Femtosecond laser-assisted cataract surgery

• Published in: Journal francais d'ophtalmologie Vol. 38; no. 7; p. 646
• Main Authors: Trinh, L, Denoyer, A, Auclin, F, Baudouin, C
• Format: Journal Article
• Language: French
• Published: France 01.09.2015
• Subjects: Cataract Extraction - methods; Corneal Surgery, Laser - instrumentation; Corneal Surgery, Laser - methods; Costs and Cost Analysis; Humans; Image Processing, Computer-Assisted - economics; Lens, Crystalline - surgery; Lens, Crystalline - ultrastructure; Micromanipulation; Postoperative Complications; Surgery, Computer-Assisted - economics; Surgery, Computer-Assisted - instrumentation; Surgery, Computer-Assisted - methods; Tomography, Optical Coherence - economics; Cataract surgery; Cataract; Cataracte; Femtocataract; Femtocataracte; Femtosecond laser; Lens; Chirurgie de cataracte; Cristallin; Laser femtoseconde
• ISSN: 1773-0597
• DOI: 10.1016/j.jfo.2015.05.002

Femtosecond laser-assisted cataract surgery is a major technological innovation. The femtosecond laser, during a pretreatment step, helps to prepare the patient's eye for the surgery proper by creating corneal incisions, anterior capsulotomy and lens fragmentation in an automated fashion. Thus, these steps can be performed with precision and reproducibility, and lens fragmentation reduces the amount of ultrasound required during surgery. Drawbacks of this technology are a longer operating time, a more demanding surgical procedure and a much higher cost for patients and surgical centers. New models of organization in the operating room, patient flow, and financial systems have to be designed to adapt this procedure to our practice. The benefits of this technology should make it an essential tool in the future, provided that cataract surgery can be reconsidered logistically and economically.