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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Femtosecond laser-assisted cataract surgery in a Brazilian residency program

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Session Details

Session Title: Presented Poster Session: Training and Innovation in Education/Quality of Vision Evaluation

Session Date/Time: Monday 12/09/2016 | 09:30-11:00

Paper Time: 10:50

Venue: Poster Village: Pod 3

First Author: : R.Kobayashi BRAZIL

Co Author(s): :    L. Jung   P. Schor   M. Yogi   E. Soriano   E. Mori   W. Chamon

Abstract Details


To describe our initial experience with Femtosecond laser-assisted cataract surgery (FLACS) performed by third-year residents.


All surgeries and the study were carried out at Paulista School of Medicine (UNIFESP), São Paulo, Brazil.


Fifty eight eyes of 57 patients (20 male and 37 female), aged 79.28 ± 10.24 (range, 55 – 102 years) were operated by 13 third year residents with the Catalys Laser System (Abbott Medical Optics, Illinois, USA). Specular microscopy, docking time, total laser time, surgery time and intraoperative complications were analyzed.


Data are presented as mean ± standard deviation (range). Postoperative endothelium cell density was 1844.2 ± 422.66 cells/mm2 (2560 – 924). Docking time was 65 ± 72 sec (22 – 675). Total laser time was 35 ± 11 sec (17 – 76). Total surgery time, including the time spent in transferring the patients, was 77 ± 21 min (39 – 103). Complications included difficulty in opening the main incision (27.5%) or sideport (20.6%), need for main incision suturing (11.9%), redocking (8.6%), posterior capsule tear (5.1%), zonular desinsertion (5.1%), incomplete laser capsulorhexis (3.4%), IOL insertion complications (3.4%), anterior capsule tear (1.7%) and conversion to extracapsular cataract extraction (1.7%).


Outcomes of FLACS performed by naïve surgeons are comparable to the literature results of standard phacoemulsification performed by similar group of surgeons. There were few complications related to the laser procedure itself and these complications did not affected final visual acuity. An important increase in the time of surgery was observed, mainly due to the time needed to transfer the patients between operating rooms. A larger randomized sample will be needed to compare the frequency and morbidity of complications in FLACS and standard phacoemulsification.

Financial Disclosure:

One or more of the authors receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

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