Precise capsulotomies are important to the success of cataract surgery, even more so when implanting specialty lenses.1,2 The latest evolution of ZEPTO® offers unparalleled precision while increasing efficiencies in your OR.
Compared to a CCC, which approximates or does not specify the point of fixation, the ZEPTO® capsulotomy is centered along the visual axis intracamerally using Purkinje images.
Patient fixation is used to determine the true visual axis.
1. Select and use one eyepiece with co-axial light.
2. With the ZEPTO® tip recircularized in the anterior chamber, instruct the patient to fixate on the surgical microscope light coaxial to the selected eyepiece.
3. Identify P1 (and P4) Purkinje images. Position the clear center of the ZEPTO® handpiece on P1.
Well-formed capsulotomies with a 360° IOL overlap may encourage a stable IOL position and minimize6:
In a 2018 national cataract survey, patients said their primary concerns were:
• Billable amount is based on physician-determined time, effort, and skill associated with performing the procedure
• The ZEPTO® procedure can be included as professional service fee in premium IOL or refractive astigmatism-correcting packages
“The changing landscape in cataract surgery has increased the demand for precision. When it comes to the key step of creating the anterior capsulotomy, what once was good enough is no longer good enough.”
Vance Thompson, MD
Sioux Falls, SD
“The beauty of this device is the creation of consistent and strong capsulotomies that achieve an excellent overlap of the IOL. This promotes effective lens positioning and precision of refractive results.”
Iqbal Ike K. Ahmed, MD
Toronto, Ontario, Canada
“Refractive outcome shouldn’t take a back seat in combined cataract/glaucoma cases–a perfectly round, centered, strong capsulorhexis goes a long way toward that goal. Thanks Zepto!”
Matthew Brink, MD
REFERENCES: 1. Chang DF, Mamalis N, Werner L. Precision pulse capsulotomy: preclinical safety and performance of a new capsulotomy technology. Ophthal. 2016;123(2):255-264. 2. Thompson V. Streamlined method for anchoring cataract surgery and intraocular lens centration on the patient’s visual axis. J Cataract Refract Surg. 2018;44(5):528-533. 3. Singh I. For IOL placement, location is key. Ophthalmology Times. 2020;45(11):1,19. 4. Ifantides C, Lee J, Rouweyha R, Vital M, Sretavan D. et al. Precision pulse capsulotomy: performance metrics and utility In routine and complex cases. J Cataract Refract Surg. 2020;46(11):1522-1529. 5. Gundersen K, Potvin R. Clinical results after precision pulse capsulotomy. Clin Ophthalmol. 2020 Dec;14:4533- 4540. 6. Olali C, Ahmed S, Gupta M. Surgical outcome following breach rhexis. Eur J Ophthalmol. 2007;17:565-570.