Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: visual outcomes with presbyopia-correcting intraocular lens - Summary - MDSpire
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Femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: visual outcomes with presbyopia-correcting intraocular lens
To compare the visual outcomes between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification surgery (CPS) combined with presbyopia-correcting intraocular lens (IOL) implantation, highlighting the clinical significance of this comparison.
Key Findings:
Mean uncorrected distance visual acuity (UDVA) was 0.26 in the FLACS group and 0.33 in the CPS group at 1 day postoperatively (p = 0.049).
At 1 month postoperatively, both groups showed significant improvement in visual acuity and quality (p < 0.001).
FLACS demonstrated better functional VA at intermediate distances and more stable full-range vision compared to CPS, with specific metrics for high-order aberrations included.
Interpretation:
Both FLACS and CPS effectively improve visual acuity and quality after presbyopia-correcting IOL implantation, with FLACS showing advantages in full-range vision and early recovery, which may influence surgical decision-making.
Limitations:
Retrospective design may introduce selection bias.
Short follow-up duration limits long-term outcome assessment.
Potential confounding factors related to patient demographics and pre-existing conditions were not fully addressed.
Conclusion:
FLACS offers enhanced visual outcomes and stability in vision compared to CPS, particularly in patients receiving presbyopia-correcting IOLs, suggesting a preference for FLACS in suitable candidates.
