Comparative analysis of ultrasound and femtolaser-assisted phacoemulsification in patients with primary endothelial Fuchs corneal dystrophy

Abstract

Purpose. To highlight the comparative results of surgical treatment of patients with primary Fuchs’ endothelial corneal dystrophy (FECD) using the methods of classical ultrasonic phacoemulsification and femtolaser-assisted phacoemulsification of cataract. Material and methods. To perform the review, literature sources were searched through the PubMed and Scopus abstract databases for the period up to 2021 inclusively using the keywords «endothelial Fuchs corneal dystrophy», «femtolaser-assisted phacoemulsification», «classical ultrasonic phacoemulsification». In total, 23 articles related to the topic of the review were selected. Results. According to a number of researchers, there are significant advantages of femtosecond laser-assisted cataract surgery (FLACS) in patients with FECD. However, the analysis of the published results does not allow us to unequivocally state that femtolaser support of cataract surgery in patients with FECD provides the best result. Obviously, the variability of the results obtained is associated with many factors. Conclusion. The performed analysis of the literature allows us to assert that the data of studies published to date are contradictory. in this connection, we can conclude that this issue requires further research.

Keywords

• fuchs’ endothelial corneal dystrophy
• femtolaser-assisted phacoemulsification of cataract
• classical ultrasonic phacoemulsification