ESCRS - PO513 - Precision Pulse Capsulotomy To Perform Capsulorhexis With Automated Method With Easier Control And Superior Outcomes 6 Years Follow Up

Precision Pulse Capsulotomy To Perform Capsulorhexis With Automated Method With Easier Control And Superior Outcomes 6 Years Follow Up

Published 2024 - 42nd Congress of the ESCRS

Reference: PO513 | Type: Free paper | DOI: 10.82333/qk4k-9a18

Authors: Barbara Kusa* 1 , Matteo Piovella 1

1Global Center for Ophthalmology,Monza,Italy

Purpose

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

Setting

Global Center for Ophthalmology, Monza, 20900, Monza e Brianza, Italy

Methods

A novel mechanical capsulotomy method and technology called PPC and trade named Zepto was adopted on 526 consecutive eyes with cataract. Incision size 2,4 mm. Suction time 10 seconds. Minimum Anterior chamber depth 2mm.Callisto system adoption to better center the cup

 

Results

Preoperatevely the ACD was 2.77 ± 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

Conclusions

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