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

Trinh, Tanya; Solomon, Benjamin; Cohen, Eyal; Gouvea, Larissa; Santaella, Gisella; Sorkin, Nir; AlShaker, Sara; Din, Nizar; Rootman, David S.

doi:10.1097/j.jcrs.0000000000000784

Cited by 7 publications

(12 citation statements)

References 32 publications

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“…Furthermore, the application of LASERs in cataract surgery began to be investigated in the seventies [6,7,[25][26][27][28]. The argon laser, whose wavelength lies in the visible light spectrum, was the first laser to be used clinically in Ophthalmology [7].…”

Section: Cataract Surgery -Femtosecond Lasermentioning

confidence: 99%

“…These corneal incisions are selfsealing and provide a gateway to access the anterior chamber. The precision of the incision and the consistency of its Femtosecond laser architecture enable better postoperative healing, allowing for better control of postoperative infection [6,7].…”

Section: Cataract Surgery -Femtosecond Lasermentioning

confidence: 99%

“…Also, cataract is the main cause of blindness worldwide and surgery for its correction is the most performed surgical procedure in the world, with some an estimated 19 million surgeries per year [3]. However, this number is expected to come increasing, as a result of the increasing size of the population, the increase in average life expectancy, the increase in chronic diseases associated with aging, such as diabetes mellitus, and the development of expectations regarding health [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Major approaches and clinical findings of cataract surgery using the femtosecond laser: a systematic review

Murad¹,

Daher²,

Neiva³

et al. 2022

MedNEXT

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Introduction: In the scenario of eye problems, cataract is a disease characterized by the opacification of the lens, which leads to a decrease in visual acuity, due to a change in the refractive index. A cataract is the leading cause of blindness worldwide and surgery for its correction is the most performed surgical procedure in the world, with an estimated 19 million surgeries per year. The Femtosecond laser was approved for ophthalmic surgery in 2000, having been recently developed to integrate cataract surgery. Objective: It was to highlight the main clinical and scientific considerations related to the application of the Femtosecond laser in cataract surgery, highlighting its efficacy and safety to the conventional phacoemulsification technique. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from August to October 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from the last 15 years. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 229 articles were found, of which only 55 were part of this systematic review, after an eligibility analysis. Femtosecond laser-assisted cataract surgery appears to be beneficial in some patient groups, ie those with low baseline endothelial cell counts, or those planning to receive multifocal intraocular lenses. However, considering that the advantages of femtosecond laser-assisted cataract surgery may not be clear in all routine cases, it cannot be considered cost-effective. The adoption of the Femtosecond laser in cataract surgery has divided opinions as it results from the adaptation of a technology already used in other areas to a surgical procedure that, at the time, was already successful.

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Section: Cataract Surgery -Femtosecond Lasermentioning

confidence: 99%

Section: Cataract Surgery -Femtosecond Lasermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Major approaches and clinical findings of cataract surgery using the femtosecond laser: a systematic review

Murad¹,

Daher²,

Neiva³

et al. 2022

MedNEXT

View full text Add to dashboard Cite

show abstract

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Comment on: New thin-film adhesive for sealing full-thickness corneal incisions in rabbits We read with great interest the article by Tan et al 1 This study concluded that the use of a laser-activated thin-film adhesive was efficacious in sealing 2.0 mm penetrating corneal incisions, with greater burst pressures compared with sutures or self-seal. We congratulate the authors for their fine work.Werner et al reported 8 cases of toxic anterior segment syndrome after uneventful phacoemulsification, which were caused by antibiotic/steroid ointment that gained access to the eye.

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mentioning

confidence: 99%

“…Comment on: Outcomes of femtosecond laser-assisted cataract and refractive lens surgery in patients with prior radial keratotomy We would like to congratulate Trinh et al for their excellent publication, which deals with individuals who in their younger days underwent radial keratotomy (RK) and who now had femtosecond laser-assisted cataract surgery (FLACS). 1,2 We have performed FLACS ever since we reported on our first 6 eyes a couple of years ago. 3 Our experience, however, differs from the one described in the recent paper.…”

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confidence: 99%

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

Dick¹,

Schultz²

2022

J Cataract Refract Surg

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Comment on: New thin-film adhesive for sealing full-thickness corneal incisions in rabbits We read with great interest the article by Tan et al. 1 This study concluded that the use of a laser-activated thin-film adhesive was efficacious in sealing 2.0 mm penetrating corneal incisions, with greater burst pressures compared with sutures or self-seal. We congratulate the authors for their fine work.Werner et al. reported 8 cases of toxic anterior segment syndrome after uneventful phacoemulsification, which were caused by antibiotic/steroid ointment that gained access to the eye. 2 A PubMed search performed on June 14, 2022, with the keywords "intraocular or intracameral or anterior chamber"; "cataract surgery or phacoemulsification"; "ointment", resulted in 12 relevant reports of ophthalmic ointment in the anterior segment after cataract surgery. These facts demonstrate that self-seal corneal incisions not only leak from the inside-out but can also grant access for particles or pathogens on the ocular surface into the anterior chamber, which is consistent with the findings by West et al. demonstrating the rise in the incidence of postoperative endophthalmitis coincidently with the popularization of clear corneal incisions. 3

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Automated precision pulse capsulotomy vs manual capsulorhexis in white cataracts: reduction in procedural time and resource utilization

Ifantides

Sretavan²

2022

J Cataract Refract Surg

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

Abstract: FLACS- or FL-assisted RLE surgery in RK patients has a high risk for anterior capsule tears and should be avoided. Thickened incisional scars are potential sources of incomplete laser penetrance.

Cited by 7 publications

References 32 publications

Major approaches and clinical findings of cataract surgery using the femtosecond laser: a systematic review

Major approaches and clinical findings of cataract surgery using the femtosecond laser: a systematic review

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

Automated precision pulse capsulotomy vs manual capsulorhexis in white cataracts: reduction in procedural time and resource utilization

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