Early clinical outcomes, including efficacy and endothelial cell loss, of refractive lenticule extraction using a 500 kHz femtosecond laser to correct myopia

2012 ◽  
Vol 38 (11) ◽  
pp. 1996-2002 ◽  
Author(s):  
Kazutaka Kamiya ◽  
Akihito Igarashi ◽  
Rie Ishii ◽  
Nobuyuki Sato ◽  
Hiroyuki Nishimoto ◽  
...  
Keyword(s):  
Endothelial Cell ◽  
Femtosecond Laser ◽  
Clinical Outcomes ◽  
Cell Loss ◽  
Endothelial Cell Loss ◽  
Lenticule Extraction ◽  
Early Clinical Outcomes

scholarly journals A Meta-Analysis Comparing Postoperative Complications and Outcomes of Femtosecond Laser-Assisted Cataract Surgery versus Conventional Phacoemulsification for Cataract

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zi Ye ◽  
Zhaohui Li ◽  
Shouzhi He
Keyword(s):  
Visual Acuity ◽  
Endothelial Cell ◽  
Postoperative Complications ◽  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Meta Analysis ◽  
Cell Loss ◽  
Corneal Endothelial Cell ◽  
Endothelial Cell Loss ◽  
Refractive Outcomes

Objective. This meta-analysis aimed to compare the outcomes and postoperative complications between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification cataract surgery (CPCS). Methods. Bibliographic databases, including PubMed, Embase, and Cochrane library, were systematically searched for references on or before September 2015 regarding the outcomes and complications by FLACS or CPCS. Data on corneal endothelial cell loss, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive outcomes, and postoperative complications were retrieved. Results. A total of 9 trials were included in this analysis. Refractive outcomes (MD = −0.21, 95% CI: −0.39~0.03, P=0.02) were significantly improved after FLACS. Although corneal endothelial cell loss was not significantly reduced after FLACS, there was a trend towards lower corneal endothelial cell loss (mean difference (MD) = 197.82, 95% confidence interval (CI): 2.66~392.97, P=0.05) after FLACS. There was no significant difference in UDVA (MD = −0.01, 95% CI: −0.13~0.10, P=0.80) or CDVA (MD = −0.03, 95% CI: 0.07~0.00, P=0.09) between the two surgeries. Elevated intraocular pressure and macular edema were most commonly developed complications after cataract surgery, and the incidence of these complications associated with the two surgeries was similar. Conclusion. Compared with CPCS, FLACS might achieve higher refractive stability and corneal endothelial cell count. Nevertheless, further study is needed to validate our findings.

Femtosecond laser-assisted keratoplasty: full and partial-thickness cut wound strength and endothelial cell loss across a variety of wound patterns

2014 ◽  
Vol 98 (7) ◽  
pp. 894-899 ◽  
Author(s):  
Kamden R Kopani ◽  
Michael A Page ◽  
Jeff Holiman ◽  
Armando Parodi ◽  
Bernie Iliakis ◽  
...  
Keyword(s):  
Endothelial Cell ◽  
Femtosecond Laser ◽  
Cell Loss ◽  
Endothelial Cell Loss ◽  
Partial Thickness

Comparison of Corneal Endothelial Cell Loss Between Two Femtosecond Laser Platforms and Standard Phacoemulsification

2017 ◽  
Vol 33 (10) ◽  
pp. 708-712 ◽  
Author(s):  
Zaina Al-Mohtaseb ◽  
Xu He ◽  
Nilufer Yesilirmak ◽  
Daniel Waren ◽  
Kendall E. Donaldson
Keyword(s):  
Endothelial Cell ◽  
Femtosecond Laser ◽  
Cell Loss ◽  
Corneal Endothelial Cell ◽  
Endothelial Cell Loss

scholarly journals The application of the femtosecond laser in cataract surgery

2021 ◽  
Vol 8 (2) ◽  
pp. 125-130
Author(s):  
Piotr Kanclerz ◽  
Karolina Pluta
Keyword(s):  
Endothelial Cell ◽  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Cost Effective ◽  
Cell Loss ◽  
Intraocular Lenses ◽  
Endothelial Cell Loss ◽  
Multifocal Intraocular Lenses ◽  
Clinical Benefits ◽  
To Receive

Introduction: Since the introduction, femtosecond laser-assisted cataract surgery (FLACS) was believed to revolutionize cataract surgery. However, the judgment of clinical benefits was found to be far more complex than initially might have been thought. The aim of this review was to analyze the benefits and drawbacks of FLACS compared to traditional phacoemulsification cataract surgery. Results: The benefits of FLACS include lower cumulated phacoemulsification time and endothelial cell loss, perfect centration of the capsulotomy, and the possibility to perform precise femtosecond-assisted arcuate keratotomy incisions. The major disadvantages of FLACS are: high cost of the laser and the disposables for surgery, FLACS-specific intraoperative capsular complications, as well as the risk of intraoperative miosis and the learning curve. Conclusions: FLACS seems to be beneficial in some groups of patients i.e., with low baseline endothelial cell count, or those planning to receive multifocal intraocular lenses. Nevertheless, having considered that the advantages of FLACS might not be clear in every routine case, it cannot be considered as cost-effective.

Sign in / Sign up

Export Citation Format

Share Document