Mats Lundström1, Mor Dickman2, Ype Henry2, Sonia Manning2, Paul Rosen2, Marie-José Tassignon2, David Young2, Ulf Stenevi2. 1. From the Department of Clinical Sciences (Lundström), Ophthalmology, Faculty of Medicine, Lund University, Lund, and the Department of Ophthalmology (Stenevi), Sahlgren's University Hospital, Mölndal, Sweden; University Eye Clinic (Dickman), Maastricht University Medical Center, Maastricht, and the Department of Ophthalmology (Henry), VUmc, Amsterdam, the Netherlands; Department of Ophthalmology (Manning), University Hospital Waterford, Waterford, Ireland; Oxford Eye Hospital (Rosen), Oxford, and the Department of Mathematics and Statistics (Young), University of Strathclyde, Glasgow, United Kingdom; Department of Ophthalmology (Tassignon), Antwerp University Hospital, University of Antwerp, Belgium. Electronic address: mats.lundstrom@karlskrona.mail.telia.com. 2. From the Department of Clinical Sciences (Lundström), Ophthalmology, Faculty of Medicine, Lund University, Lund, and the Department of Ophthalmology (Stenevi), Sahlgren's University Hospital, Mölndal, Sweden; University Eye Clinic (Dickman), Maastricht University Medical Center, Maastricht, and the Department of Ophthalmology (Henry), VUmc, Amsterdam, the Netherlands; Department of Ophthalmology (Manning), University Hospital Waterford, Waterford, Ireland; Oxford Eye Hospital (Rosen), Oxford, and the Department of Mathematics and Statistics (Young), University of Strathclyde, Glasgow, United Kingdom; Department of Ophthalmology (Tassignon), Antwerp University Hospital, University of Antwerp, Belgium.
Abstract
PURPOSE: To describe a large cohort of femtosecond laser-assisted cataract surgeries in terms of baseline characteristics and the related outcomes. SETTING: Eighteen cataract surgery clinics in 9 European countries and Australia. DESIGN: Prospective multicenter case series. METHODS: Data on consecutive eyes having femtosecond laser-assisted cataract surgery in the participating clinics were entered in the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). A trained registry manager in each clinic was responsible for valid reporting to the EUREQUO. Demographics, preoperative corrected distance visual acuity (CDVA), risk factors, type of surgery, type of intraocular lens, visual outcomes, refractive outcomes, and complications were reported. RESULTS: Complete data were available for 3379 cases. The mean age was 64.4 years ± 10.9 (SD) and 57.8% (95% confidence interval [CI], 56.1-59.5) of the patients were women. A surgical complication was reported in 2.9% of all cases (95% CI, 2.4-3.5). The mean postoperative CDVA was 0.04 ± 0.15. logarithm of the minimum angle of resolution. A biometry prediction error (spherical equivalent) was within ±0.5 diopter in 71.8% (95% CI, 70.3-73.3) of all surgeries. Postoperative complications were reported in 3.3% (95% CI, 2.7-4.0). Patients with good preoperative CDVA had the best visual and refractive outcomes; patients with poor preoperative visual acuity had poorer outcomes. CONCLUSIONS: The visual and refractive outcomes of femtosecond laser-assisted cataract surgery were favorable compared with manual phacoemulsification. The outcomes were highly influenced by the preoperative visual acuity, but all preoperative CDVA groups had acceptable outcomes.
PURPOSE: To describe a large cohort of femtosecond laser-assisted cataract surgeries in terms of baseline characteristics and the related outcomes. SETTING: Eighteen cataract surgery clinics in 9 European countries and Australia. DESIGN: Prospective multicenter case series. METHODS: Data on consecutive eyes having femtosecond laser-assisted cataract surgery in the participating clinics were entered in the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). A trained registry manager in each clinic was responsible for valid reporting to the EUREQUO. Demographics, preoperative corrected distance visual acuity (CDVA), risk factors, type of surgery, type of intraocular lens, visual outcomes, refractive outcomes, and complications were reported. RESULTS: Complete data were available for 3379 cases. The mean age was 64.4 years ± 10.9 (SD) and 57.8% (95% confidence interval [CI], 56.1-59.5) of the patients were women. A surgical complication was reported in 2.9% of all cases (95% CI, 2.4-3.5). The mean postoperative CDVA was 0.04 ± 0.15. logarithm of the minimum angle of resolution. A biometry prediction error (spherical equivalent) was within ±0.5 diopter in 71.8% (95% CI, 70.3-73.3) of all surgeries. Postoperative complications were reported in 3.3% (95% CI, 2.7-4.0). Patients with good preoperative CDVA had the best visual and refractive outcomes; patients with poor preoperative visual acuity had poorer outcomes. CONCLUSIONS: The visual and refractive outcomes of femtosecond laser-assisted cataract surgery were favorable compared with manual phacoemulsification. The outcomes were highly influenced by the preoperative visual acuity, but all preoperative CDVA groups had acceptable outcomes.
Authors: Mohamed Gamal Ebidalla Elghobaier; Mohamed Farag Khalil Ibrahiem; Ahmed Shawkat Abdelhalim; Ahmed Mostafa Eid; Khalid Al Said Murad Journal: Clin Ophthalmol Date: 2020-05-21