September 11, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000002062

Femtosecond laser-assisted cataract surgery versus phacoemulsification in shallow anterior chambers: a systematic review and meta-analysis

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The authors aimed to evaluate the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) compared to conventional phacoemulsification in patients with shallow anterior chambers or primary angle-closure disease, focusing on endothelial cell loss (ECL) as the primary outcome. Their systematic review and meta-analysis of six studies revealed that FLACS resulted in significantly lower ECL and early postoperative complications, although visual outcomes were similar between the two techniques. The findings suggest that FLACS may offer advantages in this specific patient population, but the certainty of these benefits varies.

Shih-Heng Hung, Chiao-Hsin Lan, Ya-Hsin Yao, Ta-Hung Chiu, Da-Wen Lu, Yann-Guang Chen, Wei-Ting Yen

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