April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Capsular Opacification after Femtosecond Assisted Laser Cataract Surgery Compared to After Traditional Phacoemulsification
Author Affiliations & Notes
  • Ravi Patel
    Hershey Medical Center, Hershey, PA
  • Deepti Saini
    Hershey Medical Center, Hershey, PA
  • Ingrid U Scott
    Hershey Medical Center, Hershey, PA
  • Footnotes
    Commercial Relationships Ravi Patel, None; Deepti Saini, None; Ingrid Scott, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 4181. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Ravi Patel, Deepti Saini, Ingrid U Scott; Capsular Opacification after Femtosecond Assisted Laser Cataract Surgery Compared to After Traditional Phacoemulsification. Invest. Ophthalmol. Vis. Sci. 2014;55(13):4181.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract
 
Purpose
 

To investigate whether femtosecond laser assisted cataract surgery (FLACS) is associated with a lower rate of posterior capsular opacification (PCO) compared to traditional phacoemulsification cataract surgery.

 
Methods
 

Retrospective, consecutive case series. Medical records were reviewed of all patients who had uncomplicated cataract surgery with standard intraocular lens placement performed by one surgeon at a single surgery center between 10/1/2012 and 9/30/2013 and had at least 3 months’ postoperative follow-up data available. Data collected include demographics, preoperative refraction, history of prior ocular surgeries, history of ocular trauma or uveitis, type of cataract, date of surgery, size of capsulorhexis, intraoperative complications, and date of PCO diagnosis. Subgroup analysis was performed based on the factors listed above. Statistical analysis was performed using a Fisher exact t-test.

 
Results
 

The study included 73 eyes (44 patients) which had received FLACS and 100 eyes (60 patients) which had received traditional phacoemulsification cataract surgery. Mean patient age in each group was 69 years. Mean duration of postoperative follow-up was 160 days in the FLACS group and 177 days in the phacoemulsification group (p=0.11 Wilcoxon test). PCO was diagnosed in 31/73 (43%) eyes in the FLACS group compared to 60/100 (60%) eyes in the phacoemulsification group (p=0.02 chi-square test). Among eyes with cortical cataract preoperatively, the proportion of eyes in which PCO was diagnosed was lower in the FLACS group (37%) compared to the phacoemulsification group (67%) (p=0.05 chi-square test). Among eyes with nuclear sclerosis and among eyes with posterior subcapsular cataract preoperatively, there was no significant difference between the FLACS and phacoemulsification groups with respect to the proportion of eyes in which PCO was diagnosed.

 
Conclusions
 

FLACS may be associated with reduced rate of PCO formation compared to phacoemulsification and this reduction may be more prominent in eyes with cortical cataracts preoperatively. Larger prospective studies are warranted to investigate these associations further.

 
Keywords: 652 posterior capsular opacification (PCO) • 445 cataract • 682 refractive surgery: other technologies  
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×