Posters

My initial experience with femto laser cataract surgery over 12 months in Kolkata, India

Poster Details

First Author: N.Ray INDIA

Co Author(s):                        

Abstract Details

Purpose:

A retrospective study over 12 months of 87 eyes was done to record statistics,patient demography and profile, type of IOL opted for Difficulty in docking,completion of entry into eye through main and side ports with blunt dissection ,free floating capsularrhexis or not, lens softening techniques used.  Assessed through the eyes of a beginner FLACS surgeon.Tips and tricks evaluated,number of LRIs done and it’s success evaluated.

Setting:

Single surgeon,single centre,retrospective analysis of 87 eyes with topical anaesthesia over 12 months. Theses cases were performed by the author entering the foray of FLACS for the first time yet having the experience of more than 15000 phaco surgeries.

Methods:

All patients chose FLACS over phaco, were counselled for their choice of IOL,no history of macular degeneration or glaucoma Catalys machine used for FLACS Patients with inadequate mydriasis, obvious corneal vasculiration or scarring excluded Difficult docking,non opening incisions, incidence of keratome usage,results of LRI,lens softening techniques , number of brunescent cataracts all these factors were documented

Results:

Docking was repeated four times in one patient due to severe claustrophobia. In two cases docking repeated twice because of an oriental Eye and mild claustrophobia. 3 main incisions not opened ( claustrophobia, vascularisation,and eyelashes )Out of 174 side port incisions, 24 did not open and 4 not attempted All 87 CCC were free floating making capsularrhexis very stable Pupil maximised capsularrhexis done in 6 eyes with average mydriasis. 21 eyes had LRI (1-1.5D) 62 eyes had monofocal,1 Eye had pre loaded IOL 13 Trifocal, rest Toric ,multifocal IOLs

Conclusions:

FLACS is safe for the experienced phaco surgeon. Patients have high expectations as it’s a new technology with greatly increased costing Pre and per op chair time is high Very precise CCC aims to give a more predictable expected lens position Irrigation and aspiration stage is tricky and need slow meticulous clean up with bimanual IA Hard mature cataracts may be done with sextant grid method of lens softening.

Financial Disclosure:

None