ESCRS - PP04.18 - Lens Extraction Device For Low Energy Cataract Fragmentation: 4 Years Follow Up

Lens Extraction Device For Low Energy Cataract Fragmentation: 4 Years Follow Up

Published 2023 - 41st Congress of the ESCRS

Reference: PP04.18 | Type: Free paper | DOI: 10.82333/yhdy-m781

Authors: Barbara Kusa* 1 , Matteo Piovella 2

1Piovella Global Center for Ophthalmology,monza,Italy;Piovella Global Center for Opthalmology,monza,Italy, 2Piovella Global Center for Opthalmology,monza,Italy

Purpose

The miLOOP (Carl Zeiss Meditec)is a micro interventional device designed to provide endocapsular lens fragmentation in dense cataract and complicated cases Single use device, finger controlled. Every cataract extraction is based on the needs to divide the nucleus minimum by two

Setting

Piovella GLobal Center for Ophthalmology

Methods

miLOOP was adopted 309 Eyes of 178 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 through the edge of idrodelineation rime. Once the loop is in the proper position the loop is retracted to split the nucleus. The learning curve needs 50 cases experience. Use of proper amount of viscoelastic is mandatory

Results

The nucleus was split in two or more pieces in all patient. It is necessary a learning curve adopting 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 caused zonula damage with no important complication.

Conclusions

miLOOP adoption in medium dense cataract and in complicated cases makes hard nucleus cataract removal more controlled and safe. MiLOOP   adoption cuts of 50% endothelial cells loss in hard voluminous nucleous  the A proper learning curve needed