New Trends in Cataract Surgery: Techniques and Outcomes

Tamilina Eleonora¹, Petrov Alexander2, Smirnova Elena2, Ivanov Victor2, Orlova Natalia2, Mikhailov Sergey2, Zhao Yan3

ABSTRACT:

Cataract surgery remains the most frequently performed ophthalmic procedure worldwide, with continuous innovation reshaping its clinical landscape. Recent decades have seen a significant transformation in both surgical techniques and intraocular lens (IOL) technologies, resulting in safer procedures, improved visual outcomes, and higher patient satisfaction. Among the most impactful developments is femtosecond laser-assisted cataract surgery (FLACS), which enhances surgical precision through laser-controlled capsulotomy, lens fragmentation, and corneal incisions. This technique offers superior reproducibility, reduced phacoemulsification energy, and faster postoperative recovery compared to traditional phacoemulsification.In parallel, intraocular lens technology has evolved from basic monofocal lenses to a spectrum of advanced designs, including multifocal, toric, accommodating, and extended depth-of-focus (EDOF) lenses. These IOLs allow for tailored correction of presbyopia and astigmatism, offering patients greater independence from spectacles and improved quality of life across various visual distances. Moreover, the growing adoption of minimally invasive cataract surgery (MICS), characterized by micro-incision techniques and refined fluidics systems, has further reduced surgical trauma, enhanced wound stability, and minimized postoperative inflammation.

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