Top

Published in:

01-03-2022 | Ultrasound | Original Article

Comparison of cumulative dispersed energy between conventional phacoemulsification and femtosecond laser-assisted cataract surgery with two different lens fragmentation patterns

Authors: Hung-Yuan Lin, Shu-Ting Kao, Ya-Jung Chuang, Shuan Chen, Pi-Jung Lin

Published in: Lasers in Medical Science | Issue 2/2022

Abstract

The purpose of the study is to compare the total ultrasound power used between eyes undergoing different lens fragmentation patterns of femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification surgery (CPS). A total of 506 patient eyes underwent preoperative grading of lens opacity using the Lens Opacity Classification System III (LOCSIII). The eyes were divided into two subgroups: subgroup 1 had a LOCSIII grade of 1–3, and subgroup 2 had a LOCSIII grade of 4–6. The eyes underwent FLACS (LenSx) for clear corneal wound, capsulotomy, and lens fragmentation. Either a grid pattern or radial pattern was used for lens fragmentation. The eyes received one of the following three treatments: (1) CPS without femtosecond laser assistant, (2) FLACS with a grid pattern (FGP) lens fragment, or (3) FLACS with a quadrant pattern (FQP) lens fragment. The mean cumulative dispersed energy (CDE) for each subgroup and treatment was evaluated. The mean CDE was lower in the two FLACS groups (1.21±1.91 in FGP and 1.22±1.92 in FQP) than that in the CPG group (2.67±2.84). In subgroup 1, CDE was higher in the CPG group (1.54±1.18) as compared with the FLACS groups (0.16±0.31 in FGP and 0.74±1.17 in FQP; P<0.001). In subgroup 2, CDE was higher in the CPG (6.47±3.46) as compared with the FLACS groups (2.74±2.21 in FGP and 5.34±2.17 in FQP; P<0.001). CDE was lower in the two FLACS groups than that in the CPS group, and CDE was the lowest with FGP in both subgroups 1 and 2.

Kelman CD (1967) Phaco-emulsification and aspiration: a new technique of cataract removal: a preliminary report. Am J Ophthalmol 64:23–35. https://doi.org/10.1016/0002-9394(67)93340-5CrossRefPubMed

Davison JA (2007) Comparison of ultrasonic energy expenditures and corneal endothelial cell density reductions during modulated and non-modulated phacoemulsification. Ophthalmic Surg Lasers Imaging 38:209. https://doi.org/10.3928/15428877-20070501-05CrossRefPubMed

Ko Y-C, Liu CJ-l, Lau L-I, Wu C-W, Chou JC, Hsu W-M (2008) Factors related to corneal endothelial damage after phacoemulsification in eyes with occludable angles. J Cataract Refract Surg 34:46–51. https://doi.org/10.1016/j.jcrs.2007.07.057CrossRefPubMed

Reepolmaha S, Limtrakarn W, Uthaisang-Tanechpongtamb W, Dechaumphai P (2010) Fluid temperature at the corneal endothelium during phacoemulsification: comparison of an ophthalmic viscosurgical device and balanced salt solution using the finite element method. Ophthalmic Res 43:173–178. https://doi.org/10.1159/000272020CrossRefPubMed

Geffen N, Topaz M, Kredy-Farhan L, Barequet IS, Farzam N, Assia EI, Savion N (2008) Phacoemulsification-induced injury in corneal endothelial cells mediated by apoptosis: in vitro model. J Cataract Refract Surg 34:2146–2152. https://doi.org/10.1016/j.jcrs.2008.08.024CrossRefPubMed

Nemet AY, Assia EI, Meyerstein D, Meyerstein N, Gedanken A, Topaz M (2007) Protective effect of free-radical scavengers on corneal endothelial damage in phacoemulsification. J Cataract Refract Surg 33:310–315. https://doi.org/10.1016/j.jcrs.2006.10.031CrossRefPubMed

Takahashi H (2005) Free radical development in phacoemulsification cataract surgery. J Nippon Med Sch 72:4–12. https://doi.org/10.1272/jnms.72.4CrossRefPubMed

Nagy Z, Takacs A, Filkorn T, Sarayba M (2009) Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. J Refract Surg 25:1053–1060. https://doi.org/10.3928/1081597X-20091117-04CrossRefPubMed

Nagy ZZ (2012) Femtolaser cataract surgery: how to evaluate this technology, read the literature, and avoid possible complications. J Refract Surg 28:855–857. https://doi.org/10.3928/1081597X-20121120-01CrossRefPubMed

10.

Conrad-Hengerer I, Hengerer FH, Schultz T, Dick HB (2012) Effect of femtosecond laser fragmentation on effective phacoemulsification time in cataract surgery. J Refract Surg 28:879–883. https://doi.org/10.3928/1081597X-20121116-02CrossRefPubMed

11.

Abell RG, Kerr NM, Vote BJ (2013) Toward zero effective phacoemulsification time using femtosecond laser pretreatment. Ophthalmology 120:942–948. https://doi.org/10.1016/j.ophtha.2012.11.045CrossRefPubMed

12.

Mastropasqua L, Toto L, Mastropasqua A, Vecchiarino L, Mastropasqua R, Pedrotti E, Di Nicola M (2014) Femtosecond laser versus manual clear corneal incision in cataract surgery. J Refract Surg 30:27–33. https://doi.org/10.3928/1081597x-20131217-03CrossRefPubMed

13.

Hida WT, Tzelikis PF, Vilar C, Chaves MAPD, Motta AFP, Carricondo PC, Ventura BV, Junior AR, Nosé W, Alves MR (2017) Outcomes study between femtosecond laser-assisted cataract surgery and conventional phacoemulsification surgery using an active fluidics system. Clin Ophthalmol 11:1735. https://doi.org/10.2147/OPTH.S136136CrossRefPubMedPubMedCentral

14.

Saeedi OJ, Chang LY, Ong SR, Karim SA, Abraham DS, Rosenthal GL, Hammer A, Spagnolo BV, Betancourt AE (2018) Comparison of cumulative dispersed energy (CDE) in femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification. Int Ophthalmol 39:1761–1766. https://doi.org/10.1007/s10792-018-0996-xCrossRefPubMedPubMedCentral

15.

Huseynova T, Mita M, Corpuz CCC, Sotoyama Y, Tomita M (2015) Evaluating the different laser fragmentation patterns used in laser cataract surgeries in terms of effective phacoemulsification time and power. Clin Ophthalmol 9:2067. https://doi.org/10.2147/OPTH.S64611CrossRefPubMedPubMedCentral

16.

Uy HS, Chan PS, Gil-Cazorla R, Shah S (2019) Comparison of surgical parameters using different lens fragmentation patterns in eyes undergoing laser-assisted cataract surgery. Int Ophthalmol 39:2459–2465. https://doi.org/10.1007/s10792-019-01087-8CrossRefPubMed

17.

Fromm M, Schumacher S, Oberheide U, Gerten G, Wegener A, Lubatschowski H (2008) In vivo application and imaging of intralenticular femtosecond laser pulses for the restoration of accommodation. J Refract Surg 24:991–995. https://doi.org/10.3928/1081597X-20081101-24CrossRefPubMed

18.

Mastropasqua L, Toto L, Mattei PA, Vecchiarino L, Mastropasqua A, Navarra R, Di Nicola M, Nubile M (2014) Optical coherence tomography and 3-dimensional confocal structured imaging system–guided femtosecond laser capsulotomy versus manual continuous curvilinear capsulorhexis. J Cataract Refract Surg 40:2035–2043. https://doi.org/10.1016/j.jcrs.2014.05.032CrossRefPubMed

19.

Lubahn JG, Donaldson KE, Culbertson WW, Yoo SH (2014) Operating times of experienced cataract surgeons beginning femtosecond laser–assisted cataract surgery. J Cataract Refract Surg 40:1773–1776. https://doi.org/10.1016/j.jcrs.2014.03.024CrossRefPubMed

20.

Findl O, Hirnschall N, Draschl P, Wiesinger J (2017) Effect of manual capsulorhexis size and position on intraocular lens tilt, centration, and axial position. J Cataract Refract Surg 43:902–908. https://doi.org/10.1016/j.jcrs.2017.04.037CrossRefPubMed

21.

Kovács I, Kránitz K, Sándor GL, Knorz MC, Donnenfeld ED, Nuijts RM, Nagy ZZ The effect of femtosecond laser capsulotomy on the development of posterior capsule opacification. J Refract Surg 30:154–158. https://doi.org/10.3928/1081597X-20140217-01

22.

Mastropasqua L, Toto L, Calienno R, Mattei PA, Mastropasqua A, Vecchiarino L, Di Iorio D (2013) Scanning electron microscopy evaluation of capsulorhexis in femtosecond laser–assisted cataract surgery. J Cataract Refract Surg 39:1581–1586. https://doi.org/10.1016/j.jcrs.2013.06.016CrossRefPubMed

23.

Roberts HW, Wagh VK, Sullivan DL et al (2019) A randomized controlled trial comparing femtosecond laser–assisted cataract surgery versus conventional phacoemulsification surgery. J Cataract Refract Surg 45:11–20. https://doi.org/10.1016/j.jcrs.2018.08.033CrossRefPubMed

24.

Al-Khateeb G, Shajari M, Vunnava K, Petermann K, Kohnen T (2017) Impact of lens densitometry on phacoemulsification parameters and usage of ultrasound energy in femtosecond laser-assisted lens surgery. Can J Ophthalmol 52:331–337. https://doi.org/10.1016/j.jcjo.2017.01.004CrossRefPubMed

25.

Chen X, Xiao W, Ye S, Chen W, Liu Y (2015) Efficacy and safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: a meta-analysis of randomized controlled trials. Sci Rep 5:13123. https://doi.org/10.1038/srep13123CrossRefPubMedPubMedCentral

26.

Murano N, Ishizaki M, Sato S, Fukuda Y, Takahashi H (2008) Corneal endothelial cell damage by free radicals associated with ultrasound oscillation. Arch Ophthalmol 126:816–821. https://doi.org/10.1001/archopht.126.6.816CrossRefPubMed

27.

Shin YJ, Nishi Y, Engler C, Kang J, Hashmi S, Jun AS, Gehlbach PL, Chuck RS (2009) The effect of phacoemulsification energy on the redox state of cultured human corneal endothelial cells. Arch Ophthalmol 127:435–441. https://doi.org/10.1001/archophthalmol.2009.39CrossRefPubMed

28.

Park J, Yum HR, Kim MS, Harrison AR, Kim EC (2013) Comparison of phaco-chop, divide-and-conquer, and stop-and-chop phaco techniques in microincision coaxial cataract surgery. J Cataract Refract Surg 39:1463–1469. https://doi.org/10.1016/j.jcrs.2013.04.033CrossRefPubMed

29.

Takács ÁI, Kovács I, Miháltz K, Filkorn T, Knorz MC, Nagy ZZ (2012) Central corneal volume and endothelial cell count following femtosecond laser–assisted refractive cataract surgery compared to conventional phacoemulsification. J Refract Surg 28:387–391. https://doi.org/10.3928/1081597X-20120508-02CrossRefPubMed

30.

Popovic M, Campos-Möller X, Schlenker MB, Ahmed IIK (2016) Efficacy and safety of femtosecond laser-assisted cataract surgery compared with manual cataract surgery: a meta-analysis of 14 567 eyes. Ophthalmology 123:2113–2126. https://doi.org/10.1016/j.ophtha.2016.07.005CrossRefPubMed

31.

Mahdy MAES, Eid MZ, Mohammed MA-B, Hafez A, Bhatia J (2012) Relationship between endothelial cell loss and microcoaxial phacoemulsification parameters in noncomplicated cataract surgery. Clin Ophthalmol 6:503. https://doi.org/10.2147/OPTH.S29865CrossRefPubMedPubMedCentral

32.

Hatch KM, Schultz T, Talamo JH, Dick HB (2015) Femtosecond laser–assisted compared with standard cataract surgery for removal of advanced cataracts. J Cataract Refract Surg 41:1833–1838. https://doi.org/10.1016/j.jcrs.2015.10.040CrossRefPubMed

33.

Chen X, Yu Y, Song X, Zhu Y, Wang W, Yao K (2017) Clinical outcomes of femtosecond laser–assisted cataract surgery versus conventional phacoemulsification surgery for hard nuclear cataracts. J Cataract Refract Surg 43:486–491. https://doi.org/10.1016/j.jcrs.2017.01.010CrossRefPubMed

Title: Comparison of cumulative dispersed energy between conventional phacoemulsification and femtosecond laser-assisted cataract surgery with two different lens fragmentation patterns
Authors: Hung-Yuan Lin
Shu-Ting Kao
Ya-Jung Chuang
Shuan Chen
Pi-Jung Lin
Publication date: 01-03-2022
Publisher: Springer London
Keywords: Ultrasound
Cataract
Ultrasound
Laser
Published in: Lasers in Medical Science / Issue 2/2022
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-021-03321-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of cumulative dispersed energy between conventional phacoemulsification and femtosecond laser-assisted cataract surgery with two different lens fragmentation patterns

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2022

Correction to: Effects of laser acupuncture tele-therapy for rheumatoid arthritis elderly patients

Evaluation of parafoveal vascular density using optical coherence tomography angiography in patients with central serous chorioretinopathy

Detection of hypokalemia disorder and its relation with hypercalcemia in blood serum using LIBS technique for patients of colorectal cancer grade I and grade II

Endoscopic intraductal lithotripsy of biliary stones using thulium laser: preliminary results of a single-center experience

Laser utility in the treatment of hemorrhoidal pathology: a review of literature

Plasmonic hyperthermia or radiofrequency electric field hyperthermia of cancerous cells through green-synthesized curcumin-coated gold nanoparticles