title: Femtosecond phacoemulsification:  the business and the medicine.
abstract: PURPOSE FOR REVIEW: Phacoemulsification is the preferred method for cataract surgery in the developed world. The number of phacoemulsification procedures performed annually is expected to increase as the population ages. Femtosecond cataract surgery offers several surgical advantages over conventional phacoemulsification and has already attained commercial application in some countries. The purpose of this review is to outline the benefits, risks and commercial issues of femtosecond lasers as applied to cataract surgery.
  
  
  RESULTS
  Cataract surgeons are adopting femtosecond technology to perform laser capsulotomy, lens fragmentation, clear cornea incisions and limbal relaxing incisions. Femtosecond lasers clearly perform these surgical steps with greater precision and reproducibility. Further benefits such as improved postoperative refractive results and reduced complication rates are being investigated. Commercial issues have invariably arisen such as cost of installation and operation, value proposition and return on investment.
  
  
  CONCLUSIONS
  Femtosecond cataract surgery is an evolving procedure that can potentially lead to better and safer surgical outcomes. This review presents the currently available scientific evidence and discusses some of the relevant financial issues concerning this technology.
authors.affiliation: Asian Eye Institute, Makati, Philippines. harveyuy@yahoo.com
authors.forename: Harvey S
authors.initials: HS
authors.lastname: Uy
authors.forename: Keith
authors.initials: K
authors.lastname: Edwards
authors.forename: Nick
authors.initials: N
authors.lastname: Curtis
mesh_terms: D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D018918:Phacoemulsification / Q000379:methods*; D018570:Risk Assessment