Posters

Results from randomised controlled trial of femtosecond laser-assisted capsulorhexis and lens fragmentation in patients with brunescent white cataract

Poster Details

First Author: A.Dvalishvili TURKEY

Co Author(s):    H. Aslankara   A. Kocakaya   C. Yaldirim              

Abstract Details

Purpose:

To assess the safety and efficacy of femtosecond laser-assisted cataract surgery (FLACS) in brunescent white cataracts in Turkish patients .

Setting:

Gozakademi Eye Hospital,Department of Ophthalmology,Denizli,Turkey

Methods:

Randomized controlled prospective study including 54 eyes of 48 patients aged between 55 and 76 years. Surgery performed with the Catalys Precision system (Abbott Medical Optics Inc, USA) between May 2016 and November 2017.Outcome measures included an estimation of the anterior capsulotomy, surgical complications, and postoperative best corrected visual acuity (BCVA).

Results:

Successful and complete fast capsulotomies of 4.9 mm. (scanned capsule mode in 0.9 seconds) without using capsule dye were achieved in all eyes. Small and uneventful anterior capsular tags were detected in 4 eyes.No capsuler blockage syndrome, posterior capsule rupture or drooped nucleus were observed during 2.2 mm phacoemulsifacation. Transient corneal edema was observed in 12 eyes those resolved in between 2 weeks postopertively. The mean best corrected visual acuity was 2±0,45 logMAR unit at baseline and after the surgery at first year was 0,19±0,1 logMAR unit (p=0.035).

Conclusions:

The results suggest high efficacy and safety of FLACS in creating anterior capsulotomies with long-term superiority for visual outcomes and low rates of posterior capsular opacification. In our study the laser-derived capsulotomy shown excellent results for relatively small,precise, highly circular and accurate, central capsulorhexis, that allows the complete coverage of the IOL optics by the capsulorhexis edges and better IOL centrations . Capsulotomy and lens fragmentation with femtosecond laser in white brunescent cataracts appears to be safe and may allow greater efficiency and decreased intra and postoperative complications.

Financial Disclosure:

None