PRECISE PULSE CAPSULOTOMY TO REDUCE THE RISK OF COMPLICATIONS IN ADVANCED CATARACT

To evaluate the safety and efficacy of  Zepto capsulotomy device(Mynosys Cellular Devices) in advanced cataract.

Augenklinik Cham Germany

From January 2021- January 2022, 26 eyes of 26 patients  with advanced cataract were included. The inclusion criteria were advanced posterior polar cataract,mature,white cataract and hard nuclei.

 6 eyes with advanced cataract had  narrow pupil.

 Excluded were pseudoexfoliation,insufficiens of zonula fibers and  lens dislocation.

Precision Pulse Capsulotomy created in all cases a circular anterior capsulotomy of a precise diameter. In one case anterior capsula tear occurred, even so the intracapsular stable implantation of IOL was possible.

BSS float the Zepto tip off the capsule. enter the subcapsular space in a 360 degree fluid wave that begins at the capsulotomy edge and separates LECs from the anterior capsule.

This facilitate the phacoemulsification and I/A of epinucleus and cortex and accelerates the whole procedure.

In no case posterior capsular rupture occurred.

 

The achieved position of IOL in capsular bag was stable

Precision pulse capsulotomy is a safe effective procedure for the advanced cataract,   This procedure reduces the risk of capsula ruptur and facilizes removal of the cortex and epinucleus . 

It is as well convenient for cases with small pupil