title: FUCHS ENDOTHELIAL CORNEAL DYSTROPHY: IS FEMTOSECOND LASER-ASSISTED CATARACT SURGERY THE RIGHT APPROACH?
abstract: BACKGROUND
  Femtosecond Laser-assisted cataract surgery represents a modern technology that hopes to lower the risk of complications for patients suffering from Fuchs endothelial dystrophy by using a reduced level of energy that causes less damage to the endothelium, the main concern for patients with Fuchs endothelial dystrophy. The femtosecond laser performs 3 important steps in cataract surgery: corneal incisions, capsulorhexis and nucleus fragmentation without intraocular instrument manipulation.
  
  
  OBJECTIVE
  The purpose of this study is to determine the efficiency of Femtosecond Laser-assisted cataract surgery in Fuchs endothelial dystrophy.
  
  
  METHODS
  5 patients with 6 eyes underwent cataract surgery assisted by Femtosecond Laser LensX at Laser Optisan Clinic. Corneal changes before and after surgery and cumulative dissipated energy (CDE) were analyzed.
  
  
  RESULTS
  Before surgery, our patients presented BCVA between 0.16-0.4, Pachymetry between 450-590 Lm, endothelial cells between 789-2008 mm2. The medium cumulative dissipated energy (CDE) used was 4.58 seconds. After surgery, BCVA improved in all patients and none of them developed corneal decompensation so far.
  
  
  CONCLUSIONS
  Femtosecond Laser-assisted cataract surgery represents a safe alternative in patients with Fuchs endothelial dystrophy and has a low risk of corneal decompensation.
authors.forename: Monica
authors.initials: M
authors.lastname: Gavriş
authors.forename: Ioan
authors.initials: I
authors.lastname: Horge
authors.forename: Elena
authors.initials: E
authors.lastname: Avram
authors.forename: Roxana
authors.initials: R
authors.lastname: Belicioiu
authors.forename: Ioana Alexandra
authors.initials: IA
authors.lastname: Olteanu
authors.forename: Hanga
authors.initials: H
authors.lastname: Kedves
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000379:methods; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000150:complications* / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome