EW SHOW DAILY
8
Wednesday, May 10, 2017
by Ellen Stodola EyeWorld Senior Staff Writer
Laser cataract surgery 7 years later
years later. Presentations focused on
unique complications of laser cat-
aract surgery, laser cataract surgery
for complex cataracts, laser cataract
surgery as an enabling technology,
the case for improved accuracy with
laser cataract surgery, and laser cata-
ract surgery in the literature.
Samuel Masket, MD, Los Ange-
les, looked at laser-assisted cataract
surgery (LACS) as an enabling tech-
nology. LACS may now enable a sur-
geon of less skill and less experience
to achieve repeated excellent results.
The reality is it can expand a career
for some surgeons, Dr. Masket add-
ed, noting that at his surgery center,
some people had higher compli-
cation rates and have significantly
reduced their complications with
femto. He finds LACS most useful in
cases of compromised endothelium,
shallow anterior chamber, dense
cataracts, zonulopathy, and capsule
issues.
In terms of capsule issues, pos-
terior polar cataracts are associated
with high incidence of capsule rup-
ture that may pre-exist or occur at
surgery, Dr. Masket said. Techniques
have evolved to allow for a greater
degree of surgical success. In the
surgery for posterior polar cataracts,
the key feature is appropriate sizing
and placement of the anterior cap-
sulotomy. A strong case can be made
for use of the femtosecond laser for
capsulotomy, and Dr. Masket prefers
to avoid laser nuclear division to
prevent gas bubble distension of the
bag.
Robert Cionni, MD, Salt Lake
City, highlighted improved accuracy
with laser cataract surgery. He shared
his personal background using the
femtosecond laser, saying that as of
December 2016, he has completed
2,708 femto cases. He is using the
laser for 35% of all of his cases for
routine and premium patients, as
well as challenging cases. At the end
of 2016, Dr. Cionni said there had
been more than a million femtosec-
ond cataract procedures performed
worldwide.
Does LACS provide better refrac-
tive outcomes? Dr. Cionni said nu-
merous peer-reviewed studies have
failed to demonstrate the superiority
of LACS, although he noted that
a few have demonstrated refrac-
tive superiority in terms of quicker
T
he first Tuesday morning
symposium was co-spon-
sored by ASCRS and
APACRS and looked at
laser cataract surgery 7
A symposium focused on topics relating to laser cataract
surgery and its evolution
80O.787.5426
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continued on page 8
