1st Edition

Femtosecond Laser-Assisted Cataract Surgery Facts and Results

By Zoltan Nagy Copyright 2014

    Dr. Zoltan Z. Nagy performed the first femtosecond laser-assisted cataract surgery in a human eye in 2008. As one of the most authoritative sources on the topic, Femtosecond Laser-Assisted Cataract Surgery: Facts and Results presents the history of the development and use of femtosecond laser-assisted cataract surgery summarizes the results of five years of pioneering techniques by Dr. Nagy and his team, including personal reflections and thoughts, as well as a series of classic papers.

    Femtosecond Laser-Assisted Cataract Surgery consists of two main sections. The first section discusses and reviews the new results for the reader from the research. The second section comprises original articles on the topic of femtosecond laser cataract surgery that is essential to ophthalmologists.

    Additional features include:

    • A review of the current state-of-the-art usages of femtosecond laser-assisted cataract surgery
    • Examine existing technologies that compete with femtosecond laser-assisted cataract surgery and compare outcomes
    • Discuss key secrets to successful surgical techniques using femtosecond laser-assisted cataract surgery
    • How to address and manage common complications associated with femtosecond laser-assisted cataract surgery

    Femtosecond Laser-Assisted Cataract Surgery presents these clinical results with cataract and corneal application, and highlights basic research with the strength of the anterior capsule and will assist ophthalmologists and residents alike gain a better understanding of the femtosecond laser cataract surgery process.



    Dedication

    Acknowledgments

    About the Editor

    Contributing Authors

    Preface

    Foreword by Roberto Bellucci, MD

    Foreword by Eric Donnenfeld, MD

    Foreword by Ronald R. Krueger, MD, MSE

    Introduction

    Section IOriginal Chapters

    Original Chapter 1Competing Femtosecond Laser Technologies for Cataract Surgery

    Tibor Juhasz, PhD, DSc

    Original Chapter 2Face-Off Femtosecond Laser Cataract Surgery

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 3Ocular Pharmacology of Femtosecond Laser Cataract Surgery

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 4Femtosecond Laser-Assisted Capsulotomy:

    Advantages in Better Postoperative Intraocular Lens Positioning

    Kinga Kr\u00e1nitz, MD; Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 5Mechanical Behavior of Capsulotomy Performed With Femtosecond Laser

    G\u00e1bor L\u00e1szl\u00f3 S\u00e1ndor, MD; Zolt\u00e1n Kiss, PhD; Zolt\u00e1n I. Bocskai; Imre Bojt\u00e1r, PhD, CSc;

    \u00c1gnes I. Tak\u00e1cs, MD; Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 6Intraocular Lens Calculation Results and Refractive Outcomes After

    Femtosecond Laser-Assisted and Conventional Cataract Surgery

    Tam\u00e1s Filkorn, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Kinga Kr\u00e1nitz, MD; \u00c1gnes I. Tak\u00e1cs, MD;

    \u00c9va Horv\u00e1th, MD; Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 7Corneal Changes Following Femtosecond Laser-Assisted Phacoemulsification

    Compared to Conventional Cataract Surgery

    \u00c1gnes I. Tak\u00e1cs, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Kata Mih\u00e1ltz, MD, PhD; Tam\u00e1s Filkorn, MD;

    Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 8Femtosecond Laser-Assisted Clear Corneal Wounds and

    Their Effects on Surgically Induced Astigmatism

    \u00c1rp\u00e1d Dunai, MD; Kinga Kr\u00e1nitz, MD; Michael C. Knorz, MD;

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 9The Effect of Femtolaser Cataract Surgery on the Macula

    M\u00f3nika Ecsedy, MD, PhD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Gabor Mark Somfai, MD, PhD;

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 10Complications in Femtolaser Cataract Surgery and What to Do

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 11The Effect of Femtosecond Laser Capsulotomy on the

    Development of Posterior Capsule Opacification

    Ill\u00e9s Kov\u00e1cs, MD, PhD; Kinga Kr\u00e1nitz, MD; Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 12The Verion Image Guided System

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Original Chapter 13Flap Creation Using LenSx Femtosecond Multiple-Use Laser System

    \u00c9va Juh\u00e1sz, MD; Kinga Kr\u00e1nitz, MD; \u00c1gnes I. Tak\u00e1cs, MD; Andrea Gyenes, MD;

    Zolt\u00e1n Z. Nagy, MD, PhD, DSc

    Section IIClassic Papers

    Classic Paper 1Initial Clinical Evaluation of an Intraocular Femtosecond Laser in Cataract Surgery

    Zoltan Nagy, MD; Agnes Takacs, MD; Tamas Filkorn, MD; Melvin Sarayba, MD

    Classic Paper 2Anterior Segment OCT Imaging After Femtosecond Laser Cataract Surgery

    Zoltan Z. Nagy, MD, PhD, DSc; Tam\u00e1s Filkorn, MD; \u00c1gnes I. Tak\u00e1cs, MD;

    Kinga Kr\u00e1nitz, MD; Tibor Juhasz, PhD, DSc; Eric Donnenfeld, MD;

    Michael C. Knorz, MD; Jorge L. Alio, MD, PhD

    Classic Paper 3Comparison of Intraocular Lens Decentration Parameters After

    Femtosecond and Manual Capsulotomies

    Zolt\u00e1n Zsolt Nagy, MD, DSC; Kinga Kr\u00e1nitz, MD; Agnes I. Takacs, MD;

    Kata Mih\u00e1ltz, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Michael C. Knorz, MD

    Classic Paper 4Femtosecond Laser Capsulotomy and Manual Continuous Curvilinear Capsulorrhexis

    Parameters and Their Effects on Intraocular Lens Centration

    Kinga Kr\u00e1nitz, MD; Agnes Takacs, MD; Kata Mih\u00e1ltz, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD;

    Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, DSC

    Classic Paper 5Intraocular Lens Tilt and Decentration Measured By Scheimpflug Camera

    Following Manual or Femtosecond Laser–created Continuous Circular Capsulotomy

    Kinga Kr\u00e1nitz, MD; Kata Mih\u00e1ltz, MD; G\u00e1bor L. S\u00e1ndor, MD; Agnes Takacs, MD;

    Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, DSC

    Classic Paper 6Comparison of Long-term Visual Outcome and IOL Position With a Single-optic

    Accommodating IOL After 5.5- or 6.0-mm Femtosecond Laser Capsulotomy

    Andrea Szigeti, MD; Kinga Kr\u00e1nitz, MD; Agnes I. Takacs, MD; Kata Mih\u00e1ltz, MD;

    Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, DSC

    Classic Paper 7Internal Aberrations and Optical Quality After Femtosecond Laser

    Anterior Capsulotomy in Cataract Surgery

    Kata Mih\u00e1ltz, MD; Michael C. Knorz, MD; Jorge L. Ali\u00f3, MD, PhD; \u00c1gnes I. Tak\u00e1cs, MD;

    Kinga Kr\u00e1nitz, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Zolt\u00e1n Z. Nagy, MD, DSc

    Classic Paper 8Comparison of IOL Power Calculation and Refractive Outcome After

    Laser Refractive Cataract Surgery With a Femtosecond Laser Versus

    Conventional Phacoemulsification

    Tam\u00e1s Filkorn, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; \u00c1gnes Tak\u00e1cs, MD; \u00c9va Horv\u00e1th, MD;

    Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, DSC

    Classic Paper 9The Effect of Femtosecond Laser Capsulotomy on the Development of

    Posterior Capsule Opacification

    Ill\u00e9s Kov\u00e1cs, MD, PhD; Kinga Kr\u00e1nitz, MD; G\u00e1bor L. S\u00e1ndor, MD; Michael C. Knorz, MD;

    Eric D. Donnenfeld, MD, FACS; Rudy M. Nuijts, MD, PhD; Zolt\u00e1n Z. Nagy, MD, DSC

    Classic Paper 10Effect of Femtosecond Laser Cataract Surgery on the Macula

    M\u00f3nika Ecsedy, MD; Kata Mih\u00e1ltz, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; \u00c1gnes Tak\u00e1cs, MD;

    Tam\u00e1s Filkorn, MD; Zolt\u00e1n Z. Nagy, MD, DSc

    Classic Paper 11Central Corneal Volume and Endothelial Cell Count Following

    Femtosecond Laser–assisted Refractive Cataract Surgery Compared to

    Conventional Phacoemulsification

    \u00c1gnes I. Tak\u00e1cs, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Kata Mih\u00e1ltz, MD; Tam\u00e1s Filkorn, MD;

    Michael C. Knorz, MD; Zolt\u00e1n Z. Nagy, MD, DSC

    Classic Paper 12Femtosecond Laser Cataract Incision Morphology and

    Corneal Higher-Order Aberration Analysis

    Jorge L. Ali\u00f3, MD, PhD; Ahmed A. Abdou, MD, PhD; Felipe Soria, MD;

    Jaime Javaloy, MD, PhD; Roberto Fern\u00e1ndez-Buenaga, MD; Zolt\u00e1n Z. Nagy, MD, DSC;

    Tam\u00e1s Filkorn, MD

    Classic Paper 13Intraocular Femtosecond Laser Use in Traumatic Cataracts Following

    Penetrating and Blunt Trauma1

    Zolt\u00e1n Zsolt Nagy, MD, DSC; Kinga Kr\u00e1nitz, MD; Agnes Takacs, MD;

    Tam\u00e1s Filkorn, MD; R\u00f3bert Gergely, MD; Michael C. Knorz, MD

    Classic Paper 14Laser Refractive Cataract Surgery With a Femtosecond Laser After

    Penetrating Keratoplasty: Case Report

    Zolt\u00e1n Z. Nagy, MD, DSC; \u00c1gnes I. Tak\u00e1cs, MD; Tam\u00e1s Filkorn, MD; \u00c9va Juh\u00e1sz, MD;

    G\u00e1bor S\u00e1ndor, MD; Andrea Szigeti, MD; Michael C. Knorz, MD

    Classic Paper 15Femtosecond Laser-Assisted Cataract Surgery in

    Management of Phacomorphic Glaucoma

    Kinga Kr\u00e1nitz, MD; \u00c1gnes Ildik\u00f3 Tak\u00e1cs, MD; Andrea Gyenes, MD; Tam\u00e1s Filkorn, MD;

    R\u00f3bert Gergely, MD; Ill\u00e9s Kov\u00e1cs, MD, PhD; Zolt\u00e1n Zsolt Nagy, MD, DSC

    Index

    Biography

    Zoltán Z. Nagy, MD, PhD, DSc is a Professor of Ophthalmology in the Department of Ophthalmology at Semmelweis University, Budapest, Hungary. He received his MD in 1986 at the Szent-Györgyi Albert Medical University, Szeged, Hungary. In the same year, he started his residency program in ophthalmology. After specialization in general ophthalmology, he received a scholarship in the Department of Ophthalmology in Erlangen at the Friedrich Alexander Universität Erlangen-Nürnberg with Professor Gottfried Otto Naumann. In Erlangen he studied the role of secondary ultraviolet exposure in eyes that had had refractive surgery before. He published an article in Ophthalmology (1997) on the harmful role of ultraviolet exposure in eyes with previous photorefractive keratectomy during the avascular corneal healing. Afterward he did a fellowship at Moorfields Eye Hospital in London, England.

    Dr. Nagy is a dedicated anterior segment surgeon. In 2008, he performed the first femtosecond laser cataract surgery in a human eye. His scientific contribution was awarded with the Waring Prize in 2010 in New York. In 2012, he received the Casebeer Prize from the International Society of Refractive Surgery, among numerous other awards. He and his co-workers published more than 20 peer-reviewed articles in the field of femtolaser-assisted cataract surgery. He receives invitations for live surgery events as a surgeon and presenter during international congresses. Presently he serves as Dean of the Faculty of Health Sciences at Semmelweis University.