The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020

Lewis M Levitz,1 H Burkhard Dick,2 Wendell Scott,3 Chris Hodge,1,4,5 Joseph A Reich1 1Vision Eye Institute, Hawthorn East, VIC, Australia; 2University Eye Hospital, Bochum, Germany; 3Mercy Clinic Eye Specialists, Springfield, MO, USA; 4Save Sight Institute, The University of Sydney, Sydney, NSW, Aus...

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Autores principales:	Levitz LM, Dick HB, Scott W, Hodge C, Reich JA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	femtosecond laser assisted cataract surgery: cataract surgery posterior capsular rupture extended depth of focus intraocular lenses pseudophakic cystoid macular oedema Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d9ea3febe08e437cbd67da6d30b0d1ec
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spelling	oai:doaj.org-article:d9ea3febe08e437cbd67da6d30b0d1ec2021-12-02T12:58:33ZThe Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 20201177-5483https://doaj.org/article/d9ea3febe08e437cbd67da6d30b0d1ec2021-03-01T00:00:00Zhttps://www.dovepress.com/the-latest-evidence-with-regards-to-femtosecond-laser-assisted-catarac-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Lewis M Levitz,1 H Burkhard Dick,2 Wendell Scott,3 Chris Hodge,1,4,5 Joseph A Reich1 1Vision Eye Institute, Hawthorn East, VIC, Australia; 2University Eye Hospital, Bochum, Germany; 3Mercy Clinic Eye Specialists, Springfield, MO, USA; 4Save Sight Institute, The University of Sydney, Sydney, NSW, Australia; 5Graduate School of Health, University of Technology Sydney, Sydney, NSW, AustraliaCorrespondence: Lewis M LevitzVision Eye Institute, 27 Denmark Hill Road, Hawthorn East, VIC, 3123, AustraliaTel +61 3 98821347Fax +61 3 9882 3312Email Lewis.Levitz@vei.com.auAbstract: Femtosecond laser-assisted cataract surgery (FLACS) was introduced with the hope of making cataract surgery safer and making the refractive result more predictable. It is only in the last four years that level 1 prospective randomised controlled trials (RCT) using current technology have been published. These, along with a meta-analysis of recent studies have shown that there seems to be little long-term visual benefit when using FLACS with monofocal lenses. The promised decrease in ultrasound energy required to remove a cataract has not been consistently demonstrated. There is level one evidence that the rate of posterior capsular rupture is less with FLACS using modern software. The round capsulotomy may be of increasing importance with the uptake of toric, multifocal and extended depth of focus lenses where a predictable capsulotomy size and precise placement of the lens becomes more important.Keywords: femtosecond laser-assisted cataract surgery: conventional cataract surgery, posterior capsular rupture, extended depth of focus intraocular lenses, pseudophakic cystoid macular oedemaLevitz LMDick HBScott WHodge CReich JADove Medical Pressarticlefemtosecond laser assisted cataract surgery: cataract surgeryposterior capsular ruptureextended depth of focus intraocular lensespseudophakic cystoid macular oedemaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1357-1363 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	femtosecond laser assisted cataract surgery: cataract surgery posterior capsular rupture extended depth of focus intraocular lenses pseudophakic cystoid macular oedema Ophthalmology RE1-994
spellingShingle	femtosecond laser assisted cataract surgery: cataract surgery posterior capsular rupture extended depth of focus intraocular lenses pseudophakic cystoid macular oedema Ophthalmology RE1-994 Levitz LM Dick HB Scott W Hodge C Reich JA The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020
description	Lewis M Levitz,1 H Burkhard Dick,2 Wendell Scott,3 Chris Hodge,1,4,5 Joseph A Reich1 1Vision Eye Institute, Hawthorn East, VIC, Australia; 2University Eye Hospital, Bochum, Germany; 3Mercy Clinic Eye Specialists, Springfield, MO, USA; 4Save Sight Institute, The University of Sydney, Sydney, NSW, Australia; 5Graduate School of Health, University of Technology Sydney, Sydney, NSW, AustraliaCorrespondence: Lewis M LevitzVision Eye Institute, 27 Denmark Hill Road, Hawthorn East, VIC, 3123, AustraliaTel +61 3 98821347Fax +61 3 9882 3312Email Lewis.Levitz@vei.com.auAbstract: Femtosecond laser-assisted cataract surgery (FLACS) was introduced with the hope of making cataract surgery safer and making the refractive result more predictable. It is only in the last four years that level 1 prospective randomised controlled trials (RCT) using current technology have been published. These, along with a meta-analysis of recent studies have shown that there seems to be little long-term visual benefit when using FLACS with monofocal lenses. The promised decrease in ultrasound energy required to remove a cataract has not been consistently demonstrated. There is level one evidence that the rate of posterior capsular rupture is less with FLACS using modern software. The round capsulotomy may be of increasing importance with the uptake of toric, multifocal and extended depth of focus lenses where a predictable capsulotomy size and precise placement of the lens becomes more important.Keywords: femtosecond laser-assisted cataract surgery: conventional cataract surgery, posterior capsular rupture, extended depth of focus intraocular lenses, pseudophakic cystoid macular oedema
format	article
author	Levitz LM Dick HB Scott W Hodge C Reich JA
author_facet	Levitz LM Dick HB Scott W Hodge C Reich JA
author_sort	Levitz LM
title	The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020
title_short	The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020
title_full	The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020
title_fullStr	The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020
title_full_unstemmed	The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020
title_sort	latest evidence with regards to femtosecond laser-assisted cataract surgery and its use post 2020
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/d9ea3febe08e437cbd67da6d30b0d1ec
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The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020

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