DR. VANDANA C. NATH

DR. SHAIL VASAVADA, DR. VASAVADA ABHAYKUMAR RAGHUKANT, DR. VAISHALI ABHAYKUMAR VASAVADA

Abstract

Compare intraoperative performance and postop outcomes of manual phacoemulsification(PE) v/s femtosecond laser assisted cataract surgery(FLACS) by junior surgeons.Randomized trial 320 patients(320 eyes) cataract surgery by two junior surgeons. Patients randomized – Group I(n=160 eyes)–FLACS performed on LenSx laser platform Group II(n=160 eyes)PE. Intraoperative cumulative dissipated energy(CDE) & fluid used compared. Postop day 1, week 1,1 3 & 6 mths-central corneal thickness(CCT),corneal edema, visual acuity, corneal endothelium, CMT.CDE significantly higher in PE group (5.41+ 2.73 in group I v/s 8.83 +4.28 in group II,P=0.001),fluid (79.33 +/- 33.46 versus 101.82 +/- 32.23 in groups I & II resp., P<0.0001).Descemet’s folds postop day 1 higher in PE group (60%) compared to FLACS group (27%), statistically significant. , FLACS had lesser intraoperative CDE, fluid use, clearer corneas , better UCVA in early postop.