*5.3.4 Elevated intraocular pressure*

The FLACS procedure induces a transient increase of intra-ocular pressure (IOP), during the suction phase, higher with flat and curved applanating contact interfaces compared with the fluid-filled interface. In the 2 years follow-up, no significant elevated IOP was observed after FLACS [39].

In summary, the rate of intra-operative and post-operative complications remains low, less than 2% and not statistically different between FLACS and manual phacoemulsification [40]. Although anterior and posterior capsule tears could have been a concern, the safety of FLACS and phacoemulsification cataract surgery seems equal, considering all complications.
