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Subspecialties Cataract

FLACS Takes Flak

When FLACS was first adopted in Europe, back in 2006, we had high hopes for this exciting new technology – unfortunately, these hopes have not been met. I say this from the perspective of 15 years’ direct experience of the technique, during which time I have performed hundreds of procedures – including our combined femto and nanosecond laser cataract method, for which we received a video award at the 2015 ASCRS meeting. My opinion therefore has been formed by extensive personal experience of the FLACS method. 

One of the first claims made for FLACS was that it mediated a capsulorhexis that was biomechanically superior to that provided by other methods. My view, however, is that the biomechanical rigidity of the FLACS capsulorhexis is not clearly superior to that provided by alternative methods. I make this statement based on outcomes I have seen from both manual capsulorhexis procedures and capsulorhexis procedures using other disposable devices, such as the Zepto. In the light of this evidence, the “biomechanical superiority” claim is difficult to defend.

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About the Author

Anastasios Kanellopoulos

Director at the Laservision Eye Institute, Athens, and Clinical Professor in the Department of Ophthalmology at NYU School of Medicine, New York.

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