Laser cataract surgery: Curse of the small pupil

摘要

The introduction of the femtosecond laser is the latest step on the journey to refinement in cataract surgery, to ever more predictable refractive results, to a higher precision in the two crucial steps of the procedure (capsulotomy and lens fragmentation), and to higher patient satisfaction in a clientele that comes to us with the highest expectations in postoperative visual acuity. Most of us who are operating with a femtosecond laser, irrespective of which system, cannot help being astounded by the ease of the procedure and the increased safety for the patient, who is exposed to just a fraction of the ultrasound energy applied in conventional cataract surgery-and in many cases (91% of operations in one of our series)1 to no ultrasound at all.