**5.4 Cost and resource use**

Costs related to FLACS have been much higher than with the conventional procedure so far. It can represent a barrier to wider acceptance by surgeons and clinical centers. This may be difficulty to adopt as more functional benefits have not been yet clearly established with this new technology. An extra-cost of approximately USD 500 to USD 600 per operated eye is associated with FLACS (approximately USD 400,000 for the device, plus USD 150 to 300 for disposables per procedure). However, these elements may vary dramatically among

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 reduce costs [41].
