Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Comparison of patient flow and intraoperative parameters with mobile femtosecond laser vs conventional cataract surgery

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Session Details

Session Title: Presented Poster Session: FLACS

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 16:00

Venue: Poster Village: Pod 4

First Author: : M.Nanavaty UK

Co Author(s): :    A. Simpson   A. Perez           

Abstract Details

Purpose:

To compare the real life efficiency of mobile femtosecond laser cataract surgery (FLACS) Vs conventional phacoemulsification cataract surgery (CPCS) when the femtosecond laser is housed in the same operating room.

Setting:

Brighton & Sussex University Hospitals NHS Trust, Brighton, United Kingdom

Methods:

This study included 80 eyes (80 patients): mobile FLACS (40 eyes) and CPCS (40 eyes). The cataracts were graded using LOCS III cataract grading system [grading as nucleus opacity (NO – grade 1-6), nucleus color (NC – grade 1-6), cortical (C – grade 1-5) and posterior subcapsular (P – grade 1-5)]. Data on the time when the Betadine skin preparation started, when the drape was taken off, when the FLACS docking was applied, when the docking was taken off, total phacoemulsification time (TPT) and power (PW) were recorded by the un-scrubbed team member during surgery.

Results:

There was no difference in preoperative mean cataract grade. There was no difference in patient’s and ocular co-morbidities between the groups. The mean docking time in the FLACS group was 266.4±214.4seconds (range: 70-929seconds). There was a significant difference in the TPT (FLACS: 42.9±30.3second, range:0-100seconds Vs CPCS: 76.6±24.9, range:47-132; p=0.02) and PW (FLACS: 11.7±3.8%, range:5.1-7.6% Vs CPCS: 17.6±4.6%, range:11.4-26.3%; p=0.004). Total surgical time (difference between the time when the drape was taken off and time when the Betadine preparation started) was not significantly different between the groups (FLACS: 1076.7±289.1seconds, range:722-1942seconds Vs CPCS: 768.5±223.9seconds, range:270-1392seconds; p=0.31). The mean difference in total surgical time was 245.1±347.2seconds (range:-517-867seconds).

Conclusions:

Mobile FLACS was associated with reduced phacoemulsification time and power. The mobile FLACS was on average 4 minutes longer than CPCS when the mobile femtosecond laser was housed in the same operating theatre.

Financial Disclosure:

NONE

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