Study of the efficiency and workflow of femtosecond laser-assisted cataract surgery in a Spanish public hospital

Abstract

Background: To assess the time-efficiency of a designated operation room (OR) workflow in the introduction of Femtosecond laser-assisted cataract surgery (FLACS, LenSx, Alcon®). The study was carried out in a public hospital with high volume of procedures. Methods: We performed this prospective, controlled, surgical intervention study in the Ophthalmology department of a tertiary referral Spanish public hospital. A total of 167 eyes were enrolled, including 62 eyes undergoing conventional phacoemulsification surgery. In phase I, patients were assigned either to FLACS-I (n=63) or conventional phacoemulsification surgery (n=62). One surgeon operated the Femto-second laser, another finished the procedure, whereas another performed a conventional phacoemulsification. In the second phase (FLACS-II), all the surgeries were FLACS (n=42). A surgeon performed the FLACS procedure and two different surgeons completed the surgeries in separated ORs. Surgical and rollover times of all the patients were recorded. Results: Preparation time was statistically significant lower in FLACS-I and FLACS-II (p<0.001) whereas the time of the cataract procedure per se was

Safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: A meta-analysis and systematic review

“…Nine of them were excluded because the data were not relevant to our outcomes of interest, and 3 of them were excluded because it was without effective data. Finally, 37 articles 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 were selected for this meta-analysis.

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“…Fifteen studies, 14 , 21 , 23 , 28 , 30 , 31 , 32 , 34 , 35 , 42 , 45 , 48 , 50 , 51 , 52 including 11,007 eyes, recorded the complication of anterior tear. The meta-analysis from all studies suggested there was no significant difference between FLACS and CPS (OR ​= ​1.75, 95% CI 0.82 to 3.73, P ​= ​0.15: Fig.…”