**Conflict of interest**

The authors have no financial interests.

*Femto Laser-Assisted Cataract Surgery DOI: http://dx.doi.org/10.5772/intechopen.88821*

*Eyesight and Imaging - Advances and New Perspectives*

**5.5 Advantages and disadvantages of FLACS**

by evidence of visual and clinical superiority of FLACS.

**6. Conclusion: what is the future for FLACS?**

The authors have no financial interests.

reduce costs [41].

standard one day.

**Conflict of interest**

different countries. If FLACS becomes more common in cataract surgery, these costs should decrease. Moreover, sharing a femtolaser platform between several surgeons and/or for several refractive procedures are also a current option to

Advantages of FLACS over manual phacoemulsification are its precision and predictability regarding the capsulotomy size and centration, corneal wound construction, and nucleus fragmentation [42]. It may be helpful in difficult situations such as pediatric cataracts white or subluxated cataracts. Even if the total energy delivered in the anterior chamber appears lower than during manual phacoemulsification, there is no strong evidence of difference in term of endothelial cell loss between the procedures. The FLACS procedure requires more operating room space as well as increase in operating time. The treatment can also lead to miosis. Altogether, there is no evidence of superior post-operative visual acuity with FLACS, whereas the costs associated with FLACS platforms are currently higher than with manual surgery. Future research on outcomes will help clarify if the increased costs can be supported

The femtosecond laser cataract can be considered a young technology still in significant progress, compared with phacoemulsification, a very mature procedure, which has evolved for decades and has reached a very high level. Each year, companies offer new software evolving to a more user-friendly interface and more efficient versions. Progress is expected in the miniaturization of lasers, making them more moveable. New lenses may be specially designed, based on its perfect laser rhexis and would open a new refractive era, giving significant advantages to the laser procedure. The cost effectiveness is still questioned; many countries cannot afford or consider adopting this technology yet. If adequate improvements are achieved in the "FLACS of the future," this technique may become the gold

**32**
