Differential approach to the use of femtosecond laser in age-related cataract surgery in eyes with different lens density
Background: The femtosecond laser provides a new approach to cataract surgery. The efficacy of femtosecond laser-assisted lens fragmentation depends on mechanical lens density and effective fragmentation is important in the management of patients with age-related cataract. Purpose: To determine the...
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| Main Authors: | , , |
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| Format: | Book |
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Ukrainian Society of Ophthalmologists,
2018-08-01T00:00:00Z.
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| Summary: | Background: The femtosecond laser provides a new approach to cataract surgery. The efficacy of femtosecond laser-assisted lens fragmentation depends on mechanical lens density and effective fragmentation is important in the management of patients with age-related cataract. Purpose: To determine the differential indications for femtosecond laser-assisted cataract surgery (FLACS) for age-related cataract patients with different lens densities. Materials and Methods: One hundred and ten patients (120 eyes) who underwent cataract surgery using either conventional ultrasound phacoemulsification cataract surgery (UPCS; 55 patients) or FLACS (55 patients) were prospectively followed up. Results: Laser-assisted lens fragmentation was most effective in eyes with a predicted cumulative dissipated energy (CDE) of 10.0 to 14.1 units, allowing for a 5.7 unit (43.4%) decrease in actual CDE compared to the use of conventional phacoemulsification. Conclusion: The use of femtosecond laser in age-related cataract surgery is most effective in eyes with a soft lens nucleus. |
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| Item Description: | 10.31288/oftalmolzh2018436 2412-8740 |