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Maliugin B.É.

FGBU "MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova Rosmedtekhnologiĭ", Moskva

Pashtaev N.P.

Cheboksarskiĭ filial FGBU "MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova" Minzdrava Rossii

Kulikov I.V.

Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution, 10 Traktorostroiteley pr., Cheboksary, Chuvash Republic, Russian Federation, 428000

Pikusova S.M.

Postgraduate Doctors’ Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018

Krestova I.M.

Postgraduate Doctors’ Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018

Krestov D.M.

Postgraduate Doctors’ Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018

Comparison of clinical and functional results of conventional and femtosecond laser-assisted cataract phacoemulsification

Authors:

Maliugin B.É., Pashtaev N.P., Kulikov I.V., Pikusova S.M., Krestova I.M., Krestov D.M.

More about the authors

Journal: Russian Annals of Ophthalmology. 2019;135(5): 54‑60

DOI: 10.17116/oftalma201913505154

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Table of contents

COMPARISON OF CLINICAL AND FUNCTIONAL RESULTS OF CONVENTIONAL AND FEMTOSECOND LASER-ASSISTED CATARACT PHACOEMULSIFICATION
COMPARISON OF CLINICAL AND FUNCTIONAL RESULTS OF CONVENTIONAL AND FEMTOSECOND LASER-ASSISTED CATARACT PHACOEMULSIFICATION

To cite this article:

Maliugin BÉ, Pashtaev NP, Kulikov IV, Pikusova SM, Krestova IM, Krestov DM. Comparison of clinical and functional results of conventional and femtosecond laser-assisted cataract phacoemulsification. Russian Annals of Ophthalmology. 2019;135(5):54‑60. (In Russ.)
https://doi.org/10.17116/oftalma201913505154

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Purpose — to perform a comparative analysis of ultrasound and hydrodynamic parameters, and the outcomes of femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification cataract surgery (CPCS). Material and methods. This prospective cohort study included 246 eyes. The first group consisted of 138 patients who underwent FLACS, second group — 108 patients after CPCS. Results. Total ultrasound time was 95.36±47.93 and 113.3±97.71 seconds (p=0.04) in the 1st and the 2nd groups, respectively. The duration of torsional ultrasound was 84.72±50.03 seconds in 1st group (p=0.04) and 113.3±97.71 seconds in the 2nd group (p=0.04). Aspiration time was 208.3±95.86 seconds in the 1st group (p=0.04) and 258.43±158.81 seconds in the 2nd group (p=0.04). On the 3—4th day after the surgery, uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were significantly better in the 1st group — 0.62±0.21 (LogMAR 0.20±0.19) and 0.53±0.15 (LogMAR 0.30±0.21) (p=0.01), respectively, compared to the 2nd group with UDVA of 0.75±0.18 (LogMAR 0.10±0.16) and CDVA of 0.69±0.19 (LogMAR 0.20±0.15) (p=0.04). Central corneal thickness (CCT) was 573.41±33.12 and 632.43±58.30 μm in the 1st and 2nd groups, respectively (p=0.020). At 1 month post-op there were no statistically significant differences in UDVA (p=0.17), CDVA (p=0.40) or CCT (p=0.50) between the groups. Conclusion. Compared with CPCS, total ultrasound time (p=0.04), torsional ultrasound time (p=0.04) and aspiration time (p=0.04) were significantly lower in the FLACS group. CCT was significantly lower (p=0.02), while UDVA (p=0.04) and CDVA (p=0.01) were significantly higher in the FLACS group in the early post-operative period (3—4 days after surgery). There were no statistically significant differences in the parameters between the groups 1 month after the surgery.

Keywords:

cataract
femtosecond laser-assisted cataract surgery
FLACS
CPCS

Authors:

Maliugin B.É.

FGBU "MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova Rosmedtekhnologiĭ", Moskva

Pashtaev N.P.

Cheboksarskiĭ filial FGBU "MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova" Minzdrava Rossii

Kulikov I.V.

Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution, 10 Traktorostroiteley pr., Cheboksary, Chuvash Republic, Russian Federation, 428000

Pikusova S.M.

Postgraduate Doctors’ Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018

Krestova I.M.

Postgraduate Doctors’ Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018

Krestov D.M.

Postgraduate Doctors’ Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018

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References:

  1. Global Initiative for the Elimination of Avoidable Blindness: Action Plan 2006—2011. Vision 2020. World Health Organization. The Right to Sight. Geneva, Switzerland, 2007. Accessed 6 Apr 2016 http://www.who.int/blindness/Vision2020_report.pdf
  2. Palanker DV, Blumenkranz MS, Andersen D, Wiltberger M, Marcellino G, Gooding P, et al. Femtosecond laser-assisted cataract surgery with integrated optical coherence tomography. Sci Transl Med. 2010;58(2):58-85. https://doi.org/10.1126/scitranslmed.3001305
  3. Stodola E. Cataract editor’s corner of the world: A variety of femtosecond laser options. Eye World. 2013;10. http://www.eyeworld.org/article-a-variety-of-femtosecond-laser-options
  4. Szigeti A, Kránitz K, Takacs AI, Miháltz K, Knorz MC, Nagy ZZ. Comparison of long-term visual outcome and IOL position with a single-optic accommodating IOL after 5.5- or 6.0-mm femtosecond laser capsulotomy. J Refract Surg. 2012;28(9):609-613. https://doi.org/10.3928/1081597X-20120815-04
  5. Day AC, Gartry DS, Maurino V, Allan BD, Stevens JD. Efficacy of anterior capsulotomy creation in femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2014;40(12):2031-2034. https://doi.org/10.1016/j.jcrs.2014.07.027
  6. Friedman NJ, Palanker DV, Schuele G, Andersen D, Marcellino G, Seibel BS, et al. Femtosecond laser capsulotomy. J Cataract Refract Surg. 2011;37(7):1189-1198. https://doi.org/10.1016/j.jcrs.2011.04.022
  7. Mastropasqua L, Toto L, Calienno R, Mattei PA, Mastropasqua A, Vecchiarino L, et al. Scanning electron microscopy evaluation of capsulorhexis in femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2013;39(10):1581-1586. https://doi.org/10.1016/j.jcrs.2013.06.016
  8. Nagy ZZ, Kránitz K, Takacs AI, Miháltz K, Kovács I, Knorz MC. Comparison of intraocular lens decentration parameters after femtosecond and manual capsulotomies. J Refract Surg. 2011;27(8):564-569. https://doi.org/10.3928/1081597X-20110607-01
  9. Reddy KP, Kandulla J, Auffarth GU. Effectiveness and safety of femtosecond laser-assisted lens fragmentation and anterior capsulotomy versus the manual technique in cataract surgery. J Cataract Refract Surg. 2013;39(9):1297-1306. https://doi.org/10.1016/j.jcrs.2013.05.035
  10. Abell RG, Kerr NM, Vote BJ. Toward zero effective phacoemulsification time using femtosecond laser pretreatment. Ophthalmology. 2013;120(5):942-948. https://doi.org/10.1016/j.ophtha.2012.11.045
  11. Daya SM, Nanavaty MA, Espinosa-Lagana MM. Translenticular hydrodissection, lens fragmentation, and influence on ultrasound power in femtosecond laser-assisted cataract surgery and refractive lens exchange. J Cataract Refract Surg. 2014;40(1):37-43. https://doi.org/10.1016/j.jcrs.2013.07.040
  12. Abell RG, Allen PL, Vote BJ. Anterior chamber flare after femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2013;39(9):1321-1326. https://doi.org/10.1016/j.jcrs.2013.06.009
  13. Abell RG, Kerr NM, Howie AR, Mustaffa Kamal MA, Allen PL, Vote BJ. Effect of femtosecond laser-assisted cataract surgery on the corneal endothelium. J Cataract Refract Surg. 2014;40(11):1777-1783. https://doi.org/10.1016/j.jcrs.2014.05.031
  14. Chen X, Xiao W, Ye S, Chen W, Liu Y. Efficacy and safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: a meta-analysis of randomized controlled trials. Sci Rep. 2013;5(1):13123. https://doi.org/10.1038/srep13123
  15. Hatch KM, Schultz T, Talamo JH, Dick HB. Femtosecond laser-assisted compared with standard cataract surgery for removal of advanced cataracts. J Cataract Refract Surg. 2015;41(9):1833-1838. https://doi.org/10.1016/j.jcrs.2015.10.040
  16. Kulikov IV, Pashtaev NP. Sposob fakoemulsifikacii katarakti pri podvyvihe hrustalika. Patient RF №2665678. Priotity 02.11. (In Russ.). https://findpatent.ru/patent/266/2665678.html
  17. Sperl P. Intraocular Pressure Course During the Femtosecond Laser-Assisted Cataract Surgery in Porcine Cadaver Eyes. Invest Ophthalmol Vis Sci. 2017;1;58(14):6457-6461. https://doi.org/10.1167/iovs.17-21948
  18. Nagy ZZ, Takacs AI, Filkorn T, Kránitz K, Gyenes A, Juhász É, Slade S. Complications of femtosecond laser-assisted cataract surgery. Journal of Cataract & Refractive Surgery. 2014;40(1):20-28. https://doi.org/10.1016/j.jcrs.2013.08.046
  19. Lee AG, et al. Optic neuropathy associated with laser in situ keratomileusis. Journal of Cataract and Refractive Surgery. 2000;26:1581-1584. https://doi.org/10.1016/s0886-3350(00)00688-x
  20. Ang RE, Quinto MS, Cruz EM, Rivera CR, Martinez HA. Comparison of clinical outcomes between femtosecond laser-assisted versus conventional phacoemulsification. Eye and Vision. 2018;5:8. https://doi.org/10.1186/s40662-018-0102-5
  21. Day AC, Gore DM, Bunce C, Evans JR. Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. Cochrane Database of Systematic Reviews. 2016;7:CD010735. https://doi.org/10.1002/14651858.cd010735.pub2
  22. Conrad-Hengerer I, Al Juburi M, Schultz T, Hengerer FH, Dick HB. Corneal endothelial cell loss and corneal thickness in conventional compared with femtosecond laser-assisted cataract surgery: Three-month follow-up. J Cataract Refrac Surg. 2013;39(9):130713. https://doi.org/10.1016/j.jcrs.2013.05.033
  23. Fishkind W, Bakewell B, Donnenfeld ED, Rose AD, Watkins LA, Olson RJ. Comparative clinical trial of ultrasound phacoemulsification with and without the WhiteStar system. J Cataract Refract Surg. 2006;32(1):45-49. https://doi.org/10.1016/j.jcrs.2005.10.026
  24. Dick HB, Kohen T, Jacobi FK, Jacobi KW. Long-term endothelial cell loss following phacoemulsification through a temporal clear corneal incision. J Cataract Refract Surg. 1996;22(1):63-67. https://doi.org/10.1016/s0886-3350(96)80272-0
  25. Hayashi K, Hayashi H, Nakao F, Hayashi F. Risk factors for corneal endothelial injury during phacoemulsification. J Cataract Refract Surg. 1996;22(8):1079-1084. https://doi.org/10.1016/s0886-3350(96)80121-0
  26. Yu AY, Ni LY, Wang QM, Huang F, Zhu SQ, Zheng LY, Su YF. Preliminary clinical investigation of cataract surgery with a noncontact femtosecond laser system. Lasers Surg Med. 2015;47(9):698-703. https://doi.org/10.1002/lsm.22405
  27. Chen H, Lin H, Chen W, Zhang B, Xiang W, Li J, Chen W, Liu Y. Femtosecond laser combined with non-chopping rotation phacoemulsification technique for soft-nucleus cataract surgery: a prospective study. Sci Rep. 2016;6(1):186-184. https://doi.org/10.1038/srep18684
  28. Saeedi OJ, Chang LY, Ong SR, Karim SA, Abraham DS, Rosenthal GL, Betancourt AE. Comparison of cumulative dispersed energy (CDE) in femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification. International Ophthalmology. 2018. [Epub ahead of print]. https://doi.org/10.1007/s10792-018-0996-x
  29. Bascaran L, Alberdi1T, Martinez-Soroa I, Sarasqueta C, Mendicute J. Differences in energy and corneal endothelium between femtosecond laser-assisted and conventional cataract surgeries: prospective, intraindividual, randomized controlled trial. International Journal of Ophthalmology. 2018;11(8):1308-1316. https://doi.org/10.18240/ijo.2018.08.10
  30. Mastropasqua L, Toto L, Mastropasqua A, Vecchiarino L, Mastropasqua R, Pedrotti E, Di Nicola M. Femtosecond laser versus manual clear corneal incision in cataract surgery. J Refract Surg. 2014;30(1):27-33. https://doi.org/10.3928/1081597x-20131217-03
  31. Popovic M, Campos-Möller X, Schlenker MB, Ahmed II. Efficacy and safety of femtosecond laser-assisted cataract surgery compared with manual cataract surgery: a meta-analysis of 14 567 eyes. Ophthalmology. 2016;123(10):2113-2126. https://doi.org/10.3410/f.726654797.793523239
  32. Kohnen T, Shajazi M, Re: Popvic et al.: Efficacy and safety of femtosecond laser-assisted cataract surgery compared with manual cataract surgery: a meta-anaylsis of 14 567 eyes. Ophthalmology. 2016;124(5):2113-2126. https://doi.org/10.1016/j.ophtha.2016.12.023
  33. Krarup T, Holm LM, La Cour M, Kjaerbo H. Endothelial cell loss and refractive predictability in femtosecond laser-assisted cataract surgery compared with conventional cataract surgery. Acta Ophthalmol. 2014;92(7):617-622. https://doi.org/10.1016/s0886-3350(96)80121-0
  34. Yesilirmak N, Diakonis VF, Sise A, Waren DP, Yoo SH, Donaldson KE. Differences in energy expenditure for conventional and femtosecond-assisted cataract surgery using 2 different phacoemulsification systems. J Cataract Refract Surg. 2017;43(1):16-21. https://doi.org/10.1016/j.jcrs.2016.11.037
  35. Ecsedy M, Mihaltz K, Kovacs I, Takacs A, Filkorn T, Nagy ZZ. Effect of femtosecond laser cataract surgery on the macula. J Refract Surg. 2011;27(10):717-722. https://doi.org/10.3928/1081597x-20110825-01
  36. Bencić G, Zorić-Geber M, Sarić D, Corak M, Mandić Z. Clinical importance of the Lens Opacities Classification System III (LOCS III) in phacoemulsification. Coll Antropol. 2005;29(suppl 1):91-94.
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