Intra- and Postoperative Complications Observed With Femtosecond Laser–Assisted Cataract Surgery vs Conventional Phacoemulsification Surgery
•This analysis aimed to systematically compare the complications which were associated with femtosecond laser-assisted cataract surgery (FLACS) versus the conventional phacoemulsification surgery (CPE).
•Incomplete capsulotomy, anterior capsulotomy tag, anterior capsule tear, posterior capsule tear, injury to the descemet’s membrane, zonular dialysis, vitreous loss, macular or corneal edema, and elevated intra-ocular pressure were the endpoints.
•The results showed that FLACS did not improve intra/post-operative complications in comparison to CPE. But, further larger studies should confirm this hypothesis.
•This systematic review and meta-analysis found that there is no improvement in intraoperative and postoperative complications with femtosecond laser–assisted cataract surgery (FLACS) over conventional phacoemulsification (CPE).
•In fact, the authors observed an increased risk of incomplete capsulotomy and anterior capsular tear with FLACS, with no difference in the risk of vitreous loss between FLACS and CPE.
•However, further studies are required to validate these findings
Reference: Wang J, Su F, Wang Y, Chen Y, Chen Q, Li F. Intra and post-operative complications observed with femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: a systematic review and meta-analysis. BMC Ophthalmol. 2019 Aug 9;19(1):177