title: Femtosecond laser cataract surgery: challenging cases.
abstract: OBJECTIVE
  Emerging data in the peer-reviewed literature indicate that femtosecond laser-assisted cataract surgery (LCS) is a well tolerated and effective alternative to conventional phacoemulsification. Initial reports have largely been based on findings from an optimal patient selection. As confidence with the technology has grown, clinical indications have expanded and the benefit of LCS in high-risk patients with complex cataracts is increasingly being considered.
  
  
  RESULTS
  We discuss challenging cataract surgery cases, citing the currently available literature alongside experience from over 3000 completed LCS cases at our centre.
  
  
  CONCLUSIONS
  Current experience is limited. However, LCS platforms are continuously evolving and improving. The results collected to date would suggest that the precision and safety offered by LCS may improve outcomes in these challenging cases.
authors.affiliation: aUniversity College Dublin, Dublin, Ireland bVision Eye Institute, New South Wales, Australia cRoyal College of Surgeons in Ireland (Ophthalmology), Dublin, Ireland dVision Eye Institute eVision Eye Institute, Mosman fUniversity of Sydney fVision Eye Institute, Hurstville gSave Sight Institute, Sydney Medical School, University of Sydney, New South Wales, Australia.
authors.forename: Aifric I
authors.initials: AI
authors.lastname: Martin
authors.forename: Christopher
authors.initials: C
authors.lastname: Hodge
authors.forename: Michael
authors.initials: M
authors.lastname: Lawless
authors.forename: Tim
authors.initials: T
authors.lastname: Roberts
authors.forename: Paul
authors.initials: P
authors.lastname: Hughes
authors.forename: Gerard
authors.initials: G
authors.lastname: Sutton
mesh_terms: D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods*; D019654:Lens Implantation, Intraocular; D018570:Risk Assessment