TY - JOUR
T1 - Femtosecond laser-assisted cataract surgery-current status and future directions
AU - Grewal, Dilraj S.
AU - Schultz, Tim
AU - Basti, Surendra
AU - Dick, H. Burkhard
N1 - Funding Information:
Supported in part by unrestricted funds to the Department of Ophthalmology, Northwestern University Feinberg School of Medicine from Research to Prevent Blindness (RPB, NY) and a Heed Ophthalmic Foundation Grant (San Francisco, CA) (D. S. G).
Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - 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.
AB - 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.
KW - Cataract
KW - Femtosecond
KW - Femtosecond cataract
KW - Femtosecond cataract surgery
KW - Femtosecond laser cataract surgery
KW - Femtosecond laser-assisted cataract surgery
KW - Laser cataract
KW - Laser cataract surgery
KW - Laser-assisted cataract surgery
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U2 - 10.1016/j.survophthal.2015.09.002
DO - 10.1016/j.survophthal.2015.09.002
M3 - Review article
C2 - 26409902
AN - SCOPUS:84959167435
VL - 61
SP - 103
EP - 131
JO - Survey of Ophthalmology
JF - Survey of Ophthalmology
SN - 0039-6257
IS - 2
ER -