creates a capsulotomy that is more prone to
radial tears than is a manual capsulorhexis."
Most facilities that don't currently do laser
cataracts are not planning to. Three-fourths
say it's "not too" or "not at all" likely that they
will add it in the next 2 years. They cite
expense, limited space and low surgeon inter-
est. Those that do laser cataracts could be
doing slightly fewer of them. In our 2017
cataract survey, 46% of facilities that were
doing laser cataracts were using the laser for
more than one-fourth of their cataracts. In
2018, only 40% of facilities reported doing as
much.
That said, the lasers still have devoted fans:
8% of the facilities doing laser cataracts expect
laser procedures to grow significantly in the
next 2 years, while another 56% of those facili-
ties expect "moderate" growth.
If laser cataracts is experiencing a slowdown,
the problem is marketing, not the technology,
says Kayla Schneeweiss-Keene, BSN, director
of nursing at the Mann Cataract Surgery Center
in Houston, Texas. She says her facility is see-
ing shorter recovery times because of less
phaco time in the eye. She says visual out-
comes are better because the perfectly cen-
tered capsulotomies align with the IOL's optical
zone and visual axis. And she praises the accu-
A U G U S T 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 9 1
9 Orchard, Suite 111
Lake Forest, CA 92630
www.optisurgical.com
info@optisurgical.com
Call AOI for Information
800.576.1266 or
949.580.1266
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