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Femtosekundenlaser-assistierte Kataraktchirurgie

Femtosecond laser-assisted cataract surgery

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Zusammenfassung

Die Kataraktoperation mit Einsatz des Femtosekundenlasers für die Kapsulotomie, die Linsenfragmentierung und ggf. korneale Inzisionen hat das Potenzial, die klassische Phakoemulsifikation zu verdrängen und zu noch besseren Ergebnissen bei der Funktion und den Sicherheitsparametern zu führen. Neben der Präzision und der Vorhersagegenauigkeit der klinischen Ergebnisse beeindrucken die geringen Komplikationen – vor allem bei jenen Systemen, die potenzielle Gefahrenquellen wie eine Applanation mit zu hohem Intraokulardruck während des Ansaugens vermeiden.

Abstract

Employing a femtosecond laser as an initial step in cataract surgery has the clear potential to provide more precise capsulotomies and full lens fragmentation in cases of pre-existing astigmatism in conjunction with relaxing corneal incisions. In the long run femtosecond laser-assisted cataract surgery might replace phacoemulsification which has been the standard in cataract surgery over the last 20 years. Besides precision and predictability, the low rate of complications impresses surgeons working with the technology, particularly those employing a laser with a fluid-filled interface which seems to prevent major complications including increases in intraocular pressure.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. H.B. Dick: Abbott Medical Optics, Acufocus, Allergan, Aquesys, Bausch & Lomb, Calhoun Vision, Domilens, Hoya, Morcher, Novartis, Oculentis, Oculus, Optical Express, Optimedica, PowerVision, Transcend, Zeiss. T. Schultz: kein Interessenkonflikt. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Universitäts-Augenklinik, In der Schornau 23–25, 44892, Bochum, Deutschland

    H.B. Dick & T. Schultz

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  1. H.B. Dick
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  2. T. Schultz
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Correspondence to H.B. Dick.

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Dick, H., Schultz, T. Femtosekundenlaser-assistierte Kataraktchirurgie. Ophthalmologe 111, 614–623 (2014). https://doi.org/10.1007/s00347-014-3033-0

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  • DOI: https://doi.org/10.1007/s00347-014-3033-0

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