Cataract surgery and lens implantation

Curr Opin Ophthalmol. 2019 Jan;30(1):39-43. doi: 10.1097/ICU.0000000000000547.


Purpose of review: This review aims to introduce recent updates in cataract surgery and lens implantation.

Recent findings: Compared to phacoemulsification, femtosecond laser-assisted cataract surgery (FLACS) may offer benefit for cataract patients with other complicated ocular diseases, such as corneal disease and vitreous abnormalities. Meanwhile, several types of novel intraocular lenses (IOLs) have been introduced to the market, and each of them has particular features in improving patients' visual acuity. In addition, based on a series of studies, multifocal IOL is superior to monofocal IOL when it comes to providing a better visual correction at different distances. Furthermore, a research group has introduced a new approach for cataract surgery - all laser surgery (FLACS band with nanolaser emulsification), which can effectively reduce iatrogenic trauma to the cornea. Also, a novel technique designed for children can lessen damage from cataract surgery.

Summary: Based on previous studies, we summarize the new proceedings in FLACS and the indications for applying multifocal or toric IOL. In addition, we briefly introduce a new approach to cataract surgery - all laser surgery (FLACS band with nanolaser emulsification), and a less invasive surgical procedure used in pediatric cataract patients.

Publication types

  • Review

MeSH terms

  • Humans
  • Laser Therapy / methods*
  • Lens Implantation, Intraocular*
  • Lens, Crystalline / surgery
  • Lenses, Intraocular
  • Multifocal Intraocular Lenses
  • Phacoemulsification / methods*
  • Visual Acuity