompared to CPS, FLACS is a safer and more effective method for reducing endothelial cell loss and postoperative central corneal thickening as well as achieving better and faster visual rehabilitation and refractive outcomes. However, there is no difference in final CDVA and surgically induced astigmatism between the two groups.

show abstract

Section: Discussionmentioning

confidence: 99%

“…[ 1 , 6 ] Based on the advantages of FLACS over CPS, some researchers have even predicted that the femtosecond laser will become the standard method of cataract extraction within ten years. [ 18 ]…”

Section: Introductionmentioning

confidence: 99%

Comparing the Curative Effects between Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification Surgery: A Meta-Analysis

Chen

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The application of FSL in cataract surgery may be one of the biggest revolutions in the field of cataract in the latest several years. Some researchers proposed FSL has the potential to offer significant advantages over conventional phacoemulsification (CP) and will be the standard method of cataract surgery in ten years 12 . The major advantage of FSL-assisted cataract surgery (FLACS) is the reduction of phacoemulsification energy required in the surgery.…”

mentioning

confidence: 99%

Efficacy and safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: a meta-analysis of randomized controlled trials

Chen

Xiao

et al. 2015

Sci Rep

View full text Add to dashboard Cite

The aim of this study was to evaluate the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) versus conventional phacoemulsification cataract surgery (CPCS) in the treatment of cataract. Randomized controlled trials (RCTs) were searched in PubMed, Embase and the Cochrane Central Register of Controlled Trials. Nine qualified studies with a total of 989 eyes were included. Compared with CPCS, FLACS significantly reduced mean phaco energy and effective phacoemulsification time (EPT) required in the surgery. Central corneal thickness (CCT) was significantly lower in FLACS at 1 day of follow-up, but CCT and corneal endothelial cells count was comparable at 1 week of follow-up or longer. FLACS achieved a better visual outcome at postoperative 1 week and 6 months, but the difference was not significant at postoperative 1–3 months. Regard to surgical complications, the incidences of intraoperative anterior capsule tear, postoperative macular edema and elevated intraocular pressure were similar. In conclusion, femtosecond laser pretreatment can reduce phaco energy and EPT, which may reduce the heat damage to ocular tissues by ultrasound. This novel technique might be beneficial for patients with dense cataract and/or low preoperative endothelial cell values. Well-designed RCTs with longer follow-up are still necessary to provide more reliable evidence.

show abstract

“…What is less clear is whether or not FLACS will become the dominant mode of cataract surgery in the future. The debate can be framed from a technical standpoint; does FLACS result in a measurably better surgery, with better results [8,9]? Current studies show some theoretical advantages in terms of the circularity of the capsulorrhexis, predictability of the effective lens position calculation, decreased total ultrasound energy with resultant decreased endothelial cell injury, and reproducibility of corneal incisions including peripheral corneal relaxing incisions [10,11].…”

Section: Femtosecond Laser-assisted Cataract Surgerymentioning

confidence: 99%

The economics of femtosecond laser-assisted cataract surgery

Bartlett

Miller

2016

Current Opinion in Ophthalmology

View full text Add to dashboard Cite

Purpose of reviewFemtosecond lasers for use during cataract surgery carry significant purchase and use costs. The aim of this article is to help surgeons and surgery centers anticipate financial issues related to implementing femtosecond laser-assisted cataract surgery (FLACS). Such scenarios hopefully can help to inform decision making around the purchase and use of these lasers.Recent findings FLACS has several potential advantages over traditional phacoemulsification. However, although studies have demonstrated noninferiority of FLACS, there continues to be few data to support significantly improved visual outcomes. The literature does show a significantly higher cost for FLACS. As this cost can be passed on to patients under Medicare rules, there is the potential for increased physician revenue, which can be a motivator for adoption of this new technology. The magnitude of this increase is heavily influenced by the financial details of the implementation, like the cost of the laser, the volume of surgery performed, and the incremental increase in revenue. SummaryA financial analysis should be performed prior to purchasing a femtosecond laser. This analysis can help predict if FLACS is going to be a financial windfall or a money loser.

show abstract

Femtosecond laser will be the standard method for cataract extraction ten years from now

Cited by 15 publications

References 39 publications

Comparing the Curative Effects between Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification Surgery: A Meta-Analysis

Comparing the Curative Effects between Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification Surgery: A Meta-Analysis

Efficacy and safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: a meta-analysis of randomized controlled trials

The economics of femtosecond laser-assisted cataract surgery

Contact Info

Product

Resources

About