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J Cataract Refract Surg · Jul 2015
Randomized Controlled Trial Comparative StudyComparison of visual recovery and refractive stability between femtosecond laser-assisted cataract surgery and standard phacoemulsification: six-month follow-up.
- Ina Conrad-Hengerer, Mayss Al Sheikh, Fritz H Hengerer, Tim Schultz, and H Burkhard Dick.
- From the Center for Vision Science (Conrad-Hengerer, Al Sheikh, Schultz, Dick), Ruhr University Eye Clinic Bochum, Bochum, and Goethe University Eye Clinic (Hengerer), Frankfurt, Germany. Electronic address: ina.conrad-hengerer@kk-bochum.de.
- J Cataract Refract Surg. 2015 Jul 1; 41 (7): 1356-64.
PurposeTo compare visual recovery and refractive changes between femtosecond laser-assisted cataract surgery and standard cataract surgery.SettingCenter for Vision Science, Ruhr University Eye Clinic, Bochum, Germany.DesignProspective randomized intraindividual cohort study.MethodsEyes were treated with femtosecond laser-assisted cataract surgery or conventional phacoemulsification using pulsed ultrasound energy. Both groups had intraocular lens (IOL) implantation. The manifest refraction, corrected distance visual acuity, and anterior chamber depth were determined preoperatively and 2 hours, 3 to 4 days, 1 week, and 1, 2, 3, and 6 months postoperatively to determine the achieved deviation from target refraction, IOL position, and refractive stability.ResultsOne hundred eyes of 100 patients were treated with femtosecond laser-assisted cataract surgery; the fellow 100 eyes had conventional phacoemulsification. Six months postoperatively, 196 eyes were included and analyzed. At 6 months, 90 eyes (92%) in the femtosecond laser-assisted group and 70 eyes (71%) in the conventional group were within ±0.50 D of the target refractive outcome and 98 eyes (100%) in both groups were within ±1.00 D. The mean refractive spherical equivalent showed no significant change between 1 week and 1 month in the femtosecond laser-assisted group and between 1, 2, 3, and 6 months postoperatively in both groups.ConclusionFemtosecond laser-assisted cataract surgery yielded faster visual recovery, less deviation from the target refraction, and earlier stabilization of refraction.Financial DisclosureDr. Dick is a member of the medical advisory board of Abbott Medical Optics, Inc. No other author has a financial or proprietary interest in any material or method mentioned.Copyright © 2015. Published by Elsevier Inc.
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