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Five year outcomes of femtosecond laser-assisted simple and complex cataract cases in an academic institution

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Session Details

Session Title: Femtolaser-Assisted Cataract Surgery (FLACS) I

Session Date/Time: Sunday 08/10/2017 | 08:00-10:00

Paper Time: 08:24

Venue: Room 3.6

First Author: : A.Arteaga USA

Co Author(s): :    M. Cortina   J. De la Cruz                 

Abstract Details


Evaluate visual outcomes and complications of patients that underwent femtosecond-assisted cataract extraction.


Illinois Eye and Ear Infirmary, Chicago, IL. USA


Chart reviewed of 302 eyes that underwent femtosecond-assisted cataract extraction performed by residents and fellows from 2012 to 2017. Patients were grouped into 2 categories, the first one included patients without other pathology, simple-cases group. The second category included patients cataracts complicated by other pathologies (ie. Fuch’s dystrophy, history of cornea surgeries, compromised zonula), this group was the complex-cases group. All patients included had at least 1-month follow-up after the surgery. Visual Acuity (VA), spherical equivalent (SE) pre and postoperative and complications within surgery as well as laser complications were measured and reported.


We included 233 and 69 eyes in the simple-cases group and complex-cases group respectively. Global analysis showed mean preoperative VA of logMAR 0.41 (SD 0.4). Preoperative VA for the simple-group was logMAR 0.3 (SD0.2) and logMAR 0.742 (SD 0.79) in the complex-group. Postoperative global best corrected VA at 1 month follow-up was logMAR 0.12 (SD0.26) and logMAR 0.10 (SD 0.18) for 1-year follow-up. Successful docking was possible in 94.7% of cases. Complications were present in 8 cases (3.63%), 5 in the complex-group and 3 in the simple-group, all of them were posterior capsule rupture and none induced by the laser.


Femtosecond-assisted cataract extraction performed by surgeons in training is a safe procedure in which the global complication rate and visual outcomes are excellent, showing that the incorporation of this technology into residency programs is a valuable and important key to the training process.

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