{"id":11385,"date":"2020-06-28T02:38:15","date_gmt":"2020-06-27T23:38:15","guid":{"rendered":"https:\/\/drborismalyugin.com\/operatsiya\/cataract-surgery\/s-ispolzovaniem-lazera-femto-assistirovannaya-hirurgiya-katarakty"},"modified":"2020-08-16T17:17:01","modified_gmt":"2020-08-16T14:17:01","slug":"femtosecond-laser-assisted-phacoemulsification","status":"publish","type":"operatsiya","link":"https:\/\/drborismalyugin.com\/en\/operatsiya\/cataract-surgery\/femtosecond-laser-assisted-phacoemulsification","title":{"rendered":"Femtosecond laser-assisted cataract surgery (FLACS)"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>The femtosecond laser has been used for cataract procedures starting in 2008. Over the years since, its advantages have been well studied in various aspects.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Laser cataract surgery (FLACS) benefits<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li>Automation of critical surgical steps.<\/li>\n<li>Incision parameters are strictly controlled (unlike with manual techniques).<\/li>\n<li>Incision size does not exceed 1.5\u20132.4 mm.<\/li>\n<li>Opening of the lens capsule is performed with the highest degree of accuracy, eliminating a number of potential complications.<\/li>\n<li>A femtosecond laser softens the lens, meaning that a significantly lower ultrasound power is needed for fragmenting the lens into smaller parts. This shortens the lens-removal step and reduces the number of intra- and postoperative complications.<\/li>\n<li>The operation lasts only 15\u201320 minutes.<\/li>\n<li>Two to three hours after surgery, the patient goes home.<\/li>\n<li>Vision starts to recover very quickly.<\/li>\n<li>The overall rehabilitation period is short. One week afterward, the patient can return to work (if work does not involve physical activities and lifting heavy objects; otherwise, the patient can return to work after 3 weeks).<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">When is laser-assisted cataract surgery indicated?<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Indications for surgical treatment of cataract with laser are the same as for the surgical blade or knife techniques: poor clarity of the lens, blurred vision, poor colour perception, decreased near vision, etc.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><section class=\"l-section wpb_row us_custom_938809ae height_auto color_primary\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_middle type_default reversed stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image us_custom_1fd2f432 style_shadow-1 align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"358\" height=\"512\" src=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg 358w, https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3.jpg 601w\" sizes=\"auto, (max-width: 358px) 100vw, 358px\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container has_bg_color stretched\"><div class=\"vc_column-inner us_custom_df02dd93\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_contrast align_center no_text\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><i class=\"fal fa-phone-alt\"><\/i><\/div><\/a><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\">+7 (499) 906-50-01<\/a><\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">You can make an appointment by phone from 8:30 to 19:30 (daily).<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Contraindications<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Treatment of cataract with a femtosecond laser has some limitations. In many ways, they coincide with the limitations for surgery using ultrasound (phacoemulsification), but differences are also present. These include:<\/p>\n<ul>\n<li>Certain individual variability of the face and orbital anatomy, such as an excessively narrow and deep palpebral fissure. In these cases, the contact of the laser interface with the eye may be technically complicated or even impossible.<\/li>\n<li>Very shallow anterior chamber of the eye.<\/li>\n<li>Insufficiently dilated pupil.<\/li>\n<li>Central corneal opacities.<\/li>\n<li>Very loose lens zonules.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h3 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">How is laser-assisted cataract surgery performed?<\/h3><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>The patient is placed on the surgical bed and anaesthetic drops are instilled. For very anxious patients, intravenous sedation is used. After the laser head is docked to the surface of the eye, the two are fixed together with a vacuum. Optical tomography is performed using a laser system, which determines the eye\u2019s topography parameters. Based on these data, laser incisions of the cornea, capsule, and lens nucleus are programmed.<\/p>\n<p>A femtosecond laser then performs cuts of the lens capsule and the lens nucleus. The surgeon controls this process via the laser system screen. An aspiration-irrigation tip is then inserted into the anterior chamber of the eye, and the fragmented lens is removed. With a very dense nucleus, a small amount of additional ultrasound energy is used to destroy the lens, producing an emulsion that is then removed through the irrigation-aspiration tip. An intraocular lens (artificial lens) is injected inside the eye and the wound is sealed.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h3 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Laser or ultrasound?<\/h3><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>The choice between ultrasound and femtosecond laser as the method of cataract surgery is based on the judgment of the surgeon. The photo demonstrates how the surgeon controls the femtosecond laser procedure, using the laser system monitor.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"featured_media":11301,"parent":11376,"menu_order":0,"template":"","meta":{"footnotes":""},"categories":[80],"tags":[],"class_list":["post-11385","operatsiya","type-operatsiya","status-publish","has-post-thumbnail","hentry","category-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11385","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya"}],"about":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/types\/operatsiya"}],"version-history":[{"count":0,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11385\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11376"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media\/11301"}],"wp:attachment":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media?parent=11385"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/categories?post=11385"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/tags?post=11385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}