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Related Experiment Video

Updated: Sep 29, 2025

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Live surgery outcomes in cataract surgery.

Pasquale Puzo1, Francesco D'Oria1, Aurelio Imburgia2

  • 1Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, 9295University of Bari, Bari, Italy.

European Journal of Ophthalmology
|March 24, 2022
PubMed
Summary

Live surgery (LS) and non-live surgery (NLS) for cataract operations show similar results, highlighting LS benefits for medical education. However, toric intraocular lens (IOL) implantation during LS may increase endothelial cell density loss.

Keywords:
cataract surgeryendothelial cell densityfemtosecond laserlive surgerytoric IOL

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Area of Science:

  • Ophthalmology
  • Surgical Education
  • Medical Technology

Background:

  • Cataract surgery is a common procedure with various techniques.
  • Live surgery (LS) offers educational benefits but requires careful outcome evaluation.
  • Comparing outcomes between live and non-live surgery (NLS) is crucial for patient safety.

Purpose of the Study:

  • To compare the outcomes of cataract surgery performed in live (LS) versus non-live (NLS) settings.
  • To evaluate the impact of different intraocular lens (IOL) types on surgical outcomes.
  • To assess the safety and efficacy of LS in ophthalmic surgery.

Main Methods:

  • Retrospective case series of 108 eyes from 54 patients undergoing cataract surgery.
  • Contralateral eyes were used for comparison, with identical IOLs implanted in both LS and NLS procedures.
  • Analysis included biometric, topographic, aberrometric, and endothelial cell density (ECD) parameters.

Main Results:

  • No significant differences in postoperative outcomes were observed between LS and NLS.
  • Endothelial cell density (ECD) loss was significantly higher in eyes implanted with toric IOLs during LS.
  • Biometric and topographic parameters showed no significant variation between the two surgical settings.

Conclusions:

  • Live surgery (LS) is a safe and effective method for cataract surgery, comparable to non-live surgery (NLS).
  • LS provides valuable opportunities for medical education with a low risk of complications.
  • A specific risk of increased endothelial cell density (ECD) loss exists when implanting toric IOLs during LS.