Cole Eye Institute. "Surgeons can use the laser to make specific lim-
bal-relaxing incisions to achieve the desired astigmatism correction
and optimal refractive outcomes."
Anat Galor, MD, an assistant professor of clinical ophthalmology at
the Bascom Palmer Eye Institute in Miami, Fla., and a staff physician
at the Miami Veterans Administration Medical Center, agrees that
femto lasers don't provide significant benefit in terms of refractive
outcomes, at least not yet. Dr. Galor says the laser is currently ideally
suited for complex cataract cases involving patients with very dense
lenses, poor dilation and loose zonules. Some experts argue that pre-
cutting dense lenses with the laser before the fragments are removed
requires less phacoemulsification energy and therefore limits damage
to surrounding structures, which, according to Dr. Galor, would bene-
fit patients with com-
promised corneal
endothelial function.
"But those aren't the
patients who require
refractive procedures,"
says Dr. Galor. "Those
are the patients who
are having necessary
cataract surgery, and
using the femto makes
it safer for them."
The laser does make
prettier capsulorhex-
es, but whether that
translates to better
outcomes hasn't been
1 1 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 7
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