gms | German Medical Science

Laser Refractive Lens Surgery was shown to provide a superior capsulorhexis, better IOL centration, less IOL tilt, fewer optical aberrations and a more predictable refractive result than phacoemulsification. In addition, some studies indicated a lower rate of capsular complications.

Currently, four laser systems are commercially available: the LenSx Laser (Alcon, Ft. Worth, TX), the Catalys Laser (Optimedica, Sunnyvale, CA), the LensAR Laser (LensAR, Orlando, FL), and the Victus Laser (Bausch & Lomb, Rochster, NY). All laser systems can reliable perform corneal incisions, capsulorhexis, astigmatism correction and nucleus fragmentation.

Future developments will include more sophisticated laser fragmentation patterns which will likely reduce phaco energy even more. In addition, the lasers will be coupled with imaging devices which allow centration of the capsulorhexis to the non-dilated pupil center or the corneal apex as well as identification of the steep corneal meridian to facilitate astigmatism correction or placement of toric IOLs.