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The Latest Evidence with Regards to Femtosecond Laser-Assisted Cataract Surgery and Its Use Post 2020

Authors Levitz LM, Dick HB, Scott W, Hodge C, Reich JA

Received 13 February 2021

Accepted for publication 9 March 2021

Published 30 March 2021 Volume 2021:15 Pages 1357—1363


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Video abstract of "FLACS and its use post 2020" [ID 306550].

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Lewis M Levitz,1 H Burkhard Dick,2 Wendell Scott,3 Chris Hodge,1,4,5 Joseph A Reich1

1Vision Eye Institute, Hawthorn East, VIC, Australia; 2University Eye Hospital, Bochum, Germany; 3Mercy Clinic Eye Specialists, Springfield, MO, USA; 4Save Sight Institute, The University of Sydney, Sydney, NSW, Australia; 5Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia

Correspondence: Lewis M Levitz
Vision Eye Institute, 27 Denmark Hill Road, Hawthorn East, VIC, 3123, Australia
Tel +61 3 98821347
Fax +61 3 9882 3312
Email [email protected]

Abstract: Femtosecond laser-assisted cataract surgery (FLACS) was introduced with the hope of making cataract surgery safer and making the refractive result more predictable. It is only in the last four years that level 1 prospective randomised controlled trials (RCT) using current technology have been published. These, along with a meta-analysis of recent studies have shown that there seems to be little long-term visual benefit when using FLACS with monofocal lenses. The promised decrease in ultrasound energy required to remove a cataract has not been consistently demonstrated. There is level one evidence that the rate of posterior capsular rupture is less with FLACS using modern software. The round capsulotomy may be of increasing importance with the uptake of toric, multifocal and extended depth of focus lenses where a predictable capsulotomy size and precise placement of the lens becomes more important.

Keywords: femtosecond laser-assisted cataract surgery: conventional cataract surgery, posterior capsular rupture, extended depth of focus intraocular lenses, pseudophakic cystoid macular oedema

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