Differential approach to the use of femtosecond laser in age-related cataract surgery in eyes with different lens density
Background: The femtosecond laser provides a new approach to cataract surgery. The efficacy of femtosecond laser-assisted lens fragmentation depends on mechanical lens density and effective fragmentation is important in the management of patients with age-related cataract. Purpose: To determine t...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ukrainian Society of Ophthalmologists
2018-08-01
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| Series: | Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://www.ozhurnal.com/en/archive/2018/4/1-fulltext |
| Summary: | Background: The femtosecond laser provides a new approach to cataract surgery. The efficacy of femtosecond laser-assisted lens fragmentation depends on mechanical lens density and effective fragmentation is important in the management of patients with age-related cataract.
Purpose: To determine the differential indications for femtosecond laser-assisted cataract surgery (FLACS) for age-related cataract patients with different lens densities.
Materials and Methods: One hundred and ten patients (120 eyes) who underwent cataract surgery using either conventional ultrasound phacoemulsification cataract surgery (UPCS; 55 patients) or FLACS (55 patients) were prospectively followed up.
Results: Laser-assisted lens fragmentation was most effective in eyes with a predicted cumulative dissipated energy (CDE) of 10.0 to 14.1 units, allowing for a 5.7 unit (43.4%) decrease in actual CDE compared to the use of conventional phacoemulsification.
Conclusion: The use of femtosecond laser in age-related cataract surgery is most effective in eyes with a soft lens nucleus. |
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| ISSN: | 2412-8740 |