Safety and surgical outcomes of femtosecond laser-assisted cataract surgery

 Purpose The aim of this study is to study  the safety and surgical outcomes of femtosecond laser assisted catarct surgery  FLACS according to our earlyexperience with the procedure. Patients  and methods This  is  a  prospective  study  that  included  50  consecutive  FLACS  cases  of  40  patients. Cases  have been performed by the same surgeon (A. E. Shama) between October 2015 and May 2016. Results In  this  study,  we  have  reported  no  cases  of  programming  errors,  and  only  one  (2%)  eye  had incomplete  capsulotomy  that  necessitated  completion  using  capsulurhexis  foreceps.  Seven (14%)  eyes  had  incomplete  corneal  incisions  that  were  completed  using  a  sharp  keratome, and  lensfragmentation  was  complete  in  all  cases  except  only  one  (2%)  case. Thirty   four   (68%)   eyes   showed   postdocking   conjunctival   echymosis   (Fig.   3),   which   is considered  as  a  minor  complication  that  necessitates  only  goodcounseling  of  the  patients. Although  miosis  (pupil  constriction  ≥2  mm)  was  common  in  this  study  (70%),  it  did  not  create any  intraoperative  problemsto  the  surgeon. Conclusion FLACS has a lower complication rate compared with standard phacoemulsification