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Casazza, M; Reifeltshammer, SA; Hirnschall, N; Mariacher, S; Laubichler, P; Siska, R; Wendelstein, J; Bolz, M.
Randomized controlled bilateral comparison of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification
BMJ SURG INTERV HLTH. 2025; 7(1): e000342 Doi: 10.1136/bmjsit-2024-000342 [OPEN ACCESS]
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Leading authors Med Uni Graz
Casazza Marina
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Abstract:
Objectives To evaluate the influence of femtosecond laser-assisted cataract surgery (FLACS) on the post-operative capsular bag and visual performance using a novel aspheric hydrophobic intraocular lens (IOL).Design Randomized controlled bilateral study.Setting Department of Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria.Participants Patients scheduled for bilateral cataract surgery.Interventions Patients were scheduled either for conventional cataract surgery or femtolaser-assisted cataract surgery.Main outcome measures Anterior chamber depth, IOL tilt, IOL decentration, best-corrected distance visual acuity, uncorrected distance visual acuity.Results In total, 100 eyes of 50 patients were included in this study. After 6 months, there was no relevant difference between the FLACS and the conventional cataract group regarding anterior chamber depth (4.56 +/- 1.68 mm and 4.60 +/- 0.26 mm; p=0.903), tilt (4.87 degrees +/- 2.17 degrees and 4.37 degrees +/- 1.62 degrees; p=0.124) or decentration (0.28 +/- 0.14 mm and 0.33 +/- 0.20 mm; p=0.414), respectively. The postoperative mean spherical equivalent showed a slight hyperopic shift with no relevant difference between both groups (+0.17 +/- 0.49 D and +0.19 +/- 0.50 D; p=0.996) with a target refraction of emmetropia or myopia (-2.5 D).Conclusions FLACS was not superior to manual cataract surgery regarding capsular bag or visual performance, and the investigated IOL was safe and stable.Trial registration number NCT06069752.

Find related publications in this database (Keywords)
Ophthalmic Devices
Lens Implantation, Intraocular
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