Precision pulse capsulotomy in challenging cataract surgery cases
Received 31 May 2019
Accepted for publication 2 July 2019
Published 25 July 2019 Volume 2019:13 Pages 1361—1368
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Justinn Cochran
Peer reviewer comments 3
Editor who approved publication: Dr Scott Fraser
Min Ji Park, Chan Woo Bang, Sang Youp Han
Department of Cornea and Refractive Surgery, Busan Sungmo Eye Hospital, Busan, Republic of Korea
Purpose: To evaluate the use of the precision pulse capsulotomy (PPC) device for challenging cataract surgery cases.
Patients and methods: This single-center retrospective case series study comprised of 43 eyes (from 35 patients) that were challenging cataract surgery cases with poorly dilated pupils, anterior subcapsular opacity, white cataract, brunescent cataract, and corneal opacity. This was conducted at the Busan Sungmo Eye Hospital (Busan, Republic of Korea) to assess the performance of the PPC device through a 2.2-mm clear corneal incision width, followed by the phacoemulsification technique and intracapsular intraocular lens fixation. The main outcome measurement was the anterior capsulotomy performance of the PPC device and the development of intraoperative complications. At postoperative 2 months, visual acuity, endothelial cell count, and refractive error were measured.
Results: No cases of anterior capsule tears or tags occurred. All 43 eyes received circular, 360-degree, free-floating, and appropriately sized anterior capsulotomies. During 2 months of follow up, no postoperative complications occurred in association with the PPC device.
Conclusion: The PPC device facilitated the creation of a precise, round, appropriately sized anterior capsulotomy in challenging cataract surgery cases. Further investigations are required to understand the long-term safety and efficacy of the PPC device.
Keywords: Zepto, capsulorhexis, cataract, cataract extraction, phacoemulsification
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