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      Femtosecond laser-assisted cataract surgery with implantation of a diffractive trifocal intraocular lens after laser in situ keratomileusis: a case report

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          Abstract

          Background

          We report for the first time, a case of femtosecond laser-assisted cataract surgery (FLACS) with implantation of a diffractive trifocal intraocular lens (IOL) after laser in situ keratomileusis (LASIK).

          Case presentation

          A 60-year-old man underwent FLACS uneventfully 15 years after myopic LASIK. An AT Lisa tri 839MP IOL was implanted with the expectation of spectacle independence. The Haigis-L formula was chosen for calculation of the IOL power and it provided reliable results. Three months postoperatively, the uncorrected visual acuities were 0.00 logMAR for distance, 0.10 logMAR for intermediate, and 0.10 logMAR for near.

          Conclusions

          This case suggested that FLACS presents a feasible surgical technique for post-LASIK eyes and that implantation of trifocal IOL can achieve good visual performance in strictly selected cases after myopic LASIK.

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          Most cited references13

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          Multifocal intraocular lenses in cataract surgery: literature review of benefits and side effects.

          Rudy M. M. A. Nuijts, Helga E. de Vries (2013)
          This literature review looks at the current status of multifocal intraocular lenses (IOLs) in cataract surgery. The results of implantation of multifocal IOLs of diffractive, refractive, and hybrid diffractive-refractive design are described with regard to uncorrected near and distance visual acuity and spectacle independence. The occurrence of photic phenomena and contrast sensitivity loss with multifocal IOLs are also addressed. Neither author has a financial or proprietary interest in any material or method mentioned. Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
          Article 0 comments Cited 60 times – based on 0 reviews     Review now
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            Femtosecond laser-assisted cataract surgery--current status and future directions.

            Dilraj S Grewal, Tim Schultz, Surendra Basti … (2015)
            Femtosecond laser-assisted cataract surgery (FLACS) putatively offers several advantages over conventional phacoemulsification. We review the current status of FLACS and discuss the evolution of femtosecond lasers in cataract surgery and the currently available femtosecond laser platforms. We summarize the outcomes of FLACS for corneal wound creation, limbal relaxing incisions, capsulotomy, and lens fragmentation. We discuss surgical planning, preoperative considerations, clinical experiences including the learning curve and postoperative outcomes with FLACS, and also the cost effectiveness of FLACS. We present the intraoperative complications and management of challenging cases where FLACS offers an advantage and also speculate on the future directions with FLACS. Further advancements in laser technology to refine its efficacy, advancement in intraocular lens design to harness the potential benefits of FLACS, and a reduction in cost are needed to establish a clear superiority over conventional phacoemulsification.
            Article 0 comments Cited 38 times – based on 0 reviews     Review now
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              Clinical outcomes of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery for hard nuclear cataracts.

              Xiaohui Song, Yinhui Yu, Yanan Zhu … (2017)
              To compare the outcomes between femtosecond laser-assisted cataract surgery (femtosecond group) and conventional phacoemulsification cataract surgery (conventional group) in patients with hard nuclear cataract.
              Article 0 comments Cited 29 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Wei Wang: aoliww@aliyun.com
                Shuang Ni: nsspo@hotmail.com
                Xi Li: 21518172@zju.edu.cn
                Xiang Chen: 787010481@qq.com
                Yanan Zhu: tracyyanan@sina.com
                Wen Xu: +86 571 87783897 , xuwen2003@zju.edu.cn
                Journal
                Journal ID (nlm-ta): BMC Ophthalmol
                Journal ID (iso-abbrev): BMC Ophthalmol
                Title: BMC Ophthalmology
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2415
                Publication date (Electronic): 3 July 2018
                Publication date PMC-release: 3 July 2018
                Publication date Collection: 2018
                Volume: 18
                Electronic Location Identifier: 160
                Affiliations
                ISNI 0000 0004 1759 700X, GRID grid.13402.34, Eye Center of the 2nd Affiliated Hospital, School of Medicine, , Zhejiang University, ; No.88 Jiefang Road, Hangzhou, China
                Article
                Publisher ID: 834
                DOI: 10.1186/s12886-018-0834-y
                PMC ID: 6029048
                PubMed ID: 29970067
                SO-VID: 638391fd-ec49-46ea-98c9-67b9c9f17608
                Copyright © © The Author(s). 2018
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 18 April 2018
                Date accepted : 22 June 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Award ID: 81600716
                Award Recipient :
                Funded by: Key Research and Development Plan of Zhejiang Province Science and Technology Hall
                Award ID: 2017C03046
                Award Recipient :
                Funded by: General Scientific Research Project of Zhejiang Province Education Department
                Award ID: Y201738741
                Award Recipient :
                Categories
                Subject: Case Report
                Custom metadata
                issue-copyright-statement © The Author(s) 2018

                ScienceOpen disciplines: Ophthalmology & Optometry
                Keywords: femtosecond laser,cataract surgery,trifocal intraocular lens,laser in situ keratomileusis
                Data availability:
                ScienceOpen disciplines: Ophthalmology & Optometry
                Keywords: femtosecond laser, cataract surgery, trifocal intraocular lens, laser in situ keratomileusis

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