Zepto system offers advantages for creating capsulotomies in white cataracts
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Key takeaways:
- Precision pulse capsulotomy resulted in capsulotomies without tags or tears.
- Other advantages included reduced use of trypan blue and less overall procedural time.
Precision pulse capsulotomy using the Zepto IOL positioning system demonstrated advantages over continuous curvilinear capsulorrhexis for creating capsulotomies in white cataracts, according to a study.
Cristos Ifantides, MD, MBA, and colleagues conducted a retrospective analysis of surgical case records to compare the utility of precision pulse capsulotomy (PPC) using the Zepto system (Centricity Vision) with manual capsulorrhexis for capsulotomy in white cataracts.
“Surgical treatment of white cataracts has a high rate of complications, with peer-reviewed literature showing white cataracts to be the biggest risk factor for a dropped nucleus,” Ifantides said in a press release from Centricity Vision. “I rely on Zepto’s precision pulse technology as a safe and highly effective method to create consistent capsulotomies in patients with both intumescent and non-intumescent white cataracts. Zepto can turn these complex cases into routine surgeries and can cut down on surgical time.”
The study compared capsulotomy outcomes, surgical outcomes, procedural time and resource utilization in 15 cases performed using continuous curvilinear capsulorrhexis (CCC) and 20 cases performed using PPC.
Procedures done with PPC resulted in capsulotomies without tags or tears, as well as intracapsular IOL implantation with 360° capsular overlap in every case. One of the cases that underwent CCC resulted in the Argentinian flag sign.
The PPC procedure also had other advantages over CCC, including capsulotomy time, reduced use of trypan blue and less overall procedural time.
“It should be noted that there is a cost associated with the use of PPC technology for cataract surgery. However, the cost of acquisition may be partially balanced by the fact that cataract surgery is a relatively short procedure overall, and a savings of 1 minute 15 seconds per case can cumulatively add up into an opportunity to perform another case,” the study authors said. “In addition, the potential avoidance of capsular complications may be the most important benefit for patients and surgical efficiency.”
Reference:
- Study finds Zepto precision pulse capsulotomy offers significant advantages over manual capsulorhexis in treating white cataracts. https://www.prnewswire.com/news-releases/study-finds-zepto-precision-pulse-capsulotomy-offers-significant-advantages-over-manual-capsulorhexis-in-treating-white-cataracts-301788939.html. Published April 4, 2023. Accessed April 10, 2023.
Ifantides reports receiving research support from and consulting for Centricity Vision.
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