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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Intraoperative difficulties with femto laser-assisted cataract surgery (FLACS)

Poster Details

First Author: W. Ghobashy UNITED ARAB EMIRATES

Co Author(s):    W. El Menawy                    

Abstract Details


To document the intraoperative difficulties of Femto-Laser Assisted Cataract Surgery (FLACS), in the first 30 eyes in Magrabi Eye and Ear Hospital, Abu Dhabi, UAE


Single center ,Magrabi Eye and Ear Hospital, Abu Dhabi, UAE


The study involved the first 30 eyes (20 patients) underwent Femto-Laser Assisted Cataract Surgery (FLACS) by two certified surgeons. The technique utilized the LenSx femto laser system (Alcon) to create femtolaser assisted corneal incisions, performing capsulorhexis , and lens fragmentation. Then OZilĀ® Torsional hand piece of Infiniti machine (Alcon) was used for phacoemulsification and finally intraocular lens was implanted in the capsular bag.


Docking failure needed unlocking and redocking occurred in 3 eyes (10%), incomplete corneal incision occurred in 4 eyes (13.3%). Torsional eye movement resulted in clockwise shift of corneal incisions in two eyes (6.7%). Premature opening of the main incision during surgical draping occurred in one eye (3.3%) manifested by shallow AC and pupillary shift. Miosis happened in 10 eyes (33.3%). Incomplete capsulorhexis occurred in 3 eyes (10%), and one of them caused anterior capsular tear. Gas bubbles demanded carful hydrodissection in all cases, as well as incomplete divided nuclei. No posterior capsule tear was documented.


Femto-Laser Assisted Cataract Surgery (FLACS), is a safe procedure, however surgeons are encouraged to pay close attention to avoid possible complications that is inherent to the technique.

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