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TitleComparison of effective lens position between standard phaco and FLACS
Abstract Nr.2078
PurposeTwo groups of patients where compared . the first group represented standard phacoemulsification . The second group is operated on by Femto laser assisted Phaco (FLACS). The same IOL platform was used in the two groups. Pre and post op anatomical measurements were taken in order to compare between groups.
This study was initiated to see if there was a difference in anterior segment parameters such as the Effective Lens Position ( ELP) between both groups.
ELP is related directly to the A constant of the IOL.
MethodsThe two groups were operated by the same Surgeon. Laser measurements of the anterior segment parameters by optical biometer and scheimphlug topography and OCT anterior segment analyser were taken pre and postoperatively.
ResultsStandard phaco :
AD mean 2,397 ACD mean 2,937 , ELP internal : mean 4,004 , difference AD post-pre : mean 1,607 , ELP epith-iol : mean 4,544
Femto Assisted Cataract Surgery
AD mean 2,763 ACD mean 3,313 , ELP internal : mean 4,4775 , difference AD post-pre : mean 1,7145, ELP epith-iol : mean 5,0412

Pentacam measurements results,
Standard phaco :
ACD Post-Pre : mean 1,607
Femto Assisted Cataract Surgery :
ACD Post-Pre : mean 1,728

The two groups showed no statistical difference in anterior segment parameters pre and postoperatively.
ConclusionThis study showed no statistical difference between the standard phaco and the FLACS group in ELP. As such the ELP can be ruled out as parameter to explain the difference in A-constant to be used in IOL calculation for both groups.
Conflict of interestYes
Details of conflicting interestsJohan Blanckaert
Consultant Alcon nv
Consultant VSY Biotech
Authors 1
Last nameBLANCKAERT
InitialsJA
DepartmentAmbulant oogchirurgisch centrum Oculus ieper
CityIeper
Authors 2
Last nameDam
InitialsJ
DepartmentUZ Leuven
CityLeuven
Authors 3
Last nameGhekiere
InitialsS
DepartmentAmbulant oogchirurgisch centrum Oculus ieper
CityIeper
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