Femtosecond laser-assisted cataract surgery-current status and future directions

Dilraj S. Grewal, Tim Schultz, Surendra Basti*, H. Burkhard Dick

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

94 Scopus citations


Femtosecond laser-assisted cataract surgery (FLACS) putatively offers several advantages over conventional phacoemulsification. We review the current status of FLACS and discuss the evolution of femtosecond lasers in cataract surgery and the currently available femtosecond laser platforms. We summarize the outcomes of FLACS for corneal wound creation, limbal relaxing incisions, capsulotomy, and lens fragmentation. We discuss surgical planning, preoperative considerations, clinical experiences including the learning curve and postoperative outcomes with FLACS, and also the cost effectiveness of FLACS. We present the intraoperative complications and management of challenging cases where FLACS offers an advantage and also speculate on the future directions with FLACS. Further advancements in laser technology to refine its efficacy, advancement in intraocular lens design to harness the potential benefits of FLACS, and a reduction in cost are needed to establish a clear superiority over conventional phacoemulsification.

Original languageEnglish (US)
Pages (from-to)103-131
Number of pages29
JournalSurvey of ophthalmology
Issue number2
StatePublished - Mar 1 2016


  • Cataract
  • Femtosecond
  • Femtosecond cataract
  • Femtosecond cataract surgery
  • Femtosecond laser cataract surgery
  • Femtosecond laser-assisted cataract surgery
  • Laser cataract
  • Laser cataract surgery
  • Laser-assisted cataract surgery

ASJC Scopus subject areas

  • Ophthalmology


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