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FLACS with fixed laser cone and movable bed: the first 100 eyes

Session Details

Session Title: Cataract II

Session Date/Time: Saturday 15/02/2014 | 08:30-11:00

Paper Time: 10:06

Venue: Gallus Hall (Level -1)

First Author: : RobertoBellucci ITALY

Co Author(s): :    Miriam Cargnoni              

Abstract Details


The different docking systems adopted by the different femtosecond lasers in cataract surgery may produce different learning curves and results. We present our experience with fixed laser emission cone and movable bed


CEMS Medical Centre, Verona, Italy


The Victus femtosecond laser was employed for this study. The laser emission cone cannot be moved, and all the positioning controls are delivered through the bed. The surgeon is in control of vertical and of lateral movement though the whole procedure, and adjusting it if adviced by the laser sensors of eye pressure and movement. The first 100 operated eyes were reviewed for docking problems, surgical inaccuracies, and complications related with the laser action.


Three eyes were poorly docked because of air bubble (1 eye), fat chick touching the laser cone (1 eye), and poor positioning (1 eye). No suction loss or other complication developed. During the procedure, vertical position adjustment took place in most of eyes, and lateral adjustment in about 35% of eyes. At surgery, all the capsulotomies were correctly accomplished, with only 4 small bridges. No other surgical complication laser related was encountered. The posterior capsule was broken during I/A in one eye. A nucleus fragment was left inside the eye in one eye, eventually leading to corneal endothelial transplant.


The learning curve was flat with the Victus femtosecon laser in this study. The two-piece docking system, the fixed laser head allowing the surgeon to concentrate on patient movements, and the position sensors were the main features of the success. FINANCIAL INTEREST: ... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented