Focus of the Report: The use of precision pulse capsulotomy (PPC) with the Zepto Capsulotomy System (Mynosys Cellular Devices Inc.) for anterior capsulotomy during cataract surgery in adults.
Technology Description: The Zepto Capsulotomy System is a nonlaser, low-energy discharge system that creates precise capsulotomies. It comprises a disposable handpiece with a capsulotomy tip, a power console, and a fluid isolator.
Controversy: The size and shape of the incision in the anterior capsule is crucial for successful placement of the artificial intraocular lens (IOL). The ideal capsulotomy is round, well-centered, continuous, and overlaps the edge of the IOL. Continuous Curvilinear capsulorhexis, the current standard, is associated with a risk of anterior capsular tears, variability in capsulotomy geometry, and a steep learning curve. It is unknown how the efficacy and safety of PPC with the Zepto Capsulotomy System compares with that of continuous curvilinear capsulorhexis.
Key Questions:
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Is PPC with the Zepto Capsulotomy System effective in treating cataracts?
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How does PPC with the Zepto Capsulotomy System compare with alternative methods of capsulotomy?
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Is PPC with the Zepto Capsulotomy System safe?
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Have definitive patient selection criteria been identified for PPC with the Zepto Capsulotomy System?
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