scholarly journals A One Year Longitudinal Comparative Analysis of Visual Outcomes Between Femtosecond Laser-Assisted Cataract Surgery and Standard Phacoemulsification Cataract Surgery

2021 ◽  
Vol Volume 15 ◽  
pp. 4667-4680
Author(s):  
Majid Moshirfar ◽  
Austin J Waite ◽  
James H Ellis ◽  
Rachel Huynh ◽  
John Placide ◽  
...  
Ophthalmology ◽  
2016 ◽  
Vol 123 (1) ◽  
pp. 178-182 ◽  
Author(s):  
Shaun Y.P. Ewe ◽  
Robin G. Abell ◽  
Carmen L. Oakley ◽  
Chris H.L. Lim ◽  
Penelope L. Allen ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Luca Buzzonetti ◽  
Sergio Petroni ◽  
Carlo Maria De Sanctis ◽  
Paola Valente ◽  
Matteo Federici ◽  
...  

2021 ◽  
pp. 112067212110620
Author(s):  
Aditya Kelkar ◽  
Jai Kelkar ◽  
Yogesh Chougule ◽  
Mounika Bolisetty ◽  
Priyanka Singhvi

Purpose To compare the surgical workload, complications, and visual outcomes using the three-dimensional visualization system with the conventional microscope in phacoemulsification cataract surgery. Design Prospective, non-randomized, open-label interventional study. Methods All patients underwent phacoemulsification cataract surgery using the three-dimensional visualization system or conventional microscope. Results Of the 203 eyes, 80 underwent surgery with the three-dimensional system while 123 underwent with the conventional microscope. No difference was noted in the total surgical duration, complication rates, and visual outcomes between the two groups. However, capsulorhexis was significantly faster using the conventional microscope while posterior chamber intraocular lens insertion was quicker using the three-dimensional system. In terms of cognitive workload comparison, no difference was seen in the surgeons’ heart rate, oxygen saturation levels, and surgery task load index total workload score and workload score for all six dimensions of the questionnaire, between the three-dimensional system and conventional microscope groups. As compared to baseline, the heart rate increased significantly during all surgical steps and at the end in both groups. When compared to baseline, the oxygen saturation levels were significantly raised during capsulorhexis, irrigation, and aspiration and posterior chamber intraocular lens insertion and at the end of the surgery in the three-dimensional group and during incision and at the end of the surgery in the conventional microscope group. Conclusions The duration of surgery, complications, and visual acuity outcomes remain unaffected while performing phacoemulsification cataract surgeries with the three-dimensional viewing system when compared to the conventional microscopes. Moreover, the surgeons’ cognitive workload too remains unaffected while utilizing this revolutionary three-dimensional surgical technology.


Ophthalmology ◽  
2014 ◽  
Vol 121 (10) ◽  
pp. e53-e54 ◽  
Author(s):  
Cedric Schweitzer ◽  
Nathalie Hayes ◽  
Antoine Brezin ◽  
Beatrice Cochener ◽  
Philippe Denis ◽  
...  

2020 ◽  
pp. 112067212092576
Author(s):  
Philippe Charles Crozafon ◽  
Christine Bouchet ◽  
Monia Zignani ◽  
Ray Griner ◽  
Samuel D Foster ◽  
...  

Purpose: This study compared real-world safety and efficacy outcomes of cataract surgery performed with LenSx femtosecond laser-assisted cataract surgery or manual phacoemulsification cataract surgery procedures. Methods: A retrospective observational study used data from anonymised electronic medical records to compare mean cumulative dissipated energy, the proportion of eyes reaching emmetropia, mean change in best-corrected distance visual acuity and the proportion of eyes with post-surgical complications, including corneal oedema and posterior capsule opacification. Results were adjusted for multiple comparisons for primary and secondary objectives. Results: Data from 811 phacoemulsification cataract surgery and 496 femtosecond laser-assisted cataract surgery procedures were analysed. Mean cumulative dissipated energy was significantly lower for femtosecond laser-assisted cataract surgery (6.5 percent-seconds) than for phacoemulsification cataract surgery (14.3 percent-seconds; p < 0.0001) procedures. More femtosecond laser-assisted cataract surgery (81.2%) procedures achieved emmetropia (⩽ 0.5 dioptre) than did phacoemulsification cataract surgery (73.5%) procedures, although this difference was not statistically significant. Mean change in best-corrected distance visual acuity and the proportion of eyes with corneal oedema, posterior capsule opacification or other complications were not significantly different between cohorts when adjusted for multiple comparisons. Conclusions: In this single-centre, single-surgeon retrospective electronic medical record database study using divide and conquer technique, femtosecond laser-assisted cataract surgery was associated with significantly lower cumulative dissipated energy when compared to manual phacoemulsification cataract surgery. This supports the hypothesis that femtosecond laser-assisted cataract surgery involves less mechanical trauma, which might lead to more consistent refractive and safety outcomes than manual phacoemulsification cataract surgery, though such outcomes were found to be comparable in this study.


2019 ◽  
Vol 2 (1) ◽  
pp. 16-23
Author(s):  
Karl Stonecipher ◽  
Joseph Parrish ◽  
Megan Stonecipher ◽  
Jamison Maxwell ◽  
Donald P. Maxwell

This review is designed to look at a prospective evaluation of the use of the femtosecond laser and manual incision standard cataract surgery in one center with one surgeon focusing on visual outcomes and complications. Multiple studies support both benefits, risks, alternatives, and differences between manual capsulotomy combined with standard manual incision cataract surgery and cataract surgery employing the femtosecond laser in conjunction with routine phacoemulsification. The purpose of this study was to evaluate early postoperative outcomes using a prospective evaluation of cases from one surgeon over the course of two years from 2015-2017. The first group of cases involves 2134 eyes comparing phacoemulsification time in seconds (PT), ultrasound time in seconds (UT), and cumulative delivered energy (CDE). The second group of cases involves 1913 eyes that were Lens Opacification Classification III similar and without other ocular or lenticular abnormalities. Finally, a subgroup from the latter group (n=150) were evaluated over the course of two days and postoperative 3-hour examinations (visual acuity) were compared.


2018 ◽  
Vol 44 (3) ◽  
pp. 407-408 ◽  
Author(s):  
Philip S. Rothschild ◽  
Joobin Hooshmand ◽  
Penelope L. Allen ◽  
Brendan J. Vote

Ophthalmology ◽  
2020 ◽  
Vol 127 (8) ◽  
pp. 1012-1019 ◽  
Author(s):  
Alexander C. Day ◽  
Jennifer M. Burr ◽  
Kate Bennett ◽  
Catey Bunce ◽  
Caroline J. Doré ◽  
...  

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