The advent of all-solid-state femtosecond lasers, coupled with a computercontrolled beam delivery system, enables the new applications of high precision femtosecond laser ablation for ophthalmology. Combining this with a precision imaging technique for anterior segment, such as an OCT system, can make it possible to accurately target tissue in a crystalline lens by a femtosecond laser. Femtosecond laser systems have successfully entered the cataract surgery market as a promising new technological advance, which plays an ever increasing role in cataract surgery, where it automates the three main surgical steps: corneal incision, capsulotomy, and lens fragmentation. In just a few years, femtosecond lasers have become relevant in cataract surgery in clinic as an opportunity to improve the quality of the surgical procedure. In a relatively short period of time, the LenSx femtosecond laser system has been used in more than 200,000 procedures worldwide to date. Clinical experiences so far indicate that this new technology is promising for the field of cataract surgery. FLACS appears safe and efficacious, and may eventually be proven superior to conventional cataract surgery.
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