Precision Pulse Capsulotomy To Perform Capsulorhexis With Automated Method With Easier Control And Superior Outcomes 5 Years Follow Up

: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

Piovella Global Center For Ophthalmology

A novel mechanical capsulotomy method and technology called PPC and trade named Zepto was adopted on 576 consecutive eyes with cataract. Incision size 2,4 mm. Suction time 15 seconds. Minimum Anterior chamber depth 2mm.Callisto system adoption to better center the cup.The tube system is now connected with standard phaco machine to better control suction and suction release. The cup and the console are totally renovating

Preoperatevely the ACD was 2.46 ± 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 (5.7%) during the learning curve and later in difficult cases.

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