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FLACS and manual cataract surgery yield similar refractive, visual outcomes

This large retrospective analysis compared the postoperative outcomes of eyes treated with femtosecond laser-assisted cataract surgery (FLACS) with those that received manual cataract surgery (MCS). Regardless of procedure, favorable refractive outcomes were most common in eyes with an axial length between 22 and 24.8 mm, a toric intraocular lens, less preoperative cylinder and greater preoperative average keratometry. Similar percentages of each group achieved an uncorrected distance visual acuity of 20/20 or better, 20/25 or better or 20/30 or better. The findings suggest that FLACS offers no significant postoperative visual or refractive advantages over MCS.