Balanced Salt Solution Volume and Phacoemulsification Time for Grid Pattern Lens Fragmentation in Femtolaser–Assisted Cataract Surgery

Monday, April 20, 2015: 1:28 PM
Room 5A (San Diego Convention Center)
Francisco S. Soares, MD
Jonathan C. Lake, MD
Fabio H. Casanova, MD, PhD
Alfredo Tranjan, MD
Gabriel G. Giordano, MD
Wilson de Freitas Sr., MD, PhD

To evaluate ultrasound time and BSS volume during femtolaser-assisted cataract surgery (FLACS) in Brazil.

Non-randomized prospective study of 105 eyes (48 patients) that underwent FLACS divided in two groups: Group I (n=51),  surgery with grid pattern lens fragmentation and lens aspiration without ultrasonic emulsification; and Group II (n=54), surgery with grid pattern lens fragmentation and lens aspiration with ultrasonic emulsification. BSS volume, time of surgery, emulsification time, and endothelial cell count were compared in both groups.

Total surgical time and BSS volume were significantly higher in group I than in group II (p<0.05). Ultrasound time was significantly higher in Group II. Postoperative endothelial cell count at 1 month was not significantly different in both Groups (P>0.05).

Ultrasound free FLACS lead to higher surgical times but did not increase endothelial cell loss in this study.