Laser-assisted refractive cataract surgery yields more predictable postop IOL positioning

Researchers compared sizing and positioning parameters of femtosecond laser capsulotomies with manual continuous curvilinear capsulorrhexis (CCC) in 40 eyes of 40 patients undergoing cataract surgery. The CCC group showed statistically higher horizontal decentration at one week and one year postop. There was also a statistically significant difference in the distribution of dichotomized horizontal decentration values at 0.4 mm between the two study groups one week and one year after surgery. IOL decentration was six times more likely in the CCC group. They conclude that the femtosecond laser capsulotomies resulted in better overlap parameters that help maintain proper positioning of the IOL.