From the Department of Clinical Sciences (Lundström), Ophthalmology, Faculty of Medicine, Lund University, Lund, and the Department of Ophthalmology (Stenevi), Sahlgren's University Hospital, Mölndal, Sweden; University Eye Clinic (Dickman), Maastricht University Medical Center, Maastricht, and the Department of Ophthalmology (Henry), VUmc, Amsterdam, the Netherlands; Department of Ophthalmology (Manning), University Hospital Waterford, Waterford, Ireland; Oxford Eye Hospital (Rosen), Oxford, and the Department of Mathematics and Statistics (Young), University of Strathclyde, Glasgow, United Kingdom; Department of Ophthalmology (Tassignon), Antwerp University Hospital, University of Antwerp, Belgium.
From the Department of Clinical Sciences (Lundström), Ophthalmology, Faculty of Medicine, Lund University, Lund, and the Department of Ophthalmology (Stenevi), Sahlgren's University Hospital, Mölndal, Sweden; University Eye Clinic (Dickman), Maastricht University Medical Center, Maastricht, and the Department of Ophthalmology (Henry), VUmc, Amsterdam, the Netherlands; Department of Ophthalmology (Manning), University Hospital Waterford, Waterford, Ireland; Oxford Eye Hospital (Rosen), Oxford, and the Department of Mathematics and Statistics (Young), University of Strathclyde, Glasgow, United Kingdom; Department of Ophthalmology (Tassignon), Antwerp University Hospital, University of Antwerp, Belgium.
J Cataract Refract Surg. 2017 Dec;43(12):1549-1556. doi: 10.1016/j.jcrs.2017.09.029.
To describe a large cohort of femtosecond laser-assisted cataract surgeries in terms of baseline characteristics and the related outcomes.
Eighteen cataract surgery clinics in 9 European countries and Australia.
Prospective multicenter case series.
Data on consecutive eyes having femtosecond laser-assisted cataract surgery in the participating clinics were entered in the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). A trained registry manager in each clinic was responsible for valid reporting to the EUREQUO. Demographics, preoperative corrected distance visual acuity (CDVA), risk factors, type of surgery, type of intraocular lens, visual outcomes, refractive outcomes, and complications were reported.
Complete data were available for 3379 cases. The mean age was 64.4 years ± 10.9 (SD) and 57.8% (95% confidence interval [CI], 56.1-59.5) of the patients were women. A surgical complication was reported in 2.9% of all cases (95% CI, 2.4-3.5). The mean postoperative CDVA was 0.04 ± 0.15. logarithm of the minimum angle of resolution. A biometry prediction error (spherical equivalent) was within ±0.5 diopter in 71.8% (95% CI, 70.3-73.3) of all surgeries. Postoperative complications were reported in 3.3% (95% CI, 2.7-4.0). Patients with good preoperative CDVA had the best visual and refractive outcomes; patients with poor preoperative visual acuity had poorer outcomes.
The visual and refractive outcomes of femtosecond laser-assisted cataract surgery were favorable compared with manual phacoemulsification. The outcomes were highly influenced by the preoperative visual acuity, but all preoperative CDVA groups had acceptable outcomes.
描述大量飞秒激光辅助白内障手术的基本特征和相关结果。
欧洲 9 个国家和澳大利亚的 18 家白内障手术诊所。
前瞻性多中心病例系列。
参与诊所的连续眼接受飞秒激光辅助白内障手术的数据被输入欧洲白内障和屈光手术质量结果登记处（EUREQUO）。每个诊所都有一名经过培训的登记管理员负责向 EUREQUO 进行有效报告。报告的内容包括人口统计学资料、术前矫正远视力（CDVA）、危险因素、手术类型、人工晶状体类型、视力结果、屈光结果和并发症。
3379 例病例的完整数据可用。平均年龄为 64.4±10.9 岁（标准差），57.8%（95%置信区间[CI]，56.1-59.5）的患者为女性。所有病例中报告了 2.9%（95%CI，2.4-3.5）的手术并发症。术后平均 CDVA 为 0.04±0.15，logMAR。生物测量预测误差（等效球镜）在所有手术中，71.8%（95%CI，70.3-73.3）在±0.5 屈光度以内。报告了 3.3%（95%CI，2.7-4.0）的术后并发症。术前 CDVA 良好的患者视觉和屈光结果最佳；术前视力较差的患者结果较差。
与手动超声乳化相比，飞秒激光辅助白内障手术的视觉和屈光结果良好。结果高度受术前视力的影响，但所有术前 CDVA 组都有可接受的结果。
