Evidence map›Paper›PMID 40662090›Full record

ArticleBMJ surgery, interventions, & health technologies2025

Randomized controlled bilateral comparison of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification.

Marina Casazza, Sophia A Reifeltshammer, Nino Hirnschall, Siegfried Mariacher, Peter Laubichler, René Siska, Jascha Wendelstein, Matthias Bolz

Registry-linked trialAbstract read
In one paragraph

Article in BMJ surgery, interventions, & health technologies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06069752 (Positional Stability and Refractive Behaviour After In-the-bag Implantation of an Aspheric Hydrophobic IOL After Conventional Phacoemulsification and Femtosecond Laser-Assisted Cataract Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06069752 completednot on this map

Positional Stability and Refractive Behaviour After In-the-bag Implantation of an Aspheric Hydrophobic IOL After Conventional Phacoemulsification and Femtosecond Laser-Assisted Cataract Surgery

TypeobservationalSponsorJohannes Kepler University of LinzRan2022 to 2024Enrolled50ConditionsOphthalmological Disorder
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marina CasazzaDepartment of Ophthalmology and Optometry, Medizinische Universität Graz, Graz, Austria.ORCID https://orcid.org/0009-0008-7826-8097
Sophia A ReifeltshammerDepartment of Ophthalmology and Optometry, Johannes Kepler University Linz, Linz, Austria.ORCID https://orcid.org/0000-0002-3919-0249
Nino HirnschallDepartment of Ophthalmology and Optometry, Johannes Kepler University Linz, Linz, Austria.ORCID https://orcid.org/0000-0001-9596-4563
Siegfried MariacherPrivate Practice, Landeck and Innsbruck, Austria.
Peter LaubichlerDepartment of Ophthalmology and Optometry, Johannes Kepler University Linz, Linz, Austria.
René SiskaDepartment of Ophthalmology and Optometry, Johannes Kepler University Linz, Linz, Austria.
Jascha WendelsteinDepartment of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.ORCID https://orcid.org/0000-0003-4145-2559
Matthias BolzDepartment of Ophthalmology and Optometry, Johannes Kepler University Linz, Linz, Austria.ORCID https://orcid.org/0000-0001-8691-5276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate the influence of femtosecond laser-assisted cataract surgery (FLACS) on the post-operative capsular bag and visual performance using a novel aspheric hydrophobic intraocular lens (IOL). Design: Randomized controlled bilateral study. Setting: Department of Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria. Participants: Patients scheduled for bilateral cataract surgery. Interventions: Patients were scheduled either for conventional cataract surgery or femtolaser-assisted cataract surgery. Main outcome measures: Anterior chamber depth, IOL tilt, IOL decentration, best-corrected distance visual acuity, uncorrected distance visual acuity. Results: In total, 100 eyes of 50 patients were included in this study. After 6 months, there was no relevant difference between the FLACS and the conventional cataract group regarding anterior chamber depth (4.56±1.68 mm and 4.60±0.26 mm; p=0.903), tilt (4.87°±2.17° and 4.37°±1.62°; p=0.124) or decentration (0.28±0.14 mm and 0.33±0.20 mm; p=0.414), respectively. The postoperative mean spherical equivalent showed a slight hyperopic shift with no relevant difference between both groups (+0.17±0.49 D and +0.19±0.50 D; p=0.996) with a target refraction of emmetropia or myopia (-2.5 D). Conclusions: FLACS was not superior to manual cataract surgery regarding capsular bag or visual performance, and the investigated IOL was safe and stable. Trial registration number: NCT06069752.

Indexed as

Lens Implantation, IntraocularOphthalmic Devices

Identifiers

PMID40662090
PMCPMC12258334

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.