Abstract
The purpose of our study was to compare the selected parameters of the anterior segment of the eye in patients after femtosecond laser-assisted cataract surgery (FLACS) with the results of microincision cataract surgery (MICS) and conventional phacoemulsification surgery (CPS). This single-center prospective randomized comparative observational study included 87 patients. Patients were randomly selected into group A (FLACS), group B (MICS) and group C (control group). All the surgeries were performed by the same experienced surgeon. Preoperative and postoperative parameters were evaluated: best-corrected visual acuity (BCVA), endothelial cell density (ECD), endothelial cell loss percentage (ECL%), central corneal thickness (CCT), central anterior and posterior corneal astigmatism induction, posterior corneal elevation map were measured. Intraoperative parameters: effective phacoemulsification time (EPT), balanced salt solution use (BSS use), total surgical time and suction time were analyzed. Examination was performed preoperatively and on the first, seventh day, one and six months postoperatively. The follow up period was 6 months. There was no statistically significant difference in BCVA, central anterior and posterior astigmatism induction between studied groups. The ECL% was statistically significant lower in the group A on the 7th day, 1 month and 6-months postoperatively (P < .05). The CCT was statistically significant lower in the group A and in the group B than in the group C on the 7th postoperative day (P = .002). However, in the 6 months follow-up there was no statistically significant difference in the CCT between studied groups (P = .133). We observed statistically significant difference in change of the posterior corneal elevation map at the periphery assessed within the 90° to 120°meridian range between group A, group B and group C at every timepoint postoperatively (P < .05). The EPT and BSS use were statistically significant lower whilst total surgery time was statistically significant higher in the FLACS group (P < .05). To conclude in the 6 months follow-up there was statistically significant difference found between eyes undergoing FLACS, MICS and CPS with respect to the posterior corneal elevation map assessed within the studied range, ECL%, EPT, BSS use and total surgery time. Postoperative BCVA, central anterior and posterior astigmatism induction, CCT were comparable between studied groups.
Highlights
Cataract, along with uncorrected refractive errors, remain the leading cause of reversible blindness in the world.[1]
To conclude in the 6 months follow-up there was statistically significant difference found between eyes undergoing femtosecond laser-assisted cataract surgery (FLACS), microincision cataract surgery (MICS) and conventional phacoemulsification (CPS) with respect to the posterior corneal elevation map assessed within the studied range, ECL%, effective phacoemulsification time (EPT), balanced salt solution use (BSS use) and total surgery time
After signature of the informed consent a detailed clinical history was collected for all patients and a complete ophthalmological examination including anterior segment biomicroscopy and fundus examinations, best corrected visual acuity (BCVA), central corneal thickness (CCT), endothelial cell density (ECD), anterior and posterior corneal astigmatism and posterior corneal elevation map were carried out
Summary
Along with uncorrected refractive errors, remain the leading cause of reversible blindness in the world.[1] Cataract surgery is the most frequently performed ophthalmic surgery and simultaneously the most frequently performed surgical procedure in the world. Cataract surgery is considered one of the most effective and safest medical procedures in the world, as confirmed in clinical trials. Due to the increase in life expectancy and the aging of the population, an increase in the need for cataract surgery should be expected. Phacoemulsification as introduced by Charles Kelman in the 1970s remains the standard and preferred surgical technique used in the developed world.[2] conventional phacoemulsification (CPS) provides good visual acuity and rarely causes complications, nowadays patients expect to achieve more rapid visual rehabilitation and experience fewer traumas
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