Femtosecond Laser-assisted Cataract Surgery—Challenging Cases, Successes, and Complications

While femtosecond laser-assisted cataract surgery (FLACS) is evolving as an alternative to phacoemulsification, there are a lack of data on its use in challenging cases. This article discusses cases in which FLACS is particularly advantageous including subluxated cataracts, prior eye surgery, combined vitrectomy and FLACS, pediatric cataract surgery, small pupils, and nanophthalmos. However, FLACS does not produce superior outcomes in all cases and caution is needed in cases of posterior polar cataracts, glaucoma, and prior use of silicone oil.

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Femtosecond laser–assisted pediatric cataract surgery: Bochum formula

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2014.08.032 ◽

2015 ◽

Vol 41 (4) ◽

pp. 821-826 ◽

Cited By ~ 33

Author(s):

Burkhard H. Dick ◽

Desiree Schelenz ◽

Tim Schultz

Keyword(s):

Femtosecond Laser ◽

Cataract Surgery ◽

Pediatric Cataract ◽

Pediatric Cataract Surgery

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23 Pediatric Cataract Surgery with the Femtosecond Laser

Femtosecond Laser Surgery in Ophthalmology ◽

10.1055/b-0038-149419 ◽

2018 ◽

Keyword(s):

Femtosecond Laser ◽

Cataract Surgery ◽

Pediatric Cataract ◽

Pediatric Cataract Surgery

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Mobile femtosecond laser platform for pediatric cataract surgery

European Journal of Ophthalmology ◽

10.5301/ejo.5001055 ◽

2017 ◽

Vol 28 (2) ◽

pp. 246-250 ◽

Cited By ~ 4

Author(s):

Simon S.M. Fung ◽

John Brookes ◽

Mark R. Wilkins ◽

Gillian G.W. Adams

Keyword(s):

Femtosecond Laser ◽

Cataract Surgery ◽

Intraoperative Complications ◽

Cataract Extraction ◽

Pediatric Cataract ◽

Corrected Visual Acuity ◽

Pediatric Cataract Surgery ◽

Anterior Capsulotomy ◽

Paediatric Cataract

Purpose: To describe the use of a mobile femtosecond laser platform in assisting paediatric cataract surgery. Methods: A mobile femtosecond laser was brought into the operating room and calibrated on the day of the surgery. After general anesthesia is induced, the femtosecond laser was docked onto the eyes with a liquid-filled interface, without any perioperative adaptations or additional surgical procedures. An anterior capsulotomy was created with the femtosecond laser, followed by conventional cataract extraction and intraocular lens implantation. Results: Five eyes of 3 children with congenital cataracts were treated with this technique. Docking and capsulorhexis were successful in all cases. No perioperative or intraoperative complications were noted in any of the cases. At median follow-up of 15 months (range 6-18 months), all patients had improved best-corrected visual acuity. Conclusions: Using the mobile femtosecond laser platform, a perfectly sized anterior capsulotomy could be created with high precision and accuracy in paediatric cataract cases, while ensuring that perioperative care for the children undergoing the procedure was not compromised.

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