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Assessment of surgeon experience with femtosecond laser-assisted cataract surgery

PURPOSE: To evaluate the collective user experience with an image-guided femtosecond laser (FSL) for cataract surgery in a high-volume, multi-surgeon, ambulatory surgical center. SUBJECTS AND METHODS: A detailed online survey was distributed to all surgeons in a single ambulatory surgical center who...

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Autores principales: Song, Christian, Baharozian, Connor J, Hatch, Kathryn M, Talamo, Jonathan H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084079/
https://www.ncbi.nlm.nih.gov/pubmed/30122889
http://dx.doi.org/10.2147/OPTH.S171743
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author Song, Christian
Baharozian, Connor J
Hatch, Kathryn M
Talamo, Jonathan H
author_facet Song, Christian
Baharozian, Connor J
Hatch, Kathryn M
Talamo, Jonathan H
author_sort Song, Christian
collection PubMed
description PURPOSE: To evaluate the collective user experience with an image-guided femtosecond laser (FSL) for cataract surgery in a high-volume, multi-surgeon, ambulatory surgical center. SUBJECTS AND METHODS: A detailed online survey was distributed to all surgeons in a single ambulatory surgical center who had performed cataract surgery using a FSL since its acquisition in December 2012. Information collected included the number of cases performed, typical surgical techniques and parameters, satisfaction with individual features of the laser (rated on a scale from 1=completely unsatisfied to 10=extremely satisfied) and commentary on ease of use and suggested improvements. RESULTS: Seventeen of 30 surgeons (56.7%) completed the survey, representing a case volume of 1,967 eyes. Fourteen surgeons (82.4%) felt they required ≤10 cases with the FSL to operate with the same safety and control as in standard phacoemulsification surgery. Satisfaction was highest for capsulotomies, lens fragmentation, lens softening, arcuate incisions and the graphic user interface (mean scores 9.4, 8.7, 8.7, 7.2 and 8.9, respectively). Preferred capsulotomy diameter was 4.8–5.2 mm (64.7% of respondents). About half (52.9%) of respondents centered the capsulotomy on the pupil and the other 47.1% centered the capsulotomy using optical coherence tomography. Most respondents (81.3%) preferred transepithelial arcuate incisions compared to intrastromal incisions. Satisfaction was lowest with FSL-created, main, clear corneal incisions and paracenteses (mean scores 4.4 and 4.2, respectively). CONCLUSION: Laser-assisted cataract surgery has a short learning curve and a high rate of user satisfaction. Further software and hardware development is warranted to improve user satisfaction with peripheral and clear corneal incisions.
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spelling pubmed-60840792018-08-17 Assessment of surgeon experience with femtosecond laser-assisted cataract surgery Song, Christian Baharozian, Connor J Hatch, Kathryn M Talamo, Jonathan H Clin Ophthalmol Original Research PURPOSE: To evaluate the collective user experience with an image-guided femtosecond laser (FSL) for cataract surgery in a high-volume, multi-surgeon, ambulatory surgical center. SUBJECTS AND METHODS: A detailed online survey was distributed to all surgeons in a single ambulatory surgical center who had performed cataract surgery using a FSL since its acquisition in December 2012. Information collected included the number of cases performed, typical surgical techniques and parameters, satisfaction with individual features of the laser (rated on a scale from 1=completely unsatisfied to 10=extremely satisfied) and commentary on ease of use and suggested improvements. RESULTS: Seventeen of 30 surgeons (56.7%) completed the survey, representing a case volume of 1,967 eyes. Fourteen surgeons (82.4%) felt they required ≤10 cases with the FSL to operate with the same safety and control as in standard phacoemulsification surgery. Satisfaction was highest for capsulotomies, lens fragmentation, lens softening, arcuate incisions and the graphic user interface (mean scores 9.4, 8.7, 8.7, 7.2 and 8.9, respectively). Preferred capsulotomy diameter was 4.8–5.2 mm (64.7% of respondents). About half (52.9%) of respondents centered the capsulotomy on the pupil and the other 47.1% centered the capsulotomy using optical coherence tomography. Most respondents (81.3%) preferred transepithelial arcuate incisions compared to intrastromal incisions. Satisfaction was lowest with FSL-created, main, clear corneal incisions and paracenteses (mean scores 4.4 and 4.2, respectively). CONCLUSION: Laser-assisted cataract surgery has a short learning curve and a high rate of user satisfaction. Further software and hardware development is warranted to improve user satisfaction with peripheral and clear corneal incisions. Dove Medical Press 2018-08-06 /pmc/articles/PMC6084079/ /pubmed/30122889 http://dx.doi.org/10.2147/OPTH.S171743 Text en © 2018 Song et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Song, Christian
Baharozian, Connor J
Hatch, Kathryn M
Talamo, Jonathan H
Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_full Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_fullStr Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_full_unstemmed Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_short Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_sort assessment of surgeon experience with femtosecond laser-assisted cataract surgery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084079/
https://www.ncbi.nlm.nih.gov/pubmed/30122889
http://dx.doi.org/10.2147/OPTH.S171743
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