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-  2018 

Femtosecond Laser in Cataract Surgery: What Makes It Worth It? Or Not? - Femtosecond Laser in Cataract Surgery: What Makes It Worth It? Or Not? - Open Access Pub

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Abstract:

This review is designed to look at a prospective evaluation of the use of the femtosecond laser and manual incision standard cataract surgery in one center with one surgeon focusing on visual outcomes and complications. Multiple studies support both benefits, risks, alternatives, and differences between manual capsulotomy combined with standard manual incision cataract surgery and cataract surgery employing the femtosecond laser in conjunction with routine phacoemulsification. The purpose of this study was to evaluate early postoperative outcomes using a prospective evaluation of cases from one surgeon over the course of two years from 2015-2017. The first group of cases involves 2134 eyes comparing phacoemulsification time in seconds (PT), ultrasound time in seconds (UT), and cumulative delivered energy (CDE). The second group of cases involves 1913 eyes that were Lens Opacification Classification III similar and without other ocular or lenticular abnormalities. Finally, a subgroup from the latter group (n=150) were evaluated over the course of two days and postoperative 3-hour examinations (visual acuity) were compared. DOI10.14302/issn.2470-0436.jos-18-2494 Cataract surgery and techniques are constantly evolving. These changes range from completely new surgical concepts (pathbreaking innovations), modification of a single procedural step and customization of techniques to fit personal surgical talents. The use of femtosecond lasers in cataract surgery was introduced by Nagy et al. in 2009. 1 Other surgeons followed with publications documenting the theoretical, scientific and practical benefits of the femtosecond laser. 2, 3 Soon after its introduction, surgeons began to discuss the pros and cons of the use of the femtosecond laser in cataract surgery. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 Several major reviews, both positive and negative, have been published. It is the intent of this study to present the immediate visual benefits and safety roughly ten years after the introduction of this technology in cataract surgery. 15, 16, 17, 18, 19 It is not the purpose of this study to prove one technique or surgical variation over another but to outline the unique benefits of the femtosecond laser in cataract surgery from an experienced surgeon (since June 2011) in a single center with emphasis on the immediate visual outcomes and overall safety. Experimental Procedure The authors prospectively reviewed, from January 1, 2015 to December 31, 2017, a total of 2134 cases from one surgeon at one center. Primary emphasis was to evaluate phacoemulsification time

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