Clinical outcomes of a novel IOL design for Femtosecond laser assisted cataract surgery

2018 ◽  
Vol 41 ◽  
pp. S51 ◽  
Author(s):  
Racquel Gil-Cazorla ◽  
Shehzad Naroo ◽  
Emma Berrow ◽  
James Wolffsohn ◽  
Sunil Shah
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Clinical Outcomes

Subjective and objective clinical outcomes of a new trifocal toric intraocular lens and effect of femtosecond laser cataract surgery

2021 ◽  
pp. 112067212110464
Author(s):  
Oya Donmez ◽  
Bilgehan Sezgin Asena ◽  
Yonca Aydin Akova
Keyword(s):  
Visual Acuity ◽  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Clinical Outcomes ◽  
Intraocular Lens ◽  
Rotational Stability ◽  
Toric Intraocular Lens ◽  
Low Contrast ◽  
Patient Reported ◽  
The Mean

Purpose: To evaluate the clinical outcomes and quality of life following implantation of PanOptix toric intraocular lens (IOL) and to compare the outcomes following femtosecond laser assisted cataract surgery (FLACS) and standard cataract surgery (SCS). Methods: This comparative retrospective study included 79 eyes of 55 patients underwent cataract or refractive lens exchange surgery between April 2017 and January 2020 in Bayindir Hospital and Kaskaloglu Eye Hospital. Corneal (CA) and refractive astigmatism (RA), uncorrected visual acuities for distant, intermediate, and near (UDVA, UIVA, and UNVA), low contrast distance visual acuity, rotational stability, defocus curves, photopic and mesopic contrast sensitivity (CS), visual function-14 (VF-14) test, presence of dysphotopsia, and need for spectacles were evaluated at postoperative third month. Outcomes were compared between FLACS and SCS group. Results: The mean UDVA, UIVA, and UNVA were 0.05 ± 0.07, 0.08 ± 0.08, and 0.06 ± 0.07 logMAR, respectively. All patients achieved ⩾0.3 logMAR uncorrected visual acuity for all distances. UDVA was found significantly better in FLACS group ( p = 0.03). All eyes had ⩽1 D of subjective postoperative RA. Defocus curve had two peaks at 0 and −1.50 D. Spectacle independence was achieved in 88.7% of patients. Photopic and mesopic CS was within normal range in all patients. The mean VF-14 score was 98 ± 2. The mean IOL axis rotation was 2.1° ± 2.3°. Only one patient reported seeing disturbing halos. Conclusions: This trifocal toric IOL effectively reduced refractive astigmatism and provided excellent visual outcomes with high spectacle independence, patients’ satisfaction, and good rotational stability. FLACS might have an impact on optimal postoperative results.

Clinical Outcomes in the First Two Years of Femtosecond Laser–Assisted Cataract Surgery

2015 ◽  
Vol 160 (2) ◽  
pp. 396-397 ◽  
Author(s):  
Gianluca Carifi ◽  
Vasiliki Zygoura ◽  
Nikolaos Kopsachilis
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Clinical Outcomes

Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the TECNIS Symfony intraocular lens

2020 ◽  
Vol 1 (4) ◽  
pp. 213-217
Author(s):  
Ji-Lin Tan ◽  
◽  
Shi-Man Yuan ◽  
Hao Du ◽  
Xia-Lu Liu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Contrast Sensitivity ◽  
Clinical Outcomes ◽  
Intraocular Lens ◽  
Central Position ◽  
Near Vision ◽  
Patient Satisfaction Scores ◽  
Intermediate Distance

AIM: To evaluate the clinical outcomes in terms of vision across distances (near, intermediate, and far), contrast sensitivity and subjective patient satisfaction after femtosecond laser-assisted cataract surgery (FLACS) with implantation of an extended range of vision (ERV) intraocular lens (IOL). METHODS: Forty patients (55 eyes) undergoing bilateral or monocular FLACS with implantation of the ERV IOL TECNIS Symfony (Johnson & Johnson Vision) were enrolled. Uncorrected distance (UDVA), intermediate (UIVA) and near visual acuities (UNVA) were evaluated at 3mo after surgery, as well the defocus curve, contrast sensitivity, patient satisfaction and spectacle independence. RESULTS: No severe complications occurred. All eyes showed a central position of the IOL in the capsular bag without tilting at 3mo after surgery. 3mo postoperative mean logMAR visual acuity at 5 m, 67 cm and 40 cm were -0.04 ±0.08, -0.17±0.22, 0.37±0.17, respectively. All patients obtained satisfactory UDVA and UIVA, as well as functional UNVA, meeting the needs of daily life. Spectacle independence rate was 94.55%. Contrast sensitivity results did not differ from those obtained with monofocal aspheric lenses. Likewise, no moderate and severe photic phenomena were reported. Mean patient satisfaction scores with distance, intermediate and near vision were 9.0, 9.0, and 7.0, respectively. CONCLUSION: FLACS with implantation of the ERV IOL TECNIS Symfony provides a successful visual restoration at far, intermediate distance and a functional-range near vision acuity, with minimal level of disturbing photic phenomena, and high rates of spectacle independence and patient satisfaction.

Clinical Outcomes in the First Two Years of Femtosecond Laser–Assisted Cataract Surgery

2015 ◽  
Vol 159 (4) ◽  
pp. 714-719.e2 ◽  
Author(s):  
Soon-Phaik Chee ◽  
Younian Yang ◽  
Seng-Ei Ti
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Clinical Outcomes

scholarly journals Short-term Clinical Outcomes of Femtosecond Laser-assisted Cataract Surgery: Comparison with Conventional Phacoemulsification

2018 ◽  
Vol 59 (5) ◽  
pp. 419
Author(s):  
Jae Hwan Choi ◽  
Chan Min Yang ◽  
Na Yeon Chung ◽  
Dong Hui Lim ◽  
Tae-Young Chung
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Clinical Outcomes ◽  
Short Term

Femtosecond laser–assisted cataract surgery: A review

2019 ◽  
Vol 30 (3) ◽  
pp. 417-429 ◽  
Author(s):  
Harry W Roberts ◽  
Alexander C Day ◽  
David PS O’Brart
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Clinical Outcomes ◽  
Case Series ◽  
World Health ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Complication Rates ◽  
Ovid Medline ◽  
Surgical Tool

Purpose: Review scientific literature concerning femtosecond laser–assisted cataract surgery. Methods: Following databases were searched: CENTRAL (Cochrane Eyes and Vision Trials Register; Cochrane Library: Issue 2 of 12, June 2019), Ovid MEDLINE® without Revisions (1996 to June 2019), Ovid MEDLINE® (1946 to June 2019), Ovid MEDLINE® Daily Update June 2019, MEDLINE and MEDLINE Non-Indexed Items, Embase (1980–2019), Embase (1974 to June 2019), Ovid MEDLINE® and Epub Ahead of Print, in-Process & Other Non-Indexed Citations and Daily (1946 to June 2019), Web of Science (all years), the metaRegister of Controlled Trials ( www.controlled-trials.com ), ClinicalTrials.gov ( www.clinicaltrial.gov ) and World Health Organization International Clinical Trials Registry Platform ( www.who.int/ictrp/search/en ). Search terms/keywords included ‘Femtosecond laser’ combined with ‘cataract’, ‘cataract surgery’. Results: Based on quality of their methodology and their originality, 121 articles were reviewed, including randomised controlled trials, cohort studies, case-controlled studies, case series, case reports and laboratory studies. Each step of the femtosecond laser–assisted cataract surgery procedure (corneal incisions, arcuate keratotomies, capsulotomy and lens fragmentation) has been discussed with relevance to published outcomes, as well as complication rates of femtosecond laser–assisted cataract surgery, and what we can learn from the larger studies/meta-analyses and the economics of femtosecond laser–assisted cataract surgery within different healthcare settings. Conclusion: Studies suggest that the current clinical outcomes of femtosecond laser–assisted cataract surgery are not different to conventional phacoemulsification surgery and it is not cost effective when compared with conventional phacoemulsification surgery. In its current technological form, it is a useful surgical tool in specific complex cataract scenarios, but its usage has not been shown to translate into better clinical outcomes.

Sign in / Sign up

Export Citation Format

Share Document