Department of Ophthalmology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Gangwon Province, Korea.
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi Province, Korea.
Asia Pac J Ophthalmol (Phila). 2023;12(5):477-485. doi: 10.1097/APO.0000000000000627. Epub 2023 Aug 14.
Femtosecond laser can provide precise and customized incision of ocular tissue with excellent accuracy and predictability. Thus, femtosecond laser-assisted cataract surgery (FLACS) can theoretically enhance the safety and efficacy of cataract surgery by providing reproducible and reliable clear corneal incision, limbal relaxing incision, anterior capsulotomy, and lens fragmentation. However, thus far, the superiority of the anatomical and visual outcomes of FLACS over those of conventional cataract surgery have been unclear. Nevertheless, studies have indicated that FLACS can potentially be helpful in improving the safety of cataract surgery in challenging situations, such as zonular weakness, preexisting capsular tear, white cataract, shallow anterior chamber, and pediatric cataracts, which may contribute to enhanced visual and anatomical outcomes. In this review, we provide a summary of the application of femtosecond laser in general cataract cases. In addition, we introduce the application of FLACS in the abovementioned challenging situations and discuss the results of studies regarding the safety and outcome of FLACS in these challenging cases.
飞秒激光可以提供精确和定制的眼部组织切割，具有出色的准确性和可预测性。因此，飞秒激光辅助白内障手术（FLACS）理论上可以通过提供可重复和可靠的透明角膜切口、角巩膜松弛切口、前囊切开和晶状体粉碎来提高白内障手术的安全性和效果。然而，到目前为止，FLACS 在解剖学和视觉结果方面的优势尚不清楚。尽管如此，研究表明，FLACS 可能有助于提高在诸如晶状体悬韧带薄弱、预先存在的囊膜撕裂、白内障、浅前房和小儿白内障等挑战性情况下白内障手术的安全性，这可能有助于提高视觉和解剖结果。在这篇综述中，我们总结了飞秒激光在一般白内障病例中的应用。此外，我们介绍了 FLACS 在上述挑战性情况下的应用，并讨论了关于这些挑战性病例中 FLACS 的安全性和结果的研究结果。
