الفهرس 
List of AbbreviationsOnly 14 pages are availabe for public view
Abstract
A debate continues as to whether the association of SIA between FLACS and
conventional phacoemulsification in cataract surgery, as femtosecond assisted laser
platform can perform clear corneal incision in automated and precise steps of CCIs,
capsulorhexis and lens fragmentation that could lead to avoid low clinical experience,
surgeon mental status and surgical keratome instrumentation quality.
The hypothesis postulates that précised calibrated femtosecond platform creates
perfect corneal incision during cataract surgery that allows control corneal astigmatism and
avoids surgical induced astigmatism. Anterior OCT studies show good incision
architecture and morphology after femtosecond laser–created CCIs compared with manual
CCI with increased chance to be less astigmatic induction.
There is a need for research to assess SIA after FLACS. The present study aimed to
assess SIA as a primary outcome and (UCVA & BCVA) as secondary outcomes after
FLACS compared to CPCS.
The Methodology of the present study was prospective randomized clinical trial,
had conducted mixed (qualitative and quantitative) and formulate a comparison between
FLACS group and CPCS group as regards mean of SIA among patients with significant
cataract and underwent cataract surgery. Randomization of patients with consent was
carried out effectively. All surgeries had done by the same surgeon. Data recorded and
tabulated.
The Statistical analysis of the present study used SPPS V.25 for baseline data
analysis. SIA calculated by Alpins vector analysis using: SIA-Calculator (online program)
and AstigMATIC (free program).
The present study recorded that:
There was no statistically significant difference (P-value > 0.05) between FLACS group and CPCS group as regards mean of SIA after three month postoperatively.
There was no statistically significant difference (P-value > 0.05) between FLACS
group and CPCS group as regards mean of BCVA and UCVA after three month
postoperatively.
There was no statistically significant difference (P-value > 0.05) between FLACS
group and CPCS group as regards mean of corneal thickness at thinnest location after three
month postoperatively.
There was statistically significant difference (P-value ˂ 0.05) between FLACS
group and CPCS group as regards mean of IOP after two weeks postoperatively. IOP after
FLACS is better than after CPCS, with no clinical elevation spike of IOP in both groups.