Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review

Lewis Levitz,1 Joseph Reich,1 Chris Hodge1,2 1Vision Eye Institute Camberwell, Hawthorn East, VIC, Australia; 2Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia Purpose: The aim of the study was to determine whether femtosecond-assisted laser cataract surgery (FLAC...

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Autores principales:	Levitz L, Reich J, Hodge C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	cataract surgery phacoemulsification complications posterior capsule rupture zonular dehiscence Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3f4e0bd3dd2c40b0971f73cfcaba286a
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spelling	oai:doaj.org-article:3f4e0bd3dd2c40b0971f73cfcaba286a2021-12-02T00:30:55ZPosterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review1177-5483https://doaj.org/article/3f4e0bd3dd2c40b0971f73cfcaba286a2018-09-01T00:00:00Zhttps://www.dovepress.com/posterior-capsular-complication-rates-with-femtosecond-laser-assisted--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Lewis Levitz,1 Joseph Reich,1 Chris Hodge1,2 1Vision Eye Institute Camberwell, Hawthorn East, VIC, Australia; 2Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia Purpose: The aim of the study was to determine whether femtosecond-assisted laser cataract surgery (FLACS) reduces the posterior capsular complication (PCC) rate compared to manual cataract surgery when performed by an experienced surgeon. Patients and methods: We reviewed 2,021 consecutive FLACS procedures between 1 June 2012 and 30 August 2017. All cases of posterior capsular rupture (PCR) with or without vitreous prolapse or zonular dialysis (ZD) that prevented an in-the-bag placement of the intraocular lens were included. Risk factors were noted and outcomes documented. Results: Six eyes of 2,021 (0.3%) who underwent FLACS had either a PCR or ZD. One eye (0.25%) of 403 eyes that had manual cataract surgery had a PCR. There was no significant difference in outcomes. Risk factors included advanced age, dense nuclei, pseudoexfoliation and small pupil. Only a single case in the FLACS series may have been directly attributed to the FLACS procedure. Conclusion: This study provides evidence that there is no significant difference in the PCC rate between FLACS and manual cataract surgery in the hand of an experienced surgeon who performs >350 cases annually. This low rate of complications may be achieved by less experienced surgeons adopting FLACS. Keywords: cataract surgery, phacoemulsification complications, femtosecond laser-assisted cataract surgery, safety, posterior capsule rupture, zonular dehiscenceLevitz LReich JHodge CDove Medical Pressarticlecataract surgeryphacoemulsification complicationsposterior capsule rupturezonular dehiscenceOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1701-1706 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract surgery phacoemulsification complications posterior capsule rupture zonular dehiscence Ophthalmology RE1-994
spellingShingle	cataract surgery phacoemulsification complications posterior capsule rupture zonular dehiscence Ophthalmology RE1-994 Levitz L Reich J Hodge C Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
description	Lewis Levitz,1 Joseph Reich,1 Chris Hodge1,2 1Vision Eye Institute Camberwell, Hawthorn East, VIC, Australia; 2Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia Purpose: The aim of the study was to determine whether femtosecond-assisted laser cataract surgery (FLACS) reduces the posterior capsular complication (PCC) rate compared to manual cataract surgery when performed by an experienced surgeon. Patients and methods: We reviewed 2,021 consecutive FLACS procedures between 1 June 2012 and 30 August 2017. All cases of posterior capsular rupture (PCR) with or without vitreous prolapse or zonular dialysis (ZD) that prevented an in-the-bag placement of the intraocular lens were included. Risk factors were noted and outcomes documented. Results: Six eyes of 2,021 (0.3%) who underwent FLACS had either a PCR or ZD. One eye (0.25%) of 403 eyes that had manual cataract surgery had a PCR. There was no significant difference in outcomes. Risk factors included advanced age, dense nuclei, pseudoexfoliation and small pupil. Only a single case in the FLACS series may have been directly attributed to the FLACS procedure. Conclusion: This study provides evidence that there is no significant difference in the PCC rate between FLACS and manual cataract surgery in the hand of an experienced surgeon who performs >350 cases annually. This low rate of complications may be achieved by less experienced surgeons adopting FLACS. Keywords: cataract surgery, phacoemulsification complications, femtosecond laser-assisted cataract surgery, safety, posterior capsule rupture, zonular dehiscence
format	article
author	Levitz L Reich J Hodge C
author_facet	Levitz L Reich J Hodge C
author_sort	Levitz L
title	Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
title_short	Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
title_full	Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
title_fullStr	Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
title_full_unstemmed	Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
title_sort	posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/3f4e0bd3dd2c40b0971f73cfcaba286a
work_keys_str_mv	AT levitzl posteriorcapsularcomplicationrateswithfemtosecondlaserassistedcataractsurgeryaconsecutivecomparativecohortandliteraturereview AT reichj posteriorcapsularcomplicationrateswithfemtosecondlaserassistedcataractsurgeryaconsecutivecomparativecohortandliteraturereview AT hodgec posteriorcapsularcomplicationrateswithfemtosecondlaserassistedcataractsurgeryaconsecutivecomparativecohortandliteraturereview
_version_	1718403671082926080

Posterior capsular complication rates with femtosecond laser-assisted cataract surgery: a consecutive comparative cohort and literature review

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