Research Article
Clinical Comparison of Intraoperative Complications and Results of Two Different Platforms of Femtosecond Laser Assisted Cataract Surgery
Antonio Helbert Guedes de Mesquita
Jacome, Andre Lins de Medeiros,
Wilson Takashi Hida, Virgilio Luiz
Ordones, Milton Ruiz Alves, Pedro Carlos
Carricondo, Walton Nose
Correspondence Address :
Antonio Helbert Guedes
de Mesquita Jacome
Cataract Sector
Hospital Oftalmologico de Brasilia
Brasilia, DF, Brazil
Email:
antoniohelbert@gmail.com
Received on: February 09, 2018, Accepted on: February 27, 2018, Published on: March 08, 2018
Citation: Antonio Helbert Guedes de Mesquita Jacome, Andre Lins de Medeiros, Wilson Takashi Hida, Virgilio Luiz Ordones, Milton Ruiz Alves,
Pedro Carlos Carricondo, Walton Nose (2018). Clinical Comparison of Intraoperative Complications and Results of Two Different
Platforms of Femtosecond Laser Assisted Cataract Surgery
Copyright: 2018 Andre Lins de Medeiros, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Purpose: To compare the intraoperative complications and results of femtosecond laser assisted cataract surgeries by two different platforms - Catalys and LenSx.
Methods: This retrospective, non-randomized, comparative study included the medical records of 579 eyes of 579 patients that underwent femtosecond laser-assisted cataract surgery in 2017 in the Hospital Oftalmologico de Brasilia (HOB) by the same surgeon W.T.H. by Catalys and LenSx platforms. Inclusion criteria were: (1) with presence of a senile cataract, (2) who underwent Femtosecond laser-assisted cataract surgery in 2017 in the HOB by either Catalys or LenSx platform, (3) over 50 years of age, and (4) with none of the following exclusionary factors: existence of any other pathological and/ or neurological condition that could decrease visual acuity, contrast and/or visual field sensitivity, preoperative ophthalmological diseases and complications.
Results: Postoperative corrected distance visual acuity - CDVA - in the Catalys group was 0.04 logMAR vs. LenSx 0.02 logMAR, p = 0.090. Absence of conjunctival hyperemia was 3.2% for Catalys group vs. 2.7% for LenSx group. The amount of docking in the LenSx group was 1.09 times vs. the Catalys group that was 1.17 times. The maximum number of dockings needed to perform the laser in 01 eye in the Catalys group was 5 times, while the maximum amount in the LenSx group was 3 times. Catalys obtained an average of docking time of 165.92 seconds vs. LenSx 132.79 seconds, p <0.01.
Conclusion: Patients who were treated by the LenSx Laser presented greater postprocedure redness, but those who had the Catalys laser application required a greater number and time of docking to have their treatment performed.
Keywords: Cataract Surgery, FLACS Catalys, LenSx