Intraoperative outcomes and safety of femtosecond laser-assisted cataract surgery: Canadian perspective

Ibrahim, T.; Goernert, Phillip N.; Rocha, Guillermo

doi:10.1016/j.jcjo.2018.02.022

Cited by 7 publications

(12 citation statements)

References 39 publications

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“…Femtosecond laser-assisted cataract surgery (FLACS) has been suggested to increase the safety of cataract surgery. 8 Although the FLACS cohort in this study was smaller, the incidence was comparable to that achieved with standard phacoemulsification. The number of cases of dropped nucleus (three cases among 4,648 procedures) was small, so random effects may influence the incidence.…”

Section: A C C E P T E Dmentioning

confidence: 57%

Risk factors for dropped nucleus in cataract surgery as reflected by the European Registry of Quality Outcomes for Cataract and Refractive Surgery

Lundström

Dickman

Henry

et al. 2020

J Cataract Refract Surg

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Purpose: To analyse the incidence, risk factors, and outcomes of cataract surgery complicated by a dropped nucleus. Setting: Patients who have received cataract surgery in 18 European countries. Design: Retrospective cross-sectional register-based study. Methods: Data from the European Registry for Quality Outcomes in Cataract and Refractive Surgery (EUREQUO) were analysed. The EUREQUO contains preoperative baseline, intraoperative, and follow-up data. Intraoperative data include dropped nucleus as a complication. Baseline data such as demographic data, ocular comorbidities, surgical difficulties, and visual and refractive outcomes were tested for association with dropped nucleus for the study period 1 January 2008 to 31 December 2018.Results: The number of reported surgeries with complete data was 1,715,348. Dropped nucleus was reported in 1,221 (0.071%) cases during the study period. White cataract, previous vitrectomy, poor preoperative visual acuity, small pupil, pseudoexfoliation, diabetic retinopathy, and male gender were significantly related to dropped nucleus. Year of surgery showed a significant trend of decreasing occurrence of dropped nucleus over time. Eyes with the complication of a dropped nucleus had a poorer visual and refractive outcome also compared with eyes with existing risk factors but no such complication. Conclusion: Many risk factors for dropped nucleus were identified. A significant trend of decreasing occurrence of dropped nucleus was found for the study period. The visual and refractive outcome was poorer for eyes with dropped nucleus.

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Section: A C C E P T E Dmentioning

confidence: 57%

Risk factors for dropped nucleus in cataract surgery as reflected by the European Registry of Quality Outcomes for Cataract and Refractive Surgery

Lundström

Dickman

Henry

et al. 2020

J Cataract Refract Surg

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“…After the operation, some diabetic patients have an accelerated course of fundus microangiopathy [14], retinal thickening [15] and choroidal thickening, with different changes shown among studies [16,17]. Researchers have confirmed that femtosecond laser-assisted cataract surgery (FLACS) can optimize PE parameters [18], reduce the cumulative release of ultrasound energy [19] and reduce complications [20,21]. However, it is worth noting that FLACS requires suction of the cornea, and so the intraocular pressure is increased significantly during capsulotomy and fragmentation [22].…”

Section: Introductionmentioning

confidence: 99%

Effects of Femtosecond Laser-Assisted Cataract Surgery on Macular and Choroidal Thickness in Diabetic Patients

Rong

Jiang³

et al. 2021

Ophthalmol Ther

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Introduction This study aimed to compare the short-term changes in retinal and choroid thickness in diabetic patients after femtosecond laser-assisted cataract surgery (FLACS) and phacoemulsification (PE) surgery. Methods A total of 47 eyes in the PE group and 44 eyes in the FLACS group were included. All patients underwent measurement of central macular thickness (CMT) and subfoveal choroidal thickness (SFCT) before and after surgery using optical coherence tomography (OCT). Results The effective phaco time (EPT) in the FLACS group was significantly reduced. The BCVA differed significantly between the two groups at 1 week and 1 month after surgery. The CMT in both groups increased at 1 week after the operation. It did not return to the preoperative level until month 12 in the PE group. In the FLACS group, the CMT began to decrease at month 3 and recovered to the preoperative level at month 12. The SFCT of the two groups increased at week 1; it began to decrease at month 6 in the PE group but did not recover to the preoperative level until month 12. The SFCT in the FLACS group recovered to preoperative levels at month 6. In the PE group, baseline CMT values predicted CMT change at week 1 and months 1, 3 and 12 after surgery. In the FLACS group, baseline CMT predicted CMT changes at week 1, month 1 and month 3. In the FLACS group, EPT predicted SFCT change at month 3. Conclusion FLACS is safe and effective in patients with no fundus change or mild diabetic retinopathy. It has advantages in effectively reducing EPT, achieving good vision earlier and promoting faster recovery of the retinal and choroidal thickness. Preoperative CMT is a significant predictor of CMT changes in the early period after FLACS.

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“…We speculate that the use of trypan blue may reduce the chances of complications in cases in which there is a suspicion of incomplete capsulorhexis or peripheral microtears. 26 Achieving good refractive outcomes in RK patients can be challenging. The normal anterior curvature and anterior-posterior corneal curvature relationship are altered in a manner different from laser refractive surgery.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of femtosecond laser–assisted cataract and refractive lens surgery in patients with prior radial keratotomy

Trinh

Solomon

Cohen

et al. 2022

J Cataract Refract Surg

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Intraoperative outcomes and safety of femtosecond laser-assisted cataract surgery: Canadian perspective

Cited by 7 publications

References 39 publications

Risk factors for dropped nucleus in cataract surgery as reflected by the European Registry of Quality Outcomes for Cataract and Refractive Surgery

Risk factors for dropped nucleus in cataract surgery as reflected by the European Registry of Quality Outcomes for Cataract and Refractive Surgery

Effects of Femtosecond Laser-Assisted Cataract Surgery on Macular and Choroidal Thickness in Diabetic Patients

Outcomes of femtosecond laser–assisted cataract and refractive lens surgery in patients with prior radial keratotomy

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