2Prof. Dr., Pamukkale Üniversitesi, Göz Hastalıkları, Denizli, Türkiye Purpose: To analyze the early experiences and intraoperative complications and to evaluate the learning curve with femtosecond laser assisted cataract surgery (FLACS).
Materials and Methods: The initial 100 eyes of 75 patients undergoing FLACS between May 2016 and December 2016 were included in this study. All of the cases underwent anterior capsulotomy, 96 of the cases underwent lens fragmentation, 4 of the cases underwent corneal incisions and 28 of the cases underwent astigmatic keratotomy with the femtosecond laser. The procedure was completed by phacoemulsifi cation and insertion of an intraocular lens. Data were collected retsospectively about patient demographics, preoperative investigations and intraoperative complications.
Results: The mean age of the patients included was 60.2±13,34 (24-81) years. The majority of the patients were male(%57,3). Suction loss did not occur during the laser procedure. Subconjunctival hemorrhage occured 10 eyes (10%). Miosis occurred after the laser procedure in 27 eyes (27%). Suffi cent mydriasis was provided by intracameral adrenalin(1/10000). Anterior capsule tear, anterior capsule tag, posterior capsule rupture, capsule blockage syndrome, iris hemorrhage were not seen during the surgery. The mean best corrected visual acuity at baseline was 0,65±0,39 logMAR unit, after the surgery at fi rst year was 0,07±0,1 logMAR unit (p=0.03).
Conclusion: We have seen in our fi rst 100 cases experience, FLACS has short learning period and has a low complication rate.
Keywords : Femtosecond laser, femtosecond laser assisted cataract surgery, phacoemulsifi cation