In Femtosecond cataract surgery , we can perform, incisions, continuous curvilinear capsulorhexis and a part of nuclear division. No double the precision of continuous curvilinear capsulorhexis is excellent. There are several issue which need discussion such as we perform, Femtosecond incisions, continuous curvilinear capsulorhexis and nucleus division at one operating room and then shift the patient to operating room where phacoemulsification is performed.
Issue of concern are for surgeon performing high volume cataract surgery- more time for surgery ( as it has to be done at two operating room, cost of femtosecond and this has to be paid ultimately by the patient).
The cost is prohibitive and hence overrides the precision surgical benefits.
The answer to your question, nowadays is very simple: NOT YET!
Not yet. The high costs of femtolasers are paid by the patient and, moreover, one has to consider the discomfort of moving the patient in the middle of the intervention.
In Germany our patients are paying our time and additional costs. I delegate the femtolaser cataract procedure. Rhexis and more important rhexis size can be done in perfect order. I do not need additional time and surgery is with femtolaser less complicated and i am a high volume surgeon.
I agree with all presented challenging issues on FLACS. The latest approach is directed on work of two surgeons performing their own separate perts - laser and phaco repectively
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