AIM: To analyze the effects of femtosecond laser assisted cataract surgery(FLACS)in the treatment of cataract and its effect on prognosis.

METHODS: Forty-two cases(42 eyes)of patients with cataract who were treated in the Department of Ophthalmology in our hospital between January 2012 and December 2014 were selected as the study objects. According to the order of treatment, they were divided into control group and observation group, 21 cases in each. The control group was treated with traditional phacoemulsification cataract surgery(PCS). On the basis, the observation group was treated with femtosecond laser. The effective phacoemulsification time(EPT), cumulative dissipated energy(CDE), fluid flow and monitored pressure of the two groups were recorded. The rate of corneal endothelial loss and the situation of Tyndall phenomenon were statistically analyzed. The two groups were followed up for 1a. The long-term visual acuity recovery was observed. The best corrected visual acuity(BCVA)was recorded, and the long-term complications were statistically analyzed.

RESULTS: 1)The total response rate in observation group was 95% while in control group was 90%(P>0.05); 2)the surgery time of the observation group was longer than that of the control group(P<0.05)but EPT was shorter than that of the control group. CDM and liquid flow were less than those of the control group(P<0.05); 3)at 1d after surgery, there was no significant difference in intraocular pressure between the two groups(P>0.05); the rates of Tyndall phenomenon and corneal endothelial loss in the observation group were lower than those in the control group(P<0.05); 4)BCVA of the two groups at different time after surgery were significantly higher than that before surgery(P<0.05). However, at 1d, 3mo, 6mo and 1a after surgery, BCVA of the observation group was better than that of the control group(P<0.05); 5)the incidence of complications in the observation group after surgery(14%)was lower than that in the control group(43%)(P<0.05).

CONCLUSION: The surgical effects of FLACS in the treatment of cataract are good. After surgery, the visual acuity of patients is improved significantly and the incidence of postoperative complications is low. However, the surgery time is long and cost is high, so it is difficult to popularize.