LEADER 03409nam 2200481 450 001 9910717366503321 005 20221212192709.0 035 $a(CKB)4100000007389901 035 $a(NjHacI)994100000007389901 035 $a(OCoLC)879768983 035 $a(EXLCZ)994100000007389901 100 $a20221028d2013 uy 0 101 0 $aeng 135 $aur||||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aBenefits and harms of femtosecond laser assisted cataract surgery $esystematic review /$fAna R. Quio?n?es [and six others] 210 1$aWashington, DC :$cDepartment of Veterans Affairs (US),$d[2013] 210 4$dİ2013 215 $a1 online resource (iii, 48 pages) $cillustrations 225 1 $aEvidence-based synthesis program 300 $a"Evidence-based synthesis program." 300 $a"December 2013." 320 $aIncludes bibliographical references. 330 3 $aThe preferred method of removing cataracts in the developed world is phacoemulsification. Using this technique, ultrasonic energy softens the dense lens material of the cataract, which is then extracted from the eye with suction and irrigation. Current practice includes creating manual corneal incisions and anterior capsulotomies, followed by phacoemulsification. Recently these three manual procedures have been performed in an automated fashion with the use of the femtosecond laser (FSL). Several FSL systems have been approved by the FDA for use in the U.S. for some or all of these procedural steps in cataract surgery. FSL technology has been widely used in various refractive surgery applications in recent years. Studies have suggested decreased phacoemulsification energy use with FSL cataract surgery and have examined the potential advantages of more precise corneal incisions and capsulotomy formation. Cataract surgery is a frequently performed operation in the VHA, with more than 49,000 performed in 2012. As a result, the VHA National Surgery Office has been tasked with making a recommendation regarding whether femtosecond lasers provide appropriate cost-benefit and risk-benefit ratios to support implementation for cataract surgery in the VA. The purpose of this systematic review is to examine the effectiveness and safety of femtosecond laser assisted cataract surgery (FLACS) relative to conventional cataract surgery. Key questions were developed in conjunction with the stakeholders which address the effectiveness, safety, adverse consequences and economic implications of adopting FLACS into the VA system. 410 0$aEvidence-based synthesis program (Series) 517 3 $aBenefits and harms of femtosecond laser assisted cataract surgery 606 $aCataract$xSurgery 607 $aUnited States$2fast 608 $aTechnical reports.$2lcgft 615 0$aCataract$xSurgery. 676 $a617.742059 700 $aQuin?ones$b Ana R.$01353791 712 02$aUnited States.$bDepartment of Veterans Affairs.$bHealth Services Research and Development Service, 712 02$aOregon Health & Science University.$bEvidence-based Practice Center. 712 02$aEvidence-based Synthesis Program (U.S.) 801 0$bNjHacI 801 1$bNjHacl 906 $aBOOK 912 $a9910717366503321 996 $aBenefits and harms of femtosecond laser assisted cataract surgery$93314965 997 $aUNINA