AIM: To probe into the clinical values of femtosecond laser-assisted phacoemulsification combined with multifocal intraocular lens implantation in the treatment of cataract.

METHODS: Totally 94 cases(94 eyes)of patients with cataract and who treated from July 2015 to July 2018 were divided into observation group(47 eyes)and control group(47 eyes)by random number table method. The observation group wes received femtosecond laser-assisted phacoemulsification combined with multifocal intraocular lens implantation, while the control group were received traditional phacoemulsification combined with multifocal intraocular lens implantation Then, the operation related indexes, corneal endothelial cell density, visual acuity and complications of two groups were observed.

RESULTS:The time of phacoemulsification in the observation group was shorter than that in the control group, and the ultrasound energy, cumulative energy of intraoperative phacoemulsification and anterior chamber flash value after operation for 7d were lower than those in the control group(P<0.05). There was no significant difference in corneal endothelial cell density between the two groups before operation(P>0.05). The corneal endothelial cell density after operation for 3mo in the observation group was significantly higher than that in the control group(P<0.05). There was no significant difference in the best corrected visual acuity(BCVA)and uncorrected visual acuity(UCVA)between the two groups(P>0.05). The BCVA and UCVA after operation for 3mo in the observation group were better than those in the control group(P<0.05).There was no significant difference in complications between the two groups(P>0.05).

CONCLUSION: The effects of femtosecond laser-assisted phacoemulsification combined with multifocal intraocular lens implantation in treatment of cataract are significant, which can reduce the cumulative release of ultrasound energy, reduce corneal endothelial damage, and promote visual recovery of patients, thus it is safe and it is worthy to be promoted.