Selective Laser Assisted Cataract Surgery

Selective Laser Capsulotomy (SLC) is an emerging laser-based technology designed to create a precise anterior capsulotomy during cataract surgery without manual tearing or high-energy photodisruption. This abstract reviews the principles, surgical technique, clinical outcomes, and potential advantages of SLC compared with conventional manual capsulorhexis and femtosecond laser–assisted capsulotomy.

The study reviews early clinical applications and published data surrounding Selective Laser Capsulotomy within standard ophthalmic surgical environments. It focuses on the transition from traditional manual techniques and high-infrastructure femtosecond systems toward more efficient, low-energy, laser-integrated surgical workflows in modern cataract facilities.

SLC utilizes a low-energy, selective laser mechanism that targets capsular tissue while sparing adjacent ocular structures. The laser is applied intraoperatively to create a continuous, circular capsulotomy of predetermined size and centration. Published clinical studies and early clinical experiences were reviewed, focusing on capsulotomy precision, intraocular lens (IOL) centration, safety, and surgical efficiency.

Selective Laser Capsulotomy demonstrates high capsulotomy completeness rates with excellent circularity and reproducibility. The technique allows consistent capsulotomy sizing and centration, potentially improving effective lens position predictability. Reported complications are minimal, with low incidence of capsular tags or radial tears. Compared to femtosecond laser systems, SLC offers reduced energy delivery, simplified workflow, and the potential for lower procedural cost and faster integration into standard cataract surgery settings.

Selective Laser Capsulotomy represents a promising advancement in cataract surgery, combining precision and safety with improved surgical efficiency. Its ability to deliver consistent capsulotomies without extensive infrastructure requirements may broaden access to laser-assisted cataract surgery. Further large-scale, comparative studies are warranted to evaluate long-term outcomes and cost-effectiveness.