ESCRS - PO124 - Precision Pulse Capsulotomy To Perform Routinely Capsulorhexis With Automated Method With Easier Control And Superior Outcomes

Precision Pulse Capsulotomy To Perform Routinely Capsulorhexis With Automated Method With Easier Control And Superior Outcomes

Published 2022 - 40th Congress of the ESCRS

Reference: PO124 | Type: Free paper | DOI: 10.82333/ab61-1t45

Authors: Matteo Piovella* 1 , Barbara Kusa 1

1Piovella global Center for ophthalmology,PIOVELLA GLOBAL CENTER FOR OPHTHALMOLOGY,Monza,Italy

Purpose

Radial tears in the manual capsulorhexis increase the rate of surgical complications.Zepto precision pulse capsulotomy (PPC) technology (Centricity Vision - Fremont, California) is compared with manual continuous curvilinear capsulorhexis (CCC) outcomes by the reproducibility, uniformity, circularity, diameter size and complications rate.Also with FLACS capsulotomy.

Setting

Piovella Global Center For Ophthalology, Via Donizetti 24, Monza 20900, Italy

Methods

A novel capsulotomy method and technology called PPC and trade named Zepto was adopted on 526 consecutive eyes with cataract. Incision size 2,4 mm. Suction time 10 seconds. Minimum Anterior chamber depth 2mm. Callisto system adoption to better center the cup.

Results

Preoperatevely the ACD was 2.77 ± 0.43. ECC preop was 2378 ± 443 and 6 months postop 2268,20 ± 241 with a 4.61 % lost cells. We experienced 30 anterior radial tears during the learning curve and later in difficult cases.

Conclusions

The Zepto PPC technology creates a precise circular anterior capsulotomy. This technique allows cataract surgeons to reduce the rate of capsulorhexis and cataract surgery complications. Helpfull for white mature cataract and small pupils that are not possible to manage with femtolaser.