Combined Femtosecond Laser-Assisted Cataract Surgery and Small-Gauge Pars Plana Vitrectomy Using Different Devices: A New Trend for Vitreoretinal Surgery?

Combined Femtosecond Laser-Assisted Cataract Surgery and Small-Gauge Pars Plana Vitrectomy Using Different Devices: A New Trend for Vitreoretinal Surgery?

Author Alves, Bruno de Queiroz Autor UNIFESP Google Scholar
Brasil, Oswaldo Ferreira Moura Autor UNIFESP Google Scholar
Espinhosa, Cristiano Toesca Autor UNIFESP Google Scholar
Japiassu, Ricardo Miguel Autor UNIFESP Google Scholar
Goncalves, Mariana Batista Autor UNIFESP Google Scholar
Magalhaes Junior, Otaviano Autor UNIFESP Google Scholar
Maia, Andre Autor UNIFESP Google Scholar
Badaro, Emmerson Autor UNIFESP Google Scholar
Serraino, Paula Google Scholar
Alezzandrinni, Arturo Google Scholar
Maia, Mauricio Autor UNIFESP Google Scholar
Abstract BACKGROUND AND OBJECTIVE: To report the efficacy, safety, and benefits of femtosecond laser-assisted cataract surgery (FLACS) combined with sutureless 23-gauge pars plana vitrectomy (PPV). PATIENTS AND METHODS: This multicenter, retrospective study evaluated patient records and videos of 43 cases with retinal pathologies and cataract who underwent the combined procedure. RESULTS: In 44.2% and 55.8% of cases, respectively, the LenSx Laser (femtosecond machine; Alcon, Fort Worth, TX) and the Constellation (vitreous cutter; Alcon, Fort Worth, TX), and the Victus (femtosecond machine; Bausch + Lomb, Rochester, NY) and Stellaris PC (vitreous cutter; Bausch + Lomb, Rochester, NY) were used. No complications developed during capsulorrhexis, even without a red fundus reflex, retrobulbar block, or scleral indentation. Foldable intraocular lenses remained stable in the capsular bag during the vitreoretinal surgeries and postoperative visits. The mean times of femtosecond phacoemulsification, vitreoretinal surgery, and total surgery were 22.9 minutes +/- 4.7 minutes, 43.1 minutes +/- 9.8 minutes, and 65.3 minutes +/- 8.6 minutes, respectively. CONCLUSION: This emerging technology is safe and offers several potential benefits for the success of the combined procedure.
xmlui.dri2xhtml.METS-1.0.item-coverage Thorofare
Language English
Sponsor Fundacao de Amparo a Pesquisa do Estado de Sao Paulo. Sao Paulo, Brazil
Conselho Nacional de Desenvolvimento Cientifico e Tecnologico, Brasilia, Brazil
Jose Berrocal Award (Panamerican Vitreoretinal Society, Puerto Rico)
Date 2018
Published in Ophthalmic Surgery Lasers & Imaging Retina. Thorofare, v. 49, n. 5, p. 374-379, 2018.
ISSN 2325-8160 (Sherpa/Romeo, impact factor)
Publisher Slack Inc
Extent 374-379
Origin http://dx.doi.org/10.3928/23258160-20180501-13
Access rights Closed access
Type Revisão
Web of Science ID WOS:000433000200013
URI https://repositorio.unifesp.br/handle/11600/55546

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