Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Risk factors affecting successful femtosecond laser-assisted cataract surgery

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Session Details

Session Title: Moderated Poster Session: FLACS

Session Date/Time: Sunday 11/09/2016 | 14:00-15:00

Paper Time: 14:00

Venue: Poster Village: Pod 1

First Author: : S.Han SOUTH KOREA

Co Author(s): :    H. Yang   K. Lee           

Abstract Details


To find out risk factors of intraoperative complication in femtosecond laser(LenSx platform, Alcon) assisted cataract surgery.


Sungmo eye hospital, Busan, Korea


This study included 1129 eyes of 730 patients with femtosecond laser assisted cataract surgery between July, 2012 and May, 2015. All eyes had operated upon corneal incision, anterior capsulotomy, nuclear fragmentation an d limbal relaxing incisions(if required). Intraoperative complications were analyzed the results by video and then risk factors of each complication were reviewed with medical records retrospectively.


The patients' age varied from 16 - 93 years (average 60 ± 12.5 years). Among the study group, 92 eyes required manual creation of the corneal incisions with a keratome. Because the corneal incisions could not be created with the laser due to corneal degeneration(26.1%), corneal opacity(22.8%), ptreygium(16.3%), conjunctival chalasis(15.2%) or suction break(1.1%). The anterior capsulotomy was incomplete(anterior capsule tags, radial tears) in 116cases and manual capsulorrhexis was required to complete the capsulotomy, associated with intumescent cataract(67.2%), corneal haziness(12.9%), small pupil(6.9%), pupillary membrane(5.2%), iridodialysis, or unstable pupil(3.4%). 31 eyes had difficulties of nuclear fragmentation with mature cataract(80.1%), corneal opacity(9.7%) or lens tilting(6.5%). No posterior capsule rupture or posterior lens dislocation were observed.


The femtosecond laser platform was effective and safe in cataract surgery, reducing the mean phaco energy during lens fragmentation and providing precise and reproducible capsulotomies. But in presence of risk factors, it might be re-assessed and should be considered possibility of intraoperative complications.

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