Intraocular Pressure on Postoperative Day 1 After Femtosecond Laser-Assisted Phacoemulsification

Friday, April 25, 2014
KIOSKS (Boston Convention and Exhibition Center)
Helga P. Sandoval, MD, MSCR, Carolina Eyecare Physicians, Charleston, SC, USA
Kerry D. Solomon, MD, Carolina Eyecare Physicians, Mt Pleasant, South Carolina, USA

Narrative Responses:

Purpose
To assess the intraocular pressure (IOP) between patients undergoing femtosecond laser assisted phacoemulsification and and compare it to conventional surgery on day 1 after the surgical procedure.

Methods
Retrospective chart review of patients that underwent routine phacoemulsification between August and December 2012. The reviewed charts were divided in two groups: femtosecond laser assisted and conventional cataract surgery. Intraocular pressure (IOP)on day 1 after surgery was evaluated. Statistical analysis comparing the 2 groups was done using t-test. A P < 0.05 was considered statistically significant.

Results
185 eyes of 119 subjects were included. 107 eyes had femtosecond laser assisted cataract surgery and 78 conventional surgery. Mean age 68.9 ±6.1 in the femto group and 70.6 ±7.1 years in the conventional group. Postoperative day 1, mean IOP = 21.4 ±8.5 mmHg in the laser group compared to 22.7 ± 7.1 mmHg  in the conventional group (P < 0.278). No statistically significant differences in IOP were observed among the groups. In the laser group, 7.4% (9) required treatment due to IOP higher than 32 mmHg while 8.9% (7) in the conventional group needed treatment.

Conclusion
The use of femtosecond laser during routine phacoemulsification did not show an increased IOP during postoperative day 1 compared to conventional phacoemulsification.