title: Complications of femtosecond laser-assisted cataract surgery.
abstract: OBJECTIVE
  To analyze complications of femtosecond lasers used for cataract surgery.
  
  
  METHODS
  Department of Ophthalmology Semmelweis University, Budapest, Hungary.
  
  
  METHODS
  Retrospective analysis.
  
  
  METHODS
  Intraoperative complications of the first 100 femtosecond laser-assisted (Alcon-Lensx, Inc.) cataract surgeries were collected. Possible complications of femtosecond capsulotomies and their management were also assessed.
  
  
  RESULTS
  The complications were as follows: suction break (2%), conjunctival redness or hemorrhage (34%), capsule tags and bridges (20%), anterior tear (4%), miosis (32%), and endothelial damage due to cut within the endothelial layer (3%). There were no cases of capsule blockage or posterior capsule tear. During the learning curve, there was no complication that would require vitrectomy. All complications occurred during the first 100 cases.
  
  
  CONCLUSIONS
  Femtosecond laser cataract surgery had a learning curve during the first 100 cases. With cautious surgical technique, the complications can be avoided. The femtosecond laser-assisted method was efficient and safe for cataract surgery.
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA. Electronic address: nagy.zoltan_zsolt@med.semmelweis-univ.hu.
authors.forename: Zoltan Z
authors.initials: ZZ
authors.lastname: Nagy
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Agnes I
authors.initials: AI
authors.lastname: Takacs
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Tamas
authors.initials: T
authors.lastname: Filkorn
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Kinga
authors.initials: K
authors.lastname: Kránitz
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gyenes
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Éva
authors.initials: É
authors.lastname: Juhász
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Gábor L
authors.initials: GL
authors.lastname: Sándor
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Illes
authors.initials: I
authors.lastname: Kovacs
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Tibor
authors.initials: T
authors.lastname: Juhász
authors.affiliation: From the Department of Ophthalmology (Nagy, Takacs, Filkorn, Kránitz, Gyenes, É. Juhász, Sándor, Kovacs), Semmelweis University, Budapest, Hungary; Department of Physics (T. Juhász), University of Irvine, Irvine, California, and Surgivision Texas (Slade), Houston, Texas, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Slade
mesh_terms: D002387:Cataract Extraction / Q000193:education / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D053685:Laser Therapy / Q000379:methods*; D059032:Learning Curve; D019654:Lens Implantation, Intraocular; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology