Becker M D, Michels S, Lortz S, Kaminski S
Augenklinik Stadtspital Triemli, Birmensdorferstr. 497, 8063, Zürich, Schweiz.
Ophthalmologe. 2019 Mar;116(3):288-290. doi: 10.1007/s00347-018-0807-9.
The manual capsulorhexis created by Neuhann is still the standard procedure for opening the anterior capsule for cataract surgery. A limitation is the inaccuracy in the size and placement of the opening due to manual execution. In addition to the femtosecond laser a possible improvement in the standardization of capsulorhexis is provided by the Zepto procedure (precision pulse capsulotomy, PPC). In this case a 5.25 mm rhexis is created in a standardized fashion with a flexible suction adapter in which a nitinol ring is located. Whether the strength of PPC is comparable or better than that of the manual technique and how it behaves in terms of capsule shrinkage has not yet been finally clarified.
由诺伊汉创造的手法撕囊术仍是白内障手术中打开前囊的标准术式。其局限性在于手动操作导致开口大小和位置不准确。除了飞秒激光外，Zepto手术（精确脉冲截囊术，PPC）为撕囊术的标准化提供了一种可能的改进方法。在这种情况下，使用带有镍钛诺环的柔性抽吸适配器以标准化方式制作一个5.25毫米的撕囊口。PPC的强度是否与手法技术相当或更好，以及它在囊膜收缩方面的表现尚未最终明确。
