Zoltan Z Nagy1, Agnes I Takacs2, Tamas Filkorn2, Kinga Kránitz2, Andrea Gyenes2, Éva Juhász2, Gábor L Sándor2, Illes Kovacs2, Tibor Juhász2, Stephen Slade2. 1. From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA. Electronic address: nagy.zoltan_zsolt@med.semmelweis-univ.hu. 2. From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
Abstract
PURPOSE: To analyze complications of femtosecond lasers used for cataract surgery. SETTING: Department of Ophthalmology Semmelweis University, Budapest, Hungary. DESIGN: Retrospective analysis. METHODS: Intraoperative complications of the first 100 femtosecond laser-assisted (Alcon-Lensx, Inc.) cataract surgeries were collected. Possible complications of femtosecond capsulotomies and their management were also assessed. RESULTS: The complications were as follows: suction break (2%), conjunctival redness or hemorrhage (34%), capsule tags and bridges (20%), anterior tear (4%), miosis (32%), and endothelial damage due to cut within the endothelial layer (3%). There were no cases of capsule blockage or posterior capsule tear. During the learning curve, there was no complication that would require vitrectomy. All complications occurred during the first 100 cases. CONCLUSIONS: Femtosecond laser cataract surgery had a learning curve during the first 100 cases. With cautious surgical technique, the complications can be avoided. The femtosecond laser-assisted method was efficient and safe for cataract surgery.
PURPOSE: To analyze complications of femtosecond lasers used for cataract surgery. SETTING: Department of Ophthalmology Semmelweis University, Budapest, Hungary. DESIGN: Retrospective analysis. METHODS: Intraoperative complications of the first 100 femtosecond laser-assisted (Alcon-Lensx, Inc.) cataract surgeries were collected. Possible complications of femtosecond capsulotomies and their management were also assessed. RESULTS: The complications were as follows: suction break (2%), conjunctival redness or hemorrhage (34%), capsule tags and bridges (20%), anterior tear (4%), miosis (32%), and endothelial damage due to cut within the endothelial layer (3%). There were no cases of capsule blockage or posterior capsule tear. During the learning curve, there was no complication that would require vitrectomy. All complications occurred during the first 100 cases. CONCLUSIONS: Femtosecond laser cataract surgery had a learning curve during the first 100 cases. With cautious surgical technique, the complications can be avoided. The femtosecond laser-assisted method was efficient and safe for cataract surgery.
Authors: Karl Thomas Boden; Martina Mariacher; Kai Januschowski; Katrin Boden; Annekatrin Rickmann; Peter Szurman; Berthold Seitz; Siegfried Mariacher Journal: Int Ophthalmol Date: 2020-06-01 Impact factor: 2.031
Authors: Daniela Alvarez-Ascencio; Carolina Prado-Larrea; Jesus Jimenez-Roman; Rafael Castañeda-Diez Journal: Am J Ophthalmol Case Rep Date: 2021-07-09