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Early Nd:YAG capsulotomy rates in femtosecond laser-assisted cataract surgery vs standard phacoemulsification cataract surgery

Poster Details

First Author: A.Lewis UK

Co Author(s):    H. Naveed   T. Poole                 

Abstract Details


Femtosecond laser assisted cataract surgery (FLACS) offers precision and repeatability which may result in better outcomes. However, recently published literature is uncertain whether FLACS leads to earlier development of posterior capsular opacification post-operatively. This study compared the early neodymium:YAG posterior capsulotomy rates after femtosecond laser assisted cataract surgery (FLACS) versus standard phacoemulsification cataract surgery.


Frimley Park Hospital NHS Foundation Trust, Surrey, UK


The resident Medisoft database was retrospectively analysed between July 2016 and February 2018. Surgical records were studied to elucidate the total number of posterior capsulotomies (PC) performed in both FLACS and standard phacoemulsification cases. PC rates secondary to manual capsulorhexis and femtosecond assisted capsulorhexis were compared using a Chi-Squared test.


A total of 1355 FLACS and 4375 phacoemulsification cataract procedures were performed in this period. A total of 1200 YAG PCs were performed in the 18-month period, of which 16 (1.2%) had FLACS and 74 (1.7%) had phacoemulsifcation cataract surgery within this period (p=0.19).


There was no statistically significant difference in early Neodymium:YAG posterior capsulotomy rates when comparing femtosecond laser-assisted cataract surgery with standard phacoemusification cataract surgery.

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