NEW LENS EXTRACTION DEVICE FOR LOW ENERGY CATARACT FRAGMENTATION
Published 2022 - 26th ESCRS Winter Meeting
Reference: P041 | Type: Abstracts | DOI: 10.82333/cp0g-p987
Authors: Barbara Kusa* 1 , Matteo Piovella 1
1Piovella Global Center For Ophthalmology,Piovella Global Center For Ophthalmology,MONZA,Italy
Purpose
The new miLOOP (Carl Zeiss Meditec)is a micro interventional device designed to delivery low energy endocapsular lens fragmentation manly in dense cataract and complicated cases Single use device, finger controlled, no phaco energy no cavitation reduced I/A. Every cataract extraction is based on the needs to divide the nucleus
Setting
Piovella Global Center for Ophthalmology, Monza, Italy
Methods
miLOOP was adopted 188 Eyes of 116 patients with medium/hard cataract to split the nucleus in two part or more.The metal loop was inserted in the capsular bag and open throught the edge of idrodelineation rime. Once the loop is in the proper vertical position the loop is retracted ti split the nucleus
Results
The nucleus was split in two or more pieces in all patirents. It is necessary a learning curve adotping the device in simple cases to be confident in the proper use to avoid device related complications In one case the loop did not match the capsular bag and coused mild zonula damage with no significant weak event. In one eye we experienced opening of the posterior capsule due to a lock of experience in adopting the device that was opened and retracted more then one single time
Conclusion
miLOOP adoption in medium dense cataract and in complicated cases riduces phaco energy by 50%, reduces I/A fluid use by 30 % and makes hard nucleus cataract removal more controlled and efficient. A proper learning curve needed.