Abell, RG and Allen, PL and Vote, BJT, Anterior chamber flare after femtosecond laser-assisted cataract surgery, Journal of Cataract and Refractive Surgery, 39, (9) pp. 1321-1326. ISSN 0886-3350 (2013) [Refereed Article]
Copyright 2013 ASCRS and ESCRS
Purpose: To determine whether postoperative ocular inflammation is less after femtosecond laser–assisted cataract surgery than after conventional phacoemulsification (manual) cataract surgery.
Setting: Private clinic, Launceston, Tasmania, Australia.
Design: Prospective consecutive investigator-masked nonrandomized parallel cohort study.
Methods: Consecutive cataract patients who had femtosecond laser–assisted cataract surgery or manual cataract surgery by the same surgeon at a single center were assessed. The primary endpoint was postoperative aqueous flare measured by laser flare photometry at 1 day and 4 weeks. Secondary endpoints included retinal thickness measured by optical coherence tomography and slitlamp examination findings at 4 weeks.
Results: The per-protocol population comprised 176 patients (100 in laser group; 76 in manual group). Postoperative aqueous flare was significantly greater in the manual cataract surgery group at 1 day (P=.0089) and at 4 weeks (P=.003). There was a significant correlation between effective phacoemulsification time and 1-day postoperative aqueous flare (r = 0.35, P<.0001). The increase in outer zone thickness measured by optical coherence tomography was less in the laser group (P=.007).
Conclusion: Anterior segment inflammation was less after femtosecond laser–assisted cataract surgery than after manual cataract surgery, and this appeared to be due to a reduction in phacoemulsification energy.
|Item Type:||Refereed Article|
|Keywords:||cataract surgery, laser-assisted, femtosecond|
|Research Division:||Medical and Health Sciences|
|Research Group:||Ophthalmology and Optometry|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Surgical Methods and Procedures|
|Author:||Allen, PL (Dr Penny Allen)|
|Author:||Vote, BJT (Dr Brendan Vote)|
|Web of Science® Times Cited:||28|
|Deposited By:||Rural Clinical School|
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