Robotic Cataract Surgery

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Robotic Cataract Surgery (FLACS)

Dr. A. N. Savalia is a pioneer in robotic cataract surgery—also known as FLACS (Femtosecond Laser–Assisted Cataract Surgery)—performed in a single sitting in Gujarat. He is also the first surgeon in India to implant the robotic lens FEMTIS Comfort (FEMTO IOL) and the first in Gujarat to perform implantation of the GALAXY IOL using FLACS technology.

Robotic cataract surgery, also known as femtosecond laser-assisted cataract surgery (FLACS), is a modern approach that uses a computer-guided laser for precision in critical steps of the procedure. Instead of manual incisions, the laser makes precise cuts, creates a circular opening in the lens capsule, and softens the cataract, which is then removed and replaced with an intraocular lens (IOL). This bladeless, high-tech method aims to improve accuracy, consistency, and patient comfort compared to traditional methods

ROBOTIC CATARACT SURGERY BY FEMTO Z8 LDV :

Robotic cataract surgery also known as FLACS (femto-assisted laser cataract surgery) using the FEMTO Z8 system is a bladeless, laser-assisted procedure that uses a femtosecond laser to create precise, patient-specific incisions and to fragment the cataract. The laser automates key steps, leading to more consistent and accurate results compared to manual methods, with benefits like improved vision and potentially faster recovery. The FEMTO Z8 is a specific type of femtosecond laser that can perform these tasks with high precision, often incorporating an OCT scanner for planning and execution.

Z-Cataract – Modern Laser Cataract Surgery

How the FEMTO Z8 is used in robotic cataract surgery

Laser-assisted: The surgery is often called laser-assisted cataract surgery (LACS) or femto-assisted cataract surgery (FLACS) because a femtosecond laser, like the Z8, performs precise tasks that were traditionally manual.
Precise incisions: The laser makes extremely precise, custom incisions in the cornea, which helps with healing and can address astigmatism.
Capsulotomy: The Z8 can create a perfectly circular opening in the lens capsule with pinpoint accuracy, which is crucial for proper removal of the cloudy lens and placement of the new one.
Lens fragmentation: The laser gently breaks up the hardened cataract into smaller pieces, making it easier for the surgeon to remove the lens.
Automated steps: The system automates steps like incision making and fragmentation, reducing the variability and chance of human error.
Customized treatment: The Z8 scans the eye to create a 3D map, allowing the surgeon to create a customized treatment plan.
Improved outcomes: The accuracy of the procedure can lead to better placement of the artificial lens (IOL) and improved refractive outcomes.

AT A GLANCE

No intra-operative patient transfer needed (can be done in single sitting)
Automated edge detection and cut placements
Capsulotomies with exceptionally smooth edges
Very efficient lens fragmentation
Optimized phaco time and reduced energy
CE marked for Pediatric Cataract surgery
FEMTO Low Energy Concept

Key advantages

Precision: The laser offers unparalleled precision and consistency in the steps it automates.
Bladeless: It is a bladeless procedure that uses a laser instead of a steel blade for certain incisions.
Personalized: The technology allows for a highly customized surgery based on a 3D map of the patient’s eye.
Potential for faster recovery: While individual results vary, the increased precision can lead to faster recovery times.

It is important to have an in-depth discussion with your surgeon about your eye health, vision goals, lens selection, benefits versus risks and cost when choosing between FLACS and conventional cataract surgery.

How Does It Compare to Traditional Surgery?

Both methods are safe and effective. Laser assistance provides precision and planning tools; manual phaco remains a reliable and widely available choice. The “better” option depends on your eye, lens choice, surgeon’s advice, and budget.

Feature	Robotic/FLACS (Laser-Assisted) Cataract Surgery	Traditional Phaco Cataract Surgery
Technology	Femtosecond laser plans and performs key steps; phaco removes lens pieces.	Manual blades for cuts; phaco removes lens pieces.
Incisions	Laser-created, very consistent; usually self-sealing.	Surgeon-created with a blade; also self-sealing in most cases.
Capsulotomy (lens opening)	Highly uniform size/shape and centration.	Surgeon-dependent; excellent in skilled hands.
Ultrasound use	Less ultrasound needed after laser pre-softening.	Standard ultrasound; need more energy in dense lenses.
Precision/Repeatability	High (computer-guided planning and execution).	High, but varies depending on the surgeon’s technique.
Astigmatism handling	Helpful for toric IOL alignment; some use laser arcuate cuts.	Toric IOLs widely used; arcuate cuts can be done manually.
Recovery/comfort	Quicker comfort and smooth early recovery.	Quick for most; sometimes a touch slower than laser-assisted.
Vision outcomes	Similar final vision to excellent manual surgery in most routine cases.	Similar final vision to laser-assisted in most routine cases.
Who it suits	Those choosing premium/toric IOLs, dense cataracts, or seeking maximum standardization.	Most patients; very widely applicable and available.
Availability	At select centres; depends on the laser platform.	Widely available almost everywhere.
Cost	Laser fee + Base package	Usually lower (base package).

FLACS AT SAVALIA EYE HOSPITAL AND LASER CENTRE

Our highly skilled ophthalmologists are experts in the latest techniques, including FLACS (Femtosecond Laser-Assisted Cataract Surgery), to ensure the best possible outcomes for your eye health. Schedule your consultation today and begin your journey to clearer, more vibrant vision with our advanced cataract surgery options.

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