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First clinical experience of femto-assisted phacoemulsification

Session Details

Session Title: Cataract I

Session Date/Time: Friday 15/02/2013 | 10:30-12:30

Paper Time: 10:30

Venue: Hall 2

First Author: : S.Anisimova RUSSIA

Co Author(s): :    S. Anisimov   A. Trubilin           

Abstract Details


To evaluate complications, advantages and clinical outcomes of femtoassisted phacoemulsification.


Eye Center “East Sight Recover“, FMBA, Moscow, Russia.


This study includes the results of femtoassisted phacoemulsification of 90 cases with cataract from 1-4+ density with 1-3 months of follow-up. All procedures were performed with Femtolaser Victus TPV and Infinity or Stellaris phacomachine. IOL monofocal, multifocals and toric were used. Clinical outcomes were evaluated in terms of % of ultrasound that were used during fragments elimination, time of the procedure, also safety and predictability of the procedure. Predictability of post-operation target refraction was analyzed.


In all cases with pupillar >4mm we received round capsulorhexis, also with cataract subluxation (6 cases with capsular ring suturing), pseudoexfoliative syndrome and combined procedure in glaucoma patients (7 cases). Nucleus fragmentation 4 - 8 pieces we received in cataracts 1 - 4+ density. Fragmentation of the intumescent cataract was not possible. Time of the intraocular surgery was less in all cases. The power of ultrasound that were used was less on 15 - 38% in comparison with standard procedures. Target refraction (<0,5D) was achieved in 80% of cases, in all multifocals (11 cases post-op refraction 0 - 0,5 D).


Femtosecond laser Victus provides for phacoemulsification accuracy, speed, flexibility, security. Excellent results with post-op refraction we explain with correct position of IOL in the capsular bag which was provided by the round central rhexis.

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