Zusammenfassung
Nach einer über 10-jährigen Erfahrung mit dem Femtosekundenlaser in der Kataraktchirurgie können wir feststellen, dass das Sicherheitsprofil einer Femtosekundenlaser-assistierten Kataraktchirurgie (FLACS) mit der einer konventionellen Kataraktchirurgie vergleichbar ist. Diese Technik bietet die Möglichkeit, basierend auf der Anbindung von prä- oder intraoperativer Diagnostik, die Schnittführung mit einer Präzision durchzuführen, die jedem Operateur der Welt überlegen ist. Dadurch resultieren neue Möglichkeiten, das chirurgische Verfahren der Kataraktchirurgie zu revolutionieren und neue Therapieansätze zur Behandlung des grauen Stars zu generieren. Die Kombination aus Astigmatismus-korrigierenden Keratotomien, kapsulotomiegestützten Intraokularlinsen und einer individuell angepassten Kernfragmentierung sind schon jetzt Bestandteile einer personalisierten Kataraktchirurgie.
Abstract
After more than 10 years of experience with the femtosecond laser in cataract surgery, it can be concluded that the safety profile of femtosecond laser-assisted cataract surgery (FLACS) is comparable to that of conventional cataract surgery. This technique offers the possibility to perform incisions with a precision superior to that of any surgeon in the world, based on the connection of preoperative and intraoperative diagnostics. This results in new possibilities to revolutionize the surgical procedure of cataract surgery and to generate new therapeutic approaches for the treatment of cataracts. The combination of keratotomy for correcting astigmatism, intraocular lenses supported by capsulotomy and individually adapted fragmentation patterns is already a component of a personalized cataract surgery.
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23 April 2020
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K. Boden ist Referent für die Firma Ziemer Deutschland GmbH. P. Szurman gibt an, dass kein Interessenkonflikt besteht.
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Boden, K., Szurman, P. Aktueller Stellenwert der Femtosekundenlaser-assistierten Kataraktchirurgie. Ophthalmologe 117, 405–414 (2020). https://doi.org/10.1007/s00347-020-01065-x
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DOI: https://doi.org/10.1007/s00347-020-01065-x