**5.5 Advantages and disadvantages of FLACS**

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 by evidence of visual and clinical superiority of FLACS.
