Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: visual outcomes with presbyopia-correcting intraocular lens - Scorecard - MDSpire

Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: visual outcomes with presbyopia-correcting intraocular lens

  • By

  • Chi Xiao

  • Runhua Peng

  • Zhenyang Zheng

  • Haiyan He

  • Yan Li

  • Zhanchi Hu

  • May 7, 2026

  • 0 min

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Clinical Scorecard: Comparative Analysis of Visual Outcomes in Femtosecond Laser-Assisted Cataract Surgery and Traditional Phacoemulsification with Presbyopia-Correcting Intraocular Lenses

At a Glance

CategoryDetail
ConditionCataract
Key MechanismsComparison of visual outcomes between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification surgery (CPS) with presbyopia-correcting IOLs.
Target PopulationPatients aged ≥ 45 years with age-related cataract and preoperative corneal astigmatism < 0.75 diopter.
Care SettingOphthalmic hospital

Key Highlights

  • FLACS showed better uncorrected distance visual acuity (UDVA) at 1 day postoperatively compared to CPS (p = 0.049).
  • Both surgical techniques significantly improved visual acuity and quality at 1 month postoperatively (p < 0.001).
  • FLACS demonstrated enhanced full-range vision and stability in intermediate and near vision.
  • Defocus curve analysis indicated better performance for FLACS compared to CPS.

Guideline-Based Recommendations

Diagnosis

  • Patients should be diagnosed with age-related cataract and meet specific criteria for surgery.

Management

  • Consideration of FLACS for patients requiring presbyopia-correcting IOLs due to its advantages in visual outcomes.

Monitoring & Follow-up

  • Follow-up examinations at 1 day and 1 month postoperatively to assess visual acuity and quality.

Risks

  • Potential intraoperative and postoperative complications associated with cataract surgery.

Patient & Prescribing Data

134 patients undergoing cataract surgery with presbyopia-correcting IOL implantation.

Both FLACS and CPS are effective, but FLACS may offer advantages in visual quality and recovery.

Clinical Best Practices

  • Adhere to international standards for reporting cataract surgery outcomes.
  • Evaluate defocus curves as part of IOL performance assessment.

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