Purpose of review
This review outlines the advantages and the differences of femtosecond laser-assisted cataract surgery
(FLACS) following a coaxial or microincision cataract surgery phacoemulsification in the surgical outcome
and greater control of cataract surgery.
Recent findings
FLACS offers minimal tissue damage and extreme precision during corneal incision creation, continuous
circular capsulorhexis (CCC) and nuclear fragmentation. It also allows diminishing the mean average
ultrasound power to emulsify the nucleus followed by a coaxial or a biaxial procedure. The impact of
reduced phacoemulsification energy on the corneal endothelium is an interesting topic that is being
investigated. Despite its benefits, this technology has relevant financial issues and a high learning curve.
Summary
FemtoMICS appears to be surgically and statistically more efficient than the FemtoCoaxial technique and
Femtoincisions prove to be stable and do not change the corneal high order aberration significantly with
favorable results of the triplanar configuration.