Precision pulse capsulotomy: Initial clinical experience in simple and challenging cataract surgery cases

Area of Science:

• Ophthalmology
• Surgical Technology
• Cataract Surgery

Background:

• Cataract surgery requires precise anterior capsulotomy for safe intraocular lens implantation.
• Challenging cases, such as those with corneal opacities or small pupils, can complicate capsulotomy creation.

Purpose of the Study:

• To evaluate the efficacy and safety of precision pulse capsulotomy (PPC) in both simple and complex cataract surgery scenarios.

Main Methods:

• A prospective case series involving 38 eyes undergoing cataract surgery with PPC via a 2.2 mm corneal incision.
• Assessment of capsulotomy quality, surgical complications, and postoperative visual acuity.

Main Results:

• All 38 cases achieved complete, round 360-degree capsulotomies (average 5.5 mm diameter).
• No PPC-related complications were observed.
• PPC demonstrated utility in challenging cases, including those with corneal opacities and poorly dilated pupils, and facilitated safe pressure release in intumescent cataracts.

Conclusions:

• Precision pulse capsulotomy is a safe, effective, and easily integrated technique for cataract surgery.
• Its consistency, roundness, sizing, and edge quality significantly aid in managing difficult cases.
• The ease of use and efficiency of PPC suggest broad applicability in various surgical settings.