Motivation key to success in transition to femtosecond laser-assisted cataract surgery

BUSAN, Korea — In a presentation on lessons learned in incorporating a femtosecond laser cataract surgery platform into an ophthalmology practice, one speaker here said the key to success was the motivation and commitment of the practice to make the change.

“For those who are successful with this, the determining factor is the engagement of the surgeon,” Michael A. Lawless, MD, said at APAO/SOE 2012. “If you want to do it, get into it and do it. If you are thinking of doing it just because others are doing it or you are not sure you want to do it, you may as well wait a couple of years for the market to build up.”

Dr. Lawless shared other key lessons and successes his practice has had since the installation of an Alcon LenSx laser in March 2011 as one of four clinical trial centers globally. To date, he has performed 412 cases, and all eight surgeons at the practice have performed a combined 1,447 laser cataract surgeries.

Dr. Lawless stressed that success will come if surgeons are committed to the new procedure.

“It is a different mindset. This is a different operation. It is not some subtle change to what you were doing,” he said. “Surgeons need to come up with their own technique, like any surgery.”

Even with the learning curve of the new procedure, Dr. Lawless said he has gotten excellent safety, accuracy and predictability with the system.

In his 412 cases, he has had no instances of capsular tear or posterior lens dislocation.

“I’m comfortable telling patients doing laser surgery now in my hands is safer than doing a manual procedure,” he said.

“One year on, we feel professionally rewarded and patients are happier,” he concluded.

Disclosure: Dr. Lawless is a member of the medical advisory board of Alcon/LenSx.