Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery : study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery

Manning, Sonia and Barry, Peter and Henry, Ype and Rosen, Paul and Stenevi, Ulf and Young, David and Lundström, Mats (2016) Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery : study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery. Journal of Cataract and Refractive Surgery, 42 (12). pp. 1779-1790. ISSN 0886-3350 (https://doi.org/10.1016/j.jcrs.2016.10.013)

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Abstract

PURPOSE: To compare the visual, refractive, and adverse outcomes of femtosecond laser-assisted cataract surgery and conventional phacoemulsification cataract surgery. SETTING: Cataract surgery clinics in 9 European countries and Australia (femtosecond-assisted) and 18 European countries and Australia (conventional). DESIGN: Multicenter case-control study. METHODS: Eyes having femtosecond laser-assisted cataract surgery were matched to eyes from the European Registry of Quality Outcomes for Cataract and Refractive Surgery phacoemulsification cataract surgery database for preoperative corrected distance visual acuity (CDVA), age, and preoperative risk factors. Intraoperative and postoperative complications, postoperative CDVA, and refractive outcome were compared. The follow-up was 7 to 60 days. RESULTS: The study matched 2814 femtosecond-assisted cases to 4987 conventional phacoemulsification cases. Femtosecond-assisted surgery compared as follows to conventional phacoemulsification: posterior capsule complications, 0.7% versus 0.4%; postoperative logMAR CDVA, 0.05 (6/6(-3)) versus 0.03 (6/6(-2)); worse postoperative CDVA at follow-up (by 5 letters or more), 1.0% versus 0.4%; CDVA 0.3 (6/12) or better, 96.3% versus 97.1%; absolute biometry prediction error, 0.43 diopter (D) versus 0.40 D; within ±0.5 D of target, 72% versus 74.3%; and postoperative complications, 3.4% versus 2.3%. CONCLUSIONS: Femtosecond laser-assisted cataract surgery did not yield better visual or refractive outcomes than conventional phacoemulsification cataract surgery. Intraoperative complications were similar and low in both groups. Postoperative complications were lower in conventional phacoemulsification cataract surgery. FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned.

  • Item type:Article
    ID code:59620
    Dates:
    Date
    Event
    31 December 2016
    Published
    20 December 2016
    Published Online
    14 October 2016
    Accepted
    Notes:Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
    Subjects:Medicine > Ophthalmology
    Department:Faculty of Science > Mathematics and Statistics
    Depositing user: Pure Administrator
    Date deposited:27 Jan 2017 11:54
    Last modified:18 Apr 2024 00:19
    URI:https://strathprints.strath.ac.uk/id/eprint/59620
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