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Evaluation of femtosecond laser-assisted cataract surgery results in patients with Fuchs’ endothelial corneal dystrophy

Poster Details

First Author: J.Szaflik POLAND

Co Author(s):    T. Galecki   J. Szaflik           

Abstract Details

Purpose:

Evaluation of femtosecond laser-assisted cataract surgery efficacy and safety in patients with Fuchs’ endothelial corneal dystrophy using LensX (Alcon) femtolaser with SoftFit patient interface and inifinity (Alcon) torsional phacoemulsification.

Setting:

Department of Ophthalmology, Medical University of Warsaw, Poland Head: Professor Jacek P. Szaflik, MD, PhD

Methods:

41 patients with cataract and medium-staged FECD were enrolled. All the subjects had clinically transparent corneas, although some presented sub-clinical stromal edema detectable by means of confocal microscopy. Cataract nuclei hardness were N2 to N5 according to LOCS III grading. The patients were followed up for minimum of 6 months.

Results:

Pre-operative mean minimal pachymetry (assesed by AS-OCT) was 550.34 µm (502-634), mean central or paracentral endothelial density (assesed by ConfoScan) 957 cells/mm² (430-1628), BCVA 0.32 (0.05-0.8). All the surgeries were carried out using LensX (Alcon) femtolaser with SoftFit patient interface and Inifinity (Alcon) torsional phacoemulsification. All the surgeries were uneventful. None of the patients developed clinically significant corneal edema after the surgery, in 7 cases minor or moderate edema or corneal folds were observed and retreated in few days after the surgery. BCVA improved to mean 0.76 (0.4-1.0), mean minimal pachymetry was 553.8 µm, (501-604), mean endothelial density 948 cells/mm² (440-1612).

Conclusions:

Femtosecond-laser assisted cataract surgery was safe and effective procedure, reducing intraoperative trauma in patients with FECD. Proper preoperative assessment and appropriate technique of the manual part remain important for optimal outcomes.

Financial Disclosure:

NONE

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