Benefits and harms of femtosecond laser assisted cataract surgery : systematic review / Ana Quiǫnes [and six others].
| Author/creator | Quiǫñes, Ana R. author. |
| Other author | United States. Department of Veterans Affairs. Health Services Research and Development Service, issuing body. |
| Other author | Oregon Health & Science University. Evidence-based Practice Center. |
| Other author | Evidence-based Synthesis Program (U.S.) |
| Format | Electronic |
| Publication | Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, 2013. |
| Description | 1 online resource (iii, 48 pages) : illustrations |
| Supplemental Content | https://purl.fdlp.gov/GPO/gpo154673 |
| Subjects |
| Summary | The preferred method of removing cataracts in the developed world is phacoemulsification. Using this technique, ultrasonic energy softens the dense lens material of the cataract, which is then extracted from the eye with suction and irrigation. Current practice includes creating manual corneal incisions and anterior capsulotomies, followed by phacoemulsification. Recently these three manual procedures have been performed in an automated fashion with the use of the femtosecond laser (FSL). Several FSL systems have been approved by the FDA for use in the U.S. for some or all of these procedural steps in cataract surgery. FSL technology has been widely used in various refractive surgery applications in recent years. Studies have suggested decreased phacoemulsification energy use with FSL cataract surgery and have examined the potential advantages of more precise corneal incisions and capsulotomy formation. Cataract surgery is a frequently performed operation in the VHA, with more than 49,000 performed in 2012. As a result, the VHA National Surgery Office has been tasked with making a recommendation regarding whether femtosecond lasers provide appropriate cost-benefit and risk-benefit ratios to support implementation for cataract surgery in the VA. The purpose of this systematic review is to examine the effectiveness and safety of femtosecond laser assisted cataract surgery (FLACS) relative to conventional cataract surgery. Key questions were developed in conjunction with the stakeholders which address the effectiveness, safety, adverse consequences and economic implications of adopting FLACS into the VA system. |
| General note | "Evidence-based synthesis program." |
| General note | "December 2013." |
| General note | GPO Cataloging Record Distribution Program (CRDP). |
| Bibliography note | Includes bibliographical references (pages 33-36). |
| Funding information | Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence-based Synthesis Program (ESP) Center, Portland VA Medical Center, Portland, OR, Devan Kansagara, M.D., M.C.R., Director |
| Funding information | VA-ESP 05-225 |
| Source of description | Description based on online resource; title from PDF cover (VA, viewed April 14, 2021). |
| Genre/form | Technical reports. |
| GPO item number | 0985-A-12 (online) |
| Govt. docs number | VA 1.107/3:F 34 |
Availability
| Library | Location | Call Number | Status | Item Actions |
|---|---|---|---|---|
| Electronic Resources | Access Content Online | ✔ Available |