First Clinical Experience With Femtosecond Laser-Assisted Cataract Surgery
Narrative Responses:
Purpose
To present our clinical results with FS laser-assisted cataract surgery utilizing Victus (B+L).
Methods
83 patients (83 eyes) with cataracts of different grades including 6 eyes with moderate zonular weakness and natural lens instability due to PEX syndrome were operated. All cases underwent laser capsulotomy and lens fragmentation. In 76 eyes clear corneal incisions were performed with disposable metal blade, in 7 eyes - with the laser.
Results
No major complications were observed during or after the surgery. Some specifics in combining laser and surgical steps were mentioned. Mean duration of laser step was 7.4+/- 2.34 min (range 5-22 min). Interval in between the laser and surgical step was 38,9 +/- 20.8 min (from 7 to 86). Long pause in between the steps was leading to pupil constriction in some patients. Anterior capsulotomy flap was «free floating» in 94,6%. Bi-manual irrigation-aspiration followed by IOL implantation was uneventful. Preoperative BCVA (Snellen) 0.15 +/- .0.13 (range 0.001–0.7) improved to 0.74 +/- 0.25 (range 0.4–1.0) at 3 months postop.
Conclusion
FS laser assisted cataract surgery provided very good and consistent surgical outcomes. Learning curve is relatively flat and requires some changes in the surgical algorithms.