The latest development in modern cataract surgery is the femtosecond laser used in femtosecond laser-assisted cataract surgery (FLACS). This laser can precisely separate tissue under computer control without causing thermal damage to adjacent tissue.
Femto cataract surgery with this new technology is done in two steps, one by the laser and one manually by the surgeon. The femtosecond laser can perform the opening of the lens capsule (capsulotomy), the division of the lens (lens fragmentation) and corneal incisions. The laser can also be used to make arcuate incisions to correct astigmatism. The surgeon then aspirates the pre-fragmented lens using low-level ultrasonic energy and implants the intraocular lens.
Surgical Steps Laser Cataract Surgery
The laser can be used for the following surgical steps:
• Corneal incisions
• Opening of the anterior lens capsule (capsulotomy)
• Fragmentation of the lens (lens fragmentation)
• Arcuate incisions to correct corneal astigmatism (AK or limbal relaxing incisions LRI)