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25.02.2020 | Keratotomie | Leitthema

Aktueller Stellenwert der Femtosekundenlaser-assistierten Kataraktchirurgie

verfasst von: Dr. Karl Thomas Boden, P. Szurman

Erschienen in: Die Ophthalmologie | Ausgabe 5/2020

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Zusammenfassung

Nach einer über 10-jährigen Erfahrung mit dem Femtosekundenlaser in der Kataraktchirurgie können wir feststellen, dass das Sicherheitsprofil einer Femtosekundenlaser-assistierten Kataraktchirurgie (FLACS) mit der einer konventionellen Kataraktchirurgie vergleichbar ist. Diese Technik bietet die Möglichkeit, basierend auf der Anbindung von prä- oder intraoperativer Diagnostik, die Schnittführung mit einer Präzision durchzuführen, die jedem Operateur der Welt überlegen ist. Dadurch resultieren neue Möglichkeiten, das chirurgische Verfahren der Kataraktchirurgie zu revolutionieren und neue Therapieansätze zur Behandlung des grauen Stars zu generieren. Die Kombination aus Astigmatismus-korrigierenden Keratotomien, kapsulotomiegestützten Intraokularlinsen und einer individuell angepassten Kernfragmentierung sind schon jetzt Bestandteile einer personalisierten Kataraktchirurgie.

Krasnov MM (1975) Laser-phakopuncture in the treatment of soft cataracts. Br J Ophthalmol. https://doi.org/10.1136/bjo.59.2.96 CrossRefPubMedPubMedCentral

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

Dick HB, Schultz T (2013) Femtosecond laser-assisted cataract surgery in infants. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2013.02.032 CrossRefPubMed

Dick HB, Schelenz D, Schultz T (2015) Femtosecond laser-assisted pediatric cataract surgery: Bochum formula. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2014.08.032 CrossRefPubMed

Conrad-Hengerer I, Hengerer FH, Schultz T, Dick HB (2013) Femtosecond laser-assisted cataract surgery in eyes with a small pupil. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2013.05.034 CrossRefPubMed

Nanavaty MA, Bedi KK, Vasquez-Perez A (2018) Small-pupil cataract surgery with/without hooks using femtosecond laser with fluid interface. Can J Ophthalmol. https://doi.org/10.1016/j.jcjo.2017.08.020 CrossRefPubMed

Jun JH, Hwang KY, Chang SD, Joo CK (2015) Pupil-size alterations induced by photodisruption during femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2014.10.027 CrossRefPubMed

Jun JH, Bang SP, Yoo YS, Joo CK (2018) Efficacy of 0.015 % intracameral epinephrine for significant miosis induced by photodisruption during femtosecond laser-assisted cataract surgery. Medicine. https://doi.org/10.1097/MD.0000000000011693 CrossRefPubMedPubMedCentral

Popiela MZ, Young-Zvandasara T, Nidamanuri P, Moore T, Leccisotti A, Kumar V (2019) Factors influencing pupil behaviour during femtosecond laser assisted cataract surgery. Contact Lens Anterior Eye. https://doi.org/10.1016/j.clae.2018.10.010 CrossRefPubMed

10.

Jun JH, Yoo YS, Lim SA, Joo CK (2017) Effects of topical ketorolac tromethamine 0.45 % on intraoperative miosis and prostaglandin E2 release during femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2017.01.011 CrossRefPubMed

11.

Mirshahi A, Ponto AK (2019) Changes in pupil area during low-energy femtosecond laser assisted cataract surgery. J Ophthalmic Vis Res. https://doi.org/10.18502/jovr.v14i3.4780 CrossRefPubMedPubMedCentral

12.

Malyugin B, Anisimova N, Antonova O, Arbisser LB (2018) Simultaneous pupil expansion and displacement for femtosecond laser-assisted cataract surgery in patients with lens ectopia. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2018.01.014 CrossRefPubMed

13.

Teshigawara T, Meguro A, Sanjo S, Hata S, Mizuki N (2019) The advantages of femtosecond laser-assisted cataract surgery for zonulopathy. Int Med Case Rep J. https://doi.org/10.2147/IMCRJ.S189367 CrossRefPubMedPubMedCentral

14.

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. https://doi.org/10.3928/1081597X-20121116-02 CrossRefPubMed

15.

Taravella MJ, Meghpara B, Frank G, Gensheimer W, Davidson R (2016) Femtosecond laser-assisted cataract surgery in complex cases. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2016.08.033 CrossRefPubMed

16.

Ibarz M, Hernández-Verdejo JL, Bolívar G, Tañá P, Rodríguez-Prats JL, Teus MA (2015) Porcine model to evaluate real-time Intraocular pressure during femtosecond laser cataract surgery. Curr Eye Res. https://doi.org/10.3109/02713683.2015.1023459 CrossRefPubMed

17.

De Giacinto C, D’Aloisio R, Bova A, Candian T, Perrotta AA, Tognetto D (2019) Intraocular pressure changes during femtosecond laser-assisted cataract surgery: a comparison between two different patient interfaces. J Ophthalmol. https://doi.org/10.1155/2019/5986895 CrossRefPubMedPubMedCentral

18.

Schultz T, Dick HB (2014) Suction loss during femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2013.12.004 CrossRefPubMed

19.

Ebner M, Mariacher S, Januschowski K, Boden K, Seuthe AM, Szurman P et al (2017) Comparison of intraocular pressure during the application of a liquid patient interface (FEMTO LDV Z8) for femtosecond laser-assisted cataract surgery using two different vacuum levels. Br J Ophthalmol 101(8):1138–1142CrossRefPubMed

20.

Uy HS, Shah S, Packer M (2017) Comparison of wound sealability between femtosecond laser-constructed and manual clear corneal incisions in patients undergoing cataract surgery: a pilot study. J Refract Surg. https://doi.org/10.3928/1081597X-20170921-01 CrossRefPubMed

21.

Wang X, Zhang Z, Li X, Xie L, Zhang H, Koch DD et al (2018) Evaluation of femtosecond laser versus manual clear corneal incisions in cataract surgery using spectral-domain optical coherence tomography. J Refract Surg. https://doi.org/10.3928/1081597X-20171109-01 CrossRefPubMed

22.

Chang JSM (2018) Femtosecond laser-assisted astigmatic keratotomy: a review. Eye Vis. https://doi.org/10.1186/s40662-018-0099-9 CrossRef

23.

Byun YS, Kim S, Lazo MZ, Choi MH, Kang MJ, Lee JH et al (2018) Astigmatic correction by intrastromal astigmatic keratotomy during femtosecond laser-assisted cataract surgery: factors in outcomes. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2017.11.018 CrossRefPubMed

24.

Day AC, Lau NM, Stevens JD (2016) Nonpenetrating femtosecond laser intrastromal astigmatic keratotomy in eyes having cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2015.07.045 CrossRefPubMed

25.

Chan TCY, Ng ALK, Cheng GPM, Wang Z, Woo VCP, Jhanji V (2016) Corneal astigmatism and aberrations after combined femtosecond-assisted phacoemulsification and arcuate keratotomy: two-year results. Am J Ophthalmol. https://doi.org/10.1016/j.ajo.2016.07.022 CrossRefPubMedPubMedCentral

26.

Carifi G, Miller MH, Pitsas C, Zygoura V, Deshmukh RR, Kopsachilis N et al (2015) Complications and outcomes of phacoemulsification cataract surgery complicated by anterior capsule tear. Am J Ophthalmol. https://doi.org/10.1016/j.ajo.2014.11.027 CrossRefPubMed

27.

Zhu Y, Chen X, Chen P, Xu W, Shentu X, Yu Y et al (2019) Lens capsule-related complications of femtosecond laser-assisted capsulotomy versus manual capsulorhexis for white cataracts. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2018.10.037 CrossRefPubMed

28.

Abell RG, Darian-Smith E, Kan JB, Allen PL, Ewe SYP, Vote BJ (2015) Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: outcomes and safety in more than 4000 cases at a single center. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2014.06.025 CrossRefPubMed

29.

Schultz T, Joachim SC, Noristani R, Scott W, Dick HB (2017) Greater vertical spot spacing to improve femtosecond laser capsulotomy quality. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2016.12.028 CrossRefPubMed

30.

Hengerer FH, Mittelbronn M, Hansmann ML, Auffarth GU, Conrad-Hengerer I (2017) Femtosecond laser-assisted capsulotomy: histological comparison of four different laser platforms. J Refract Surg. https://doi.org/10.3928/1081597X-20170718-01 CrossRefPubMed

31.

Teuma EV, Gray G, Bedi R, Packer M (2019) Femtosecond laser-assisted capsulotomy with capsular marks for toric IOL alignment: comparison of tensile strength with standard femtosecond laser capsulotomy. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2019.03.021 CrossRefPubMed

32.

Dick HB, Schultz T (2014) Intraocular lens fixated in the anterior capsulotomy created in the line of sight by a femtosecond laser. J Refract Surg. https://doi.org/10.3928/1081597X-20140217-06 CrossRefPubMed

33.

Schultz T, Tsiampalis N, Dick HB (2017) Laser-Assisted capsulotomy centration: a prospective trial comparing pupil versus OCT-based scanned capsule centration. J Refract Surg. https://doi.org/10.3928/1081597X-20161219-01 CrossRefPubMed

34.

Dick HB, Conrad-Hengerer I, Schultz T (2014) Intraindividual capsular bag shrinkage comparing standard and laser-assisted cataract surgery. J Refract Surg. https://doi.org/10.3928/1081597X-20140320-01 CrossRefPubMed

35.

Cinar E, Yuce B, Aslan F, Erbakan G, Küçükerdönmez C (2019) Intraocular lens tilt and decentration after Nd:YAG laser posterior capsulotomy: femtosecond laser capsulorhexis versus manual capsulorhexis. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2019.07.017 CrossRefPubMed

36.

Schojai M, Schultz T, Haeussler-Sinangin Y, Boecker J, Dick HB (2017) Safety of femtosecond laser-assisted primary posterior capsulotomy immediately after cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2017.06.041 CrossRefPubMed

37.

Menapace R (2019) Transzonular capsulo-hyaloidal hydroseparation with optional triamcinolone enhancement: a technique to detect or induce anterior hyaloid membrane detachment for primary posterior laser capsulotomy. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2019.03.008 CrossRefPubMed

38.

Day AC, Gore DM, Bunce C, Evans JR (2016) Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD010735.pub2 CrossRefPubMedPubMedCentral

39.

Schultz T, Dick HB (2014) Laser-assisted mini-capsulotomy: a new technique for intumescent white cataracts. J Refract Surg. https://doi.org/10.3928/1081597X-20141021-05 CrossRefPubMed

40.

Shajari M, Khalil S, Mayer WJ, Al-Khateeb G, Böhm M, Petermann K et al (2017) Comparison of 2 laser fragmentation patterns used in femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2017.09.027 CrossRefPubMed

41.

Kaur M, Titiyal JS, Surve A, Falera R, Verma M (2018) Effect of lens fragmentation patterns on phacoemulsification parameters and postoperative inflammation in femtosecond laser-assisted cataract surgery. Curr Eye Res. https://doi.org/10.1080/02713683.2018.1485951 CrossRefPubMed

42.

Vasquez-Perez A, Simpson A, Nanavaty MA (2018) Femtosecond laser-assisted cataract surgery in a public teaching hospital setting. BMC Ophthalmol. https://doi.org/10.1186/s12886-018-0693-6 CrossRefPubMedPubMedCentral

43.

Krarup T, Holm ML, La Cour M, Kjaerbo H (2014) Endothelial cell loss and refractive predictability in femtosecond laser-assisted cataract surgery compared with conventional cataract surgery. Acta Ophthalmol. https://doi.org/10.1111/aos.12406 CrossRefPubMed

44.

Vasavada VA, Vasavada S, Vasavada AR, Vasavada V, Srivastava S (2019) Comparative evaluation of femtosecond laser-assisted cataract surgery and conventional phacoemulsification in eyes with a shallow anterior chamber. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2018.11.037 CrossRefPubMed

45.

Fan W, Yan H, Zhang G (2018) Femtosecond laser-assisted cataract surgery in Fuchs endothelial corneal dystrophy: long-term outcomes. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2018.05.007 CrossRefPubMed

46.

Bascaran L, Alberdi T, Martinez-Soroa I, Sarasqueta C, Mendicute J (2018) Differences in energy and corneal endothelium between femtosecond laser-assisted and conventional cataract surgeries: prospective, intraindividual, randomized controlled trial. Int J Ophthalmol. https://doi.org/10.18240/ijo.2018.08.10 CrossRefPubMedPubMedCentral

47.

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. https://doi.org/10.3928/1081597X-20120508-02 CrossRefPubMed

48.

Dzhaber D, Mustafa O, Alsaleh F, Mihailovic A, Daoud YJ (2019) Comparison of changes in corneal endothelial cell density and central corneal thickness between conventional and femtosecond laser-assisted cataract surgery: a randomised, controlled clinical trial. Br J Ophthalmol. https://doi.org/10.1136/bjophthalmol-2018-313723 CrossRefPubMed

49.

Li S, Chen X, Zhao J, Xu M, Yu Z (2019) Isolated Capsulorhexis flap technique in femtosecond laser-assisted cataract surgery to protect the corneal Endothelial cells. J Invest Surg. https://doi.org/10.1080/08941939.2017.1372537 CrossRefPubMed

50.

Ewe SYP, Oakley CL, Abell RG, Allen PL, Vote BJ (2015) Cystoid macular edema after femtosecond laser-assisted versus phacoemulsification cataract surgery. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2015.04.031 CrossRefPubMed

51.

Nithianandan H, Jegatheeswaran V, Dalal V, Arshinoff SA, Maini R, Nazemi F et al (2019) Refractive laser-assisted cataract surgery versus conventional manual surgery: comparing efficacy and safety in 3144 eyes. Am J Ophthalmol. https://doi.org/10.1016/j.ajo.2019.04.010 CrossRefPubMed

52.

Conrad-Hengerer I, Hengerer FH, Al Juburi M, Schultz T, Dick HB (2014) Femtosecond laser-induced macular changes and anterior segment inflammation in cataract surgery. J Refract Surg. https://doi.org/10.3928/1081597X-20140321-01 CrossRefPubMed

53.

de Queiroz Alves B, Ferreira Moura Brasil O, Toesca Espinhosa C, Japiassu MR, Batista Gonçalves M, Magalhaes Júnior O et al (2018) Combined femtosecond laser-assisted cataract surgery and small-gauge pars plana vitrectomy using different devices: a new trend for vitreoretinal surgery? Ophthalmic Surg Lasers Imaging Retina. https://doi.org/10.3928/23258160-20180501-13 CrossRefPubMed

54.

Schröder S, Langenbucher A (2018) Relationship between effective lens position and axial position of a thick intraocular lens. PLoS ONE. https://doi.org/10.1371/journal.pone.0198824 CrossRefPubMedPubMedCentral

55.

Preussner PR, Wahl J, Weitzel D, Berthold S, Kriechbaum K, Findl O (2004) Predicting postoperative intraocular lens position and refraction. J Cataract Refract Surg. https://doi.org/10.1016/j.jcrs.2004.07.004 CrossRefPubMed

56.

Li S, Hu Y, Guo R, Shao Y, Zhao J, Zhang J et al (2019) The effects of different shapes of capsulorrhexis on postoperative refractive outcomes and the effective position of the intraocular lens in cataract surgery. BMC Ophthalmol. https://doi.org/10.1186/s12886-019-1068-3 CrossRefPubMedPubMedCentral

57.

Toto L, Mastropasqua R, Mattei PA, Agnifili L, Mastropasqua A, Falconio G et al (2015) Postoperative IOL axial movements and refractive changes after femtosecond laser-assisted cataract surgery versus conventional phacoemulsification. J Refract Surg. https://doi.org/10.3928/1081597X-20150727-02 CrossRefPubMed

58.

Rohrschneider K, Spittler AR, Bach M (2019) Comparison of visual acuity measurement with Landolt rings versus numbers. Ophthalmologe. https://doi.org/10.1007/s00347-019-0879-1 CrossRefPubMed

59.

Reiniger JL, Lobecke AC, Sabesan R, Bach M, Verbakel F, de Brabander J et al (2019) Habitual higher order aberrations affect Landolt but not Vernier acuity. J Vis. https://doi.org/10.1167/19.5.11 CrossRefPubMedPubMedCentral

60.

Wesemann W, Schiefer U, Bach M (2010) New DIN norms for determination of visual acuity. Ophthalmologe. https://doi.org/10.1007/s00347-019-0943-x CrossRefPubMed

Titel: Aktueller Stellenwert der Femtosekundenlaser-assistierten Kataraktchirurgie
verfasst von: Dr. Karl Thomas Boden
P. Szurman
Publikationsdatum: 25.02.2020
Verlag: Springer Medizin
Schlagwörter: Keratotomie
Katarakt
Laser
Erschienen in: Die Ophthalmologie / Ausgabe 5/2020
Print ISSN: 2731-720X
Elektronische ISSN: 2731-7218
DOI: https://doi.org/10.1007/s00347-020-01065-x

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Aktueller Stellenwert der Femtosekundenlaser-assistierten Kataraktchirurgie

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