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Use of miLOOP in cataract surgery

Poster Details

First Author: F.Blasetti ITALY

Co Author(s):    F. Spedale                    

Abstract Details


The aim of the study was to investigate role and safety of the miLOOP device in cataract surgery


This retrospective study analyzed data from patients who underwent cataract surgery in October 2019 at the operative unit of ophthalmology, Hospital of Chiari, Italy


Nineteen eyes of 19 patients were diveded into two groups. In 8 patients (group A) the lens fragmentation was obtained by using miLOOP after the hydrodissection and prior to insert the phaco handpiece. In the other 11 patients (group B) the lens fragmentation was done with a standard phaco-chop technique. All patients had grade 3 to 4 nuclear cataracts. Effective phacoemulsification time (EPT) and central corneal count (ECC) before and 30 days after surgery were recorded.


In both groups full-thickness lens fragmentation was achieved in 100% of cases and prefragmentation with the miLOOP device was performed in less than two and half minutes. No statistically significant difference was detected between the two groups in terms of nuclear density and in terms of ECC before and 30 days after surgery. The EPT was 0.96 ± 0.35 seconds in group A and 3.61 ±1.07 in group B (p≤0.05): so prefragmentation with miLOOP lowered necessary energy delivery during emulsification as well as surgical irrigation fluid volume used. No side effects regarding the use of miLOOP were recorded.


MiLOOP might be considered in cataract surgery in order to reduce the cumulative energy used and to minimize the forces on the lens during phacoemulsification, avoiding any stress on the capsular bag and the zonular complex. Larger studies are necessary to confirm this preliminary finding.

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