Purpose: To compare the results of femtosecond
laser-assisted cataract surgery with manual cataract surgery in eyes with white
mature cataract.
Material and Methods: Thirty-four eyes of 34
patients with white mature cataract who had undergone femtosecond
laser-assisted cataract surgery (FLACS) were compared retrospectively with 34
eyes of 34 patients with white mature cataract who had undergone manual
cataract surgery.
Results: In respect to age and sex, there was
no significant difference between two groups. There was no significant
difference between the mean preoperative and postoperative uncorrected distance
visual acuity (UCVA) and best corrected visual acuity (BCVA) of the first and
second group (P values, 0.659, 0.634, 0.603 and 0.557, respectively). The
percentages of radial tears, posterior capsule rupture and vitreous loss were
higher in the second group than in the first group, but the differences were
not significant statistically (p values, 0.06, 0.06 and 0.113, respectively).
Conclusion: FLACS is a safe and effective
surgery for white mature cataract. When compared with manual
phacoemulsification surgery, although the percentages of some intraoperative
complications such as radial tears and posterior capsule ruptures are higher in
manual phacoemulsification surgery, the differences are not significant
statistically.
FLACS; manual phacoemulsification; white mature cataract; radial tears.