Cookies

Like most websites The Ophthalmologist uses cookies. In order to deliver a personalized, responsive service and to improve the site, we remember and store information about how you use it. Learn more.
Subspecialties Refractive, Cataract, Cornea / Ocular Surface

Hello Femto!

Back in the early days of phacoemulsification technology, there were people who didn’t believe in it. Now, we have ‘naysayers’ who say femtosecond laser-assisted cataract surgery (FLACS) has reached its peak. But I believe FLACS is here to stay.

I am a ‘femto guy’ – I use it in over 80 percent of my cases. Why? Because it offers me better outcomes for my patients than conventional phaco surgery. In terms of safety, FLACS delivers less energy into the eye, and is associated with less endothelial cell loss, corneal edema and a 50 percent lower rate of vitreous loss (1)(2)(3). Most importantly, FLACS delivers significantly faster visual recoveries to patients; one day after surgery, FLACS patients who had dense cataracts removed can see three lines better than patients who received phaco surgery (4). FLACS also has superiority as a cataract refractive tool. As effective lens position is partially determined by where you place the capsulotomy – important for multifocal or EDOF lenses – an advantage of FLACS is that the capsulotomy can be centered more precisely on the optic axis. There’s no way a manual capsulorhexis can be placed as perfectly! Also, astigmatism can be managed using femto through the placement of precise, customized arcuate incisions. Recently, LENSAR received approval to create anterior capsule ‘nubs’ to enhance accuracy of alignment when toric IOLs are used for astigmatism correction. Cyclorotation errors are minimized significantly with this new femto adjunct to my armamentarium.

Read the full article now

Log in or register to read this article in full and gain access to The Ophthalmologist’s entire content archive. It’s FREE and always will be!

Login

Or register now - it’s free and always will be!

You will benefit from:

  • Unlimited access to ALL articles
  • News, interviews & opinions from leading industry experts
  • Receive print (and PDF) copies of The Ophthalmologist magazine
Register

Or Login via Social Media

By clicking on any of the above social media links, you are agreeing to our Privacy Notice.

About the Author

Mitch Jackson

Mitch Jackson is a cataract and refractive specialist, and founder and CEO of JacksonEye, Lake Villa, IL, USA

Register to The Ophthalmologist

Register to access our FREE online portfolio, request the magazine in print and manage your preferences.

You will benefit from:

  • Unlimited access to ALL articles
  • News, interviews & opinions from leading industry experts
  • Receive print (and PDF) copies of The Ophthalmologist magazine

Register