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