Skip to main content

Femtosecond Laser Assisted Cataract Surgery: Principles and Results

  • Chapter
  • First Online:
Cutting Edge of Ophthalmic Surgery
  • 675 Accesses

Abstract

Ophthalmology always had a pioneer role in use of lasers (Light Amplification by Stimulated Emission of Radiation). A great variety of lasers have been employed since the first laser appeared within the ophthalmic armamentarium for more than 50 years. The German ophthalmologist Meyer-Schwickerath applied the first laser for photocoagulation in the retina in 1949 [1]. A laser is a special surgical device which emits specific electromagnetic light via stimulated emission. Ophthalmic lasers operate at one specific fixed wavelength, pulse pattern, energy, duration, repetition rate, spot size and causing most of the time thermal effects, but photocoagulation, evaporation and non-thermal effects also important, regarding laser-tissue interaction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Meyer-Schwickerath G. Koagulation der Netzhaut mit Sonnenlicht. Ber Dtsch Ophthalmol Ges. 1949;55:256–9.

    Google Scholar 

  2. Kurtz RM, Horvath C, Liu HH, Krueger RR, Juhasz T. Lamellar refractive surgery with scanned intrastromal picosecond and femtosecond laser pulses in animal eyes. J Refract Surg. 1998;14:541–8.

    CAS  PubMed  Google Scholar 

  3. Kim P, Sutton GL, Rootman DS. Applications of the femtosecond laser in corneal refractive surgery. Curr Opin Ophthalmol. 2011;22:238–44.

    Article  PubMed  Google Scholar 

  4. Marshall J. Lasers in ophthalmology: the basic principles. Eye. 1988;2(Suppl):S98–112.

    Article  PubMed  Google Scholar 

  5. Nagy Z, Takacs A, Filkorn T, Sarayba M. Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. J Refract Surg. 2009;25:1053–60.

    Article  PubMed  Google Scholar 

  6. Nagy ZZ. New technology update: femtosecond laser in cataract surgery. Clin Ophthalmol. 2014;8:1157–67.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Szigeti A, Kranitz K, Takacs AI, Mihaltz K, Knorz MC, Nagy ZZ. Comparison of long-term visual outcome and IOL position with a single-optic accommodating IOL After 5.5- or 6.0-mm Femtosecond laser capsulotomy. J Refract Surg. 2012;28:609–13.

    Article  PubMed  Google Scholar 

  8. Mihaltz K, Knorz MC, Alio JL, Takacs AI, Kranitz K, Kovacs I, Nagy ZZ. Internal aberrations and optical quality after femtosecond laser anterior capsulotomy in cataract surgery. J Refract Surg. 2011;27:711–6.

    Article  PubMed  Google Scholar 

  9. McAlinden C, Jonsson M, Kugelberg M, Lundstrom M, Khadka J, Pesudovs K. Establishing levels of indications for cataract surgery: combining clinical and questionnaire data into a measure of cataract impact. Invest Ophthalmol Vis Sci. 2012;53:1095–101.

    Article  PubMed  Google Scholar 

  10. McAlinden C, Pesudovs K, Moore JE. The development of an instrument to measure quality of vision: the Quality of Vision (QoV) questionnaire. Invest Ophthalmol Vis Sci. 2010;51:5537–45.

    Article  PubMed  Google Scholar 

  11. Hodge C, McAlinden C, Lawless M, Chan C, Sutton G, Martin A. Intraocular lens power calculation following laser refractive surgery. Eye Vision. 2015;2:7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Nagy ZZ, Kiss HJ, Takacs AI, Kranitz K, Czako C, Filkorn T, Dunai A, Sandor GL, Kovacs I. Results of femtosecond laser-assisted cataract surgery using the new 2.16 software and the SoftFit(R) Patient Interface. Orv Hetil. 2015;156:221–5.

    Article  PubMed  Google Scholar 

  13. Nagy ZZ, Takacs AI, Filkorn T, Kranitz K, Gyenes A, Juhasz E, Sandor GL, Kovacs I, Juhasz T, Slade S. Complications of femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2014;40:20–8.

    Article  PubMed  Google Scholar 

  14. Kranitz K, Takacs AI, Gyenes A, Filkorn T, Gergely R, Kovacs I, Nagy ZZ. Femtosecond laser-assisted cataract surgery in management of phacomorphic glaucoma. J Refract Surg. 2013;29:645–8.

    Article  PubMed  Google Scholar 

  15. Nagy ZZ, Kranitz K, Takacs AI, Mihaltz K, Kovacs I, Knorz MC. Comparison of intraocular lens decentration parameters after femtosecond and manual capsulotomies. J Refract Surg. 2011;27:564–9.

    Article  PubMed  Google Scholar 

  16. Kranitz K, Mihaltz K, Sandor GL, Takacs A, Knorz MC, Nagy ZZ. Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser-created continuous circular capsulotomy. J Refract Surg. 2012;28:259–63.

    Article  PubMed  Google Scholar 

  17. Friedman NJ, Palanker DV, Schuele G, Andersen D, Marcellino G, Seibel BS, Batlle J, Feliz R, Talamo JH, Blumenkranz MS, Culbertson WW. Femtosecond laser capsulotomy. J Cataract Refract Surg. 2011;37:1189–98.

    Article  PubMed  Google Scholar 

  18. Sándor GL, Kiss Z, Bocskai ZI, Kolev K, Takács ÁI, Juhász É, Kránitz K, Tóth G, Gyenes A, Bojtár I, Juhász T, Nagy ZZ. Evaluation of the mechanical properties of the anterior lens capsule following femtosecond laser capsulotomy at different pulse energy settings. J Refract Surg. 2015;31:153–7.

    Article  PubMed  Google Scholar 

  19. Sándor GL, Kiss Z, Bocskai ZI, Kolev K, Takács AI, Juhász E, Kránitz K, Tóth G, Gyenes A, Bojtár I, Juhász T, Nagy ZZ. Comparison of the mechanical properties of the anterior lens capsule following manual capsulorhexis and femtosecond laser capsulotomy. J Refract Surg. 2014;30:660–4.

    Article  PubMed  Google Scholar 

  20. Packer M, Teuma EV, Glasser A, Bott S. Defining the ideal femtosecond laser capsulotomy. Br J Ophthalmol. 2015;99:1137–42.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Filkorn T, Kovacs I, Takacs A, Horvath E, Knorz MC, Nagy ZZ. Comparison of IOL power calculation and refractive outcome after laser refractive cataract surgery with a femtosecond laser versus conventional phacoemulsification. J Refract Surg. 2012;28:540–4.

    Google Scholar 

  22. Nagy ZZ, Dunai A, Kránitz K, Takács AI, Sándor GL, Hécz R, Knorz MC. Evaluation of femtosecond laser-assisted and manual clear corneal incisions and their effect on surgically induced astigmatism and higher-order aberrations. J Refract Surg. 2014;30:522–5.

    Article  PubMed  Google Scholar 

  23. Hu YJ, Hou P, WQ C. Factors affecting stromal hydration of clear corneal incision architecture. J Cataract Refract Surg. 2010;36:528 .author reply 9

    Article  PubMed  Google Scholar 

  24. Viswanathan D, Kumar NL. Bilateral femtosecond laser-enabled intrastromal astigmatic keratotomy to correct high post-penetrating keratoplasty astigmatism. J Cataract Refract Surg. 2013;39:1916–20.

    Article  PubMed  Google Scholar 

  25. Roberts TV, Lawless M, Bali SJ, Hodge C, Sutton G. Surgical outcome and safety of femtosecond laser cataract surgery: a prospective study of 1500 consecutive cases. Ophthalmology. 2013;120:227–33.

    Article  PubMed  Google Scholar 

  26. Abell RG, Darian-Smith E, Kan JB, Allen PL, Ewe SY, Vote BJ. Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: outcomes and safety in more than 4000 cases at a single center. J Cataract Refract Surg. 2015;41:47–52.

    Article  PubMed  Google Scholar 

  27. Takács AI, Kovacs I, Mihaltz K, Filkorn T, Knorz MC, Nagy ZZ. Central corneal volume and endothelial cell count following femtosecond laser-assisted refractive cataract surgery compared to conventional phacoemulsification. J Refract Surg. 2012;28:387–91.

    Article  PubMed  Google Scholar 

  28. Abell RG, Kerr NM, Howie AR, Mustaffa Kamal MA, Allen FL, Vote BJ. Effects of femtosecond laser assisted cataract surgery on the corneal endothelium. JCRS. 2014;40:1777–83.

    Google Scholar 

  29. Ecsedy M, Mihaltz K, Kovacs I, Takacs A, Filkorn T, Nagy ZZ. Effect of femtosecond laser cataract surgery on the macula. J Refract Surg. 2011;27:717–22.

    Article  PubMed  Google Scholar 

  30. Nagy ZZ, Ecsedy M, Kovacs I, Takacs A, Tatrai E, Somfai GM, Cabrera DeBuc D. Macular morphology assessed by optical coherence tomography image segmentation after femtosecond laser-assisted and standard cataract surgery. J Cataract Refract Surg. 2012;38:941–6.

    Article  PubMed  Google Scholar 

  31. Levitz L, Reich J, Roberts TV, Lawless M. Incidence of cystoid macular edema: femtosecond laser-assisted cataract surgery versus manual cataract surgery. J Cataract Refract Surg. 2015;41:683–6.

    Article  PubMed  Google Scholar 

  32. Kiss HJ, Takacs AI, Kranitz K, Sandor GL, Gabor Toth G, Beatrix Gilanyi B, Nagy ZZ. One-day use of preoperative topical non-steroidal anti-inflammatory drug prevents intraoperative prostaglandin level elevation during femtosecond laser-assisted cataract surgery. Curr Eye Res. 2015;17:1–4.

    Google Scholar 

  33. Roberts TV, Sutton G, Lawless MA, Jindal-Bali S, Hodge C. Capsular block syndrome associated with femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2011;37:2068–70.

    Article  PubMed  Google Scholar 

  34. Baig NB, Cheng GP, Lam JK, Jhanji V, Chong KK, Woo VC, Tham CC. Intraocular pressure profiles during femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2014;40:1784–9.

    Article  PubMed  Google Scholar 

  35. Nagy ZZ, Kranitz K, Takacs A, Filkorn T, Gergely R, Knorz MC. Intraocular femtosecond laser use in traumatic cataracts following penetrating and blunt trauma. J Refract Surg. 2012;28:151–3.

    Article  PubMed  Google Scholar 

  36. Nagy ZZ, Takacs AI, Filkorn T, Juhasz E, Sandor G, Szigeti A, Knorz MC. Laser refractive cataract surgery with a femtosecond laser after penetrating keratoplasty: case report. J Refract Surg. 2013;29:8.

    Article  PubMed  Google Scholar 

  37. Schultz T, Ezeanosike E, Dick HB. Femtosecond laser-assisted cataract surgery in pediatric Marfan syndrome. J Refract Surg. 2013;29:650–2.

    Article  PubMed  Google Scholar 

  38. Martin AI, Hughes P, Hodge C. First report of femtosecond laser cataract surgery in a nanophthalmic eye. Clin Exp Ophthalmol. 2014;42:501–2.

    Article  PubMed  Google Scholar 

  39. Ecsedy M, Sándor GL, Takács ÁI, Kránitz K, Kiss Z, Kolev K, Nagy ZZ. Femtosecond laser-assisted cataract surgery in Alport syndrome with anterior lenticonus. Eur J Ophthalmol. 2015;25:507–11. doi:10.5301/ejo.5000603 [Epub ahead of print].

    Article  PubMed  Google Scholar 

  40. Dick HB, Schultz T. Femtosecond laser-assisted cataract surgery in infants. J Cataract Refract Surg. 2013;39:665–8.

    Article  PubMed  Google Scholar 

  41. Lawless M, Bali SJ, Hodge C, Roberts TV, Chan C, Sutton G. Outcomes of femtosecond laser cataract surgery with a diffractive multifocal intraocular lens. J Refract Surg. 2012;28:859–64.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zoltan Z. Nagy .

Editor information

Editors and Affiliations

Electronic Supplementary Material

Femto phaco (WMV 65474 kb)

Femtosecond Cataract_ Tips for an Easy Transition (WMV 192895 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Nagy, Z.Z. (2017). Femtosecond Laser Assisted Cataract Surgery: Principles and Results. In: Spandau, U., Scharioth, G. (eds) Cutting Edge of Ophthalmic Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-47226-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-47226-3_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47225-6

  • Online ISBN: 978-3-319-47226-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics