LenSX™ Femtosecond Laser Cataract Surgery (LCS) and FLACS

Schedule at any of our Ohio locations: Canton, Canfield, or Alliance

LenSx™ Femtosecond Laser Cataract Surgery (FLACS) is controversial, new technology.  At Roholt Vision Institute, we have always been in the forefront of advancements in eye surgery, and the doctors here have experience with FLACS.  However, most patients elect traditional surgery in lieu of the added expense and marginal benefits of FLACS. We can offer LenSx™ Femtosecond Laser Cataract Surgery to selected patients who desire CustomCorrection™ eye surgery, to those with astigmatism, or to patients who desire multifocal lens implants at any one of our three locations, Canton, Alliance, or Canfield.  However, we feel that the outcomes utilizing this technology are not significantly better and do not warrant the added out-of-pocket expense to the patient.

This procedure is a safe, effective alternative to current, state-of-art techniques such as Roholt Vision’s CustomCorrection™. We will look at what FLACS does, then examine recent research.
The basic concept of FLACS  is to use the following three major components: docking, optical aiming, and femtosecond laser. There is a vacuum docking system that connects the laser to the eye. It is similar to the suction device used for LASIK or bladeless LASIK. The optical imaging device in the LenSx system is an Optical Computed Tomography (OCT) which takes detailed pictures to plan the surgery. The last component is using the laser, which can perform the corneal and lens capsule incisions and softens up the cataract

In Laser Cataract Surgery, LCS or FLACS, the procedure is performed as follows: the treatment plan is loaded into the laser computer, preparatory dilating and anesthetic drops are administered, the eye is docked, the laser first cuts the incisions (both entrance incisions and astigmatism limbal relaxing incisions), the capsulorrhexis and lens-softening cuts are then performed. Docking is released, then the patient is brought to the operating room so the cataract can be removed and the lens implant placed in the usual manner. LCS takes a little longer because, although some steps are performed automatically, the patient usually needs to be transferred from the laser to the operating room, in addition to the steps needed for the laser procedure.

With the FLACS here’s what we know can be done better: incisions are more precise (although most FLACS surgeons perform the incision with traditional blades), the cataract lens capsule opening is perfectly round and centered, and studies have shown that reduced ultrasonic power was used to remove the rest of the cataract. Some studies, however, indicate that the cut edge of the capsule may not be as strong as when it is performed manually. A recent paper indicated that day one corneal swelling is less than conventional surgery (although FLACS causes increased inflammation). Visual results after surgery with the use of the LenSx Laser, or other lasers that perform FLACS seem to be equivalent to advanced traditional cataract surgery or CustomCorrection™.  (FLACS compared to traditional cataract surgery)

The additional cost for the use of this technology is an out-of-pocket expense for the patient since it is not covered by Medicare or Private Insurance Companies.