ESCRS FLACS Study
Femtosecond Laser-Assisted Cataract Surgery Study continues to yield useful and interesting data


Dermot McGrath
Published: Monday, May 1, 2017

Visual and refractive outcomes with FLACS were good overallCOMPLICATIONS The rate of postoperative complications with a follow-up of two months from time of surgery was 3.3% or 113 cases: persistent corneal oedema in 15 (0.4%); early posterior capsule opacification reducing vision in 26 (0.8%); uveitis with need of treatment in 13 cases (0.4%); high intraocular pressure with need of treatment in four (0.1%); explantation in three (0.1%); and other vision-threatening complications in 58 (1.7%). Overall, patients with worse visual outcome tended to be young (mean age 60), with good preoperative VA and a high percentage of ocular comorbidity, said Dr Lundstrom. Patients with poor refractive outcome were also characterised by young age (mean 62), a high percentage of previous corneal refractive surgery (14.1%), and poorer preoperative VA (median 0.3). Patients with postoperative complications were characterised by over-representation of glaucoma, other coexisting eye disease, surgical complications and multifocal IOLs. Dr Lundström emphasised that the study was not a clinical trial and was not designed to evaluate the performance of different laser platforms. “This is a registry study of what is happening in the real world. If we want to go into more detail and get more information, we need more randomised clinical trials,” he concluded. Mats Lundström: mats.lundstrom@karlskrona.mail.telia.com
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