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• W4300979820 abstract "In Brief Purpose: To report intraoperative performance and postoperative outcomes of femtosecond laser–assisted cataract surgery (FLACS) and conventional phacoemulsification (PE) in the hands of junior surgeons. Setting: Iladevi Cataract & IOL Research Centre, Ahmedabad, Gujarat, India. Design: Prospective single-masked randomized controlled trial. Methods: 320 eyes (320 patients) undergoing cataract surgery for uneventful cataracts in the hands of junior surgeons were randomized to Group 1—FLACS or Group 2—PE. Intraoperatively, cumulative dissipated energy (CDE) and fluid used were compared. Postoperatively, the following were compared: central corneal thickness (CCT) on day 1, 1 week, and 1 month; corneal clarity (day 1 and 1 week); anterior chamber inflammation (day 1 and 1 week); change in endothelial cell density (ECD) at 6 months postoperatively; and corrected distance visual acuity (CDVA) at 1 week and 1 month postoperatively. Results: 157 and 158 patients in groups 1 and 2 analysed. Intraoperatively, CDE (5.41 ± 2.73 vs 8.83 ± 4.28 in Groups 1 and 2, P = .0001) and fluid used (79.33 ± 33.46 vs 101.82 ± 32.23 mL in Groups 1 and 2, P < .0001) were significantly lesser in Group 1. CCT was significantly higher in Group 2 on day 1 (550.96 ± 33.64 vs 587.70 ± 55.76 μm in Groups 1 and 2, P < .0001) and at 1 week postoperatively (527.94 ± 30.78 vs 545.11 ± 35.17 μm in Groups 1 and 2, P = .001). 72% of eyes had clear corneas on day 1 in Group 1 compared with 39% in Group 2 (P = .01). Anterior chamber inflammation and CDVA were comparable. Change in ECD was significantly lower (9.3%) in Group 1 vs 12.7% in Group 2, P < .0001. Conclusions: FLACS showed lower intraoperative CDE, fluid usage, lesser increase in CCT, better early postoperative corneal clarity, and lesser change in ECD at 6 months postoperatively in the hands of junior surgeons during standard cataract surgery. This randomized clinical study found reduction in cumulative dissipated energy and better early postoperative corneal clarity when femtosecond laser–assisted cataract surgery was performed by junior cataract surgeons compared with phacoemulsification." @default.
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• W4300979820 date "2023-02-01" @default.
• W4300979820 modified "2023-09-25" @default.
• W4300979820 title "FLACS vs conventional phacoemulsification by junior cataract surgeons: randomized trial" @default.
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• W4300979820 doi "https://doi.org/10.1097/j.jcrs.0000000000001061" @default.
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