Comment on: Effect of anti-inflammatory regimen on early postoperative inflammation after cataract surgery.

Abstract

ow naded rom http:urnals.lw w om crs by hD M fePH bH 4TIm qeA+lpW IIBonhQ l60Etnn9T1vLQ W J/+R 2O 4jt58 on 088/2021 Downloadedfromhttp://journals.lww.com/jcrsbyBhDMf5ePHKbH4TTImqenVA+lpWIIBvonhQl60Etgtdnn9T1vLQWJq/+R2O4Kjt58on08/08/2021 in femtosecond laser–assisted cataract surgery (FLACS) is important. In our analysis, all cases of posterior capsule ruptures (PCR) with FLACS were reported using the Catalys or LenSx laser systems. Furthermore, it should be noted that all cases in the Catalys subgroup appeared in 2 Australian centers. Thus, it is possible that they had used certain laser settings that caused a higher rate of PCR. It is also important to mention the absence of PCR with FLACS in our subgroup analysis of randomized controlled trials. The assumption of PCR to occur less during FLACS is confirmed by the recent randomized controlled study by Roberts et al., which did not report any PCR or vitreous loss using the LenSx laser. Another important aspect mentioned by Levitz et al. is to consider FLACS in difficult cases because the critical steps in conventional surgery seemed to be facilitated using the laser. Even in the first cases of laser surgery, complications rarely occur. In summary, there are noteworthy advantages of FLACS compared with conventional cataract surgery, such as higher precision and less damage of ambient structures. Even better results of laser surgery, especially a reduction of complication rates, might be expected with more clinical experience and further developed laser systems.