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Early experience with femtosecond laser-assisted cataract surgery

Poster Details

First Author: Y.Akova TURKEY

Co Author(s):    B. Aslan                    

Abstract Details


To report our experience on the effectiveness and safety of cataract surgery using femtosecond laser–assisted lens fragmentation in the first 120 cases.


Bayındır Hospital, Department of Ophthalmology Liv Hospital, Department of Ophthalmology, Ankara, Turkey.


Hundred and twenty eyes undergoing surgery between October 2014 and March 2015 were included in this study. Cases underwent corneal incisions, anterior capsulotomy, lens fragmentation with 1 to 3 cylinders and radial 6 spokes, and corneal arcuate incisions when necessary with the Alcon/LenSx FS laser (Alcon/LenSx, Aliso Viejo, CA). The procedure was completed by phacoemulsification and insertion of an intraocular lens. Surgeries were performed by 2 surgeons. Measured outcomes included, number of docking attempts, capsulotomy precision, pupillary constriction, ease of phacoemulsification, and adverse event rates.


Number of docking attempts per case was 1.1, incidence of post-laser pupillary constriction was present in 28 eyes (23.3%) and anterior capsular tags in 5 eyes (4.1%). Laser-assisted capsulotomies were accurate, central and precise in all cases but 5 eyes (intended diameter, circularity, centration). Anterior capsular tear occurred in 2 eyes (1.6%), posterior capsule tear necessitating anterior vitrectomy occurred in 2 eyes (1.6%).


The femtosecond laser assisted cataract surgery was effective and safe reducing phacoemulsification energy during lens fragmentation and provided precise and reproducible capsulotomies. Learning curve incorporating this technology into our practices was considerably smooth.

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