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    Femtosecond laser-assisted cataract surgery: How far have we come?

    Expert surgeons highlight benefits, share pearls offer ideas for advancing the field



    Tilt compensation

    The participants also addressed their desire for system modifications to address the problems of eye movement or eye tilt from misaligned docking. The general consensus was that the ideal solution would be to have software upgrades that would identify tilt and recalculate the treatment delivery.


    Other suggestions included decreasing light intensity to minimise eye movement resulting from Bell’s phenomenon and refinements that give better control for achieving optimal patient head positioning. Dr Lucio Buratto, who works in private practice in Milan, Italy, suggested that the new bed (Catalys System Mobile Patient Bed) for the Catalys laser might be helpful for addressing the latter issue.


    The need for detecting tilting of the crystalline lens was also addressed. Dr Stevens suggested that lens tilt and other measurements such as angle kappa that are captured with preoperative diagnostics should be transferrable to the laser and similarly compensated for through software calculations.

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