Refractive Results After Femtosecond Laser-Assisted Capsulotomy

Friday, April 25, 2014
KIOSKS (Boston Convention and Exhibition Center)
Louis D. "Skip" Nichamin, MD Brookville, PA, USA

Narrative Responses:

Purpose
To report the refractive outcomes of IOL implantation following femtosecond laser-assisted capsulotomy.  To compare these results to typical refractive outcomes following manual continuous curvilinear capsulorrhexis.

Methods
Single center prospective evaluation of 120 eyes.  60 eyes underwent femtosecond laser capsulotomy (FS) and 60 underwent manual capsulorrhexis (CCC).  Follow up visits were at 1 day and 1 month.  Study is ongoing.

Results
Absolute mean (SD) refractive spherical equivalent (SE) error in the fs cohort was 0.51 (0.36) diopters (D).  64% and 95% of fs cohort patients fell within 0.5 and 1.0 D of intended refractive outcome, compared to 58% and 90% of CCC pts.  Attempted vs. achieved absolute spherical equivalent correction correlated more strongly in the FS group (R2 = 0.94) than in the CCC group (R2 = 0.89).

Conclusion
Precise refractive corrections are possible following laser-assisted capsulorrhexis.