TY - JOUR T1 - Evaluation of femtosecond laser-assisted cataract surgery after 10 years of clinical application JO - Archivos de la Sociedad Española de Oftalmología (English Edition) T2 - AU - Piñero,A. AU - Kanclerz,P. AU - Barraquer,R.I. AU - Maldonado,M.J. AU - Alió,J.L. SN - 21735794 M3 - 10.1016/j.oftale.2020.05.032 DO - 10.1016/j.oftale.2020.05.032 UR - https://www.elsevier.es/en-revista-archivos-sociedad-espanola-oftalmologia-english-496-articulo-evaluation-femtosecond-laser-assisted-cataract-surgery-S2173579420301912 AB - IntroductionFemtosecond laser-assisted cataract surgery (FLACS) has been considered a technological advance in modern cataract surgery. After years of experience, it has been observed that clinical outcomes had more complications than expected at the beginning.The aim of this study is to compare the benefits and disadvantages of the FLACS technique with conventional cataract surgery. MethodThe PubMed and Web of Science platforms were used to search for scientific literature. ResultsThe femtosecond laser has currently improved the surgical technique in terms of the shorter ultrasound time used and the lower loss of endothelial cells. Likewise, the centration of capsulotomy and the correction of astigmatism with arcuate incisions have also been improved.As disadvantages, are the high cost of the laser, the intraoperative capsular complications, the induction of intraoperative myosis, and the learning curve of the technique. ConclusionsThe FLACS technique is considered beneficial for specific cases, such as patients with scheduled premium surgery, or with low endothelial cell count. However, it is believed that given the technological cost it is not a cost effective technique for most standard cases in our daily clinical practice. ER -