FLACS and Fuchs' Dystrophy | ASCRS
Poster
FLACS and Fuchs' Dystrophy
May 2019
Meeting: 2019 Annual Meeting
Authors: Germán Bianchi, MD; Josefina Botta, MD; Adriana Tytiun
Poster ID: 55670
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Poster Abstract

Purpose
To evaluate corneal safety in patients with Fuchs' dystrophy after Femtosecond laser-assisted cataract surgery (FLACS)
Methods
A retrospective cohort study was performed to review clinical charts from patients with Fuchs' dystrophy operated by FLACS, between March 2016-March 2018. Mean endothelial cell density (CD) and central corneal thickness (CCT) were evaluated before and six months after surgery. Intra-postoperative complications were also evaluated.
Results
A total of 30 eyes were evaluated. Preoperative CD: 2183.9 cell/mm2 (SD: 490.44; ±833-3002); six months after: 1871.9 cell/mm2 (SD: 548.1; ±606-2901). Decrease was 14.2%; “t” test p: 0.02 (p< 0.05; statistical significant difference). Preoperative CCT: 531.6 µm (SD: 49.2; ±434-627) and six months after: 534.6 µm (SD: 60.9; ±440-715); “t” test p: 0.83 (p>0.05: non-statistical significant difference). Postoperative mean CCT increase was 0.5% (3 µm).
Conclusion
FLACS performed in Fuchs' dystrophy patients seems to be a good surgical choice, regarding their corneal safety.

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