EyeWorld India December 2017 Issue

30 EWAP FEATURE December 2017 Preference and conviction For standard cases, Dr. Chee said, the visual outcomes are not dif- ferent between phaco and femto. Femto is useful in cases with low endothelial cell count, capsular fibrosis, big eyes in which manual capsulotomies cannot be precisely sized, cataracts with a thick hard nucleus, eyes shallow anterior chambers, subluxated lenses, and in creating arcuate incisions. It should be avoided in cases of eyes difficult to dock, advanced glaucoma, small pupils, significant corneal opac- ity, large pterygium, significant conjunctival chalasis, uncoopera- tive patients, and where cost is a concern. Ultimately, she said, it depends on the surgeon’s preference and conviction. EWAP References 1. A Randomised, single masked, non inferiority trial of Femtosecond Laser Assisted vs Manual Phacoemulsification Cataract Surgery for Adults with Visually Significant Cataract: The FACT trial (ISRCTN77602616). 2. FEMCAT: impact medico-conomique de la chirurgie de la cataracte au laser femtoseconde, Centre Hospitalier Universitaire de Bordeaux, supported by a grant from the French Ministry of Health (PSTIC 2012). 3. Chen X, Xiao W, Ye Shaobi, Chen W, Liu Y. Efficacy and safety of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification for cataract: a meta-analysis of randomized controlled trials. Sci Rep. 2015;5:13123. 4. Qian DW, Guo HK, Jin SL, Zhang HY, Li YC. Femtosecond laser capsulotomy versus manual capsulotomy: a Meta-analysis. Int J Ophthalmol. 2016 Mar 18;9(3):453-8. 5. Popovic M, Campos-Möller X, Schlenker MB, Ahmed II. Efficacy and Safety of Femtosecond Laser-Assisted Cataract Surgery Compared with Manual Cataract Surgery. Ophthalmol. 2016;123:2113-26. 6. Day AC, Gore DM, Bunce C, Evans JR. Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. Cochrane Database Syst Rev . 2016; Issue 7. 7. Manning S, Barry P, Henry Y, Rosen P, Stenevi U, Young D, Lundstrom M. Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: Study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery. J Cataract Refract Surg. 2016 Dec;42(12):1779-1790. 8. Vasavada AR, Vasavada V, Vasavada S, Srivastava S, Vasavada V, Rai S. Femtodelineation to enhance safety in posterior polar cataracts. J Cataract Refract Surg. 2015;41:702–7. 9. Chee SP, Wong MHY, Jap A. Management of Severely Subluxated Cataracts Using Femtosecond Laser-Assisted Cataract Surgery. Am J Ophthalmol. 2017 Jan;173:7– 15. 10. Abell RG, Vote BJ. Cost-effectiveness of femtosecond laser-assisted cataract surgery versus phacoemulsification cataract surgery. Ophthalmol. 2014;121:10–16. Editors’ note: Dr. Chee is a consult- ant for Johnson & Johnson Vision (Sta. Ana, California), Alcon (Fort Worth, Texas), Allergan (Dublin), Bausch + Lomb (Bridgewater, NJ), and Carl Zeiss (Jena, Germany). Contact information Chee: chee.soon.phaik@snec.com.sg 2017 APACRS – from page 29 Our deepest condolences on the passing of Dr Noel Rice, former Consultant Surgeon, Moorfields Eye Hospital and Dean, Institute of Ophthalmology, London. Dr Rice was instrumental in helping to set up microsurgical training in the Asia-Pacific 30 years ago. We will always be grateful for his commitment and dedication to this cause. Dr Ronald Yeoh, President Board of Officers & Members