65
EW FEATURE
September 2018 • Products that could change how you practice
fits more easily into the flow of sur-
gery, can be used with small pupils,
is more affordable, and does not put
any extra energy into the eye.
"Instead of using capsulorhexis
forceps, they hand me the Zepto de-
vice, I insert it, do the capsulotomy,
then move on, and it doesn't add
any time or inconveniences in terms
of the efficiency of our OR flow," Dr.
Swan said.
Zepto is intended to be more
of a mass-market device than the
femtosecond laser, according to Dr.
Sretavan.
"We wanted to make sure that
not only the highly skilled surgeons
could use it, but the average surgeon
could use it," he said. "There are
great surgeons out there who can do
a manual [capsulorhexis] very well
by hand, and they do it fast, but not
everyone is like that.
"For a lot of surgeons, a Zepto
capsulotomy is quicker, it's more
consistent, they get the size that
they want, and the sizing comes
with the benefits of a 'perfect' cap-
sulotomy that the field has known
about for a long time."
One of the unique features of
the technology is that it's flexible;
there's a low barrier to entry, Dr. Sre-
tavan continued. "You don't have to
commit half a million dollars and a
whole room and hire a new techni-
cian to adopt the technology." EW
Editors' note: Dr. Sretavan and Dr.
Waltz have financial interests with
Mynosys Cellular Devices. Dr. Kretz
has financial interests with Vision
Ophthalmology Group (Frankfurt,
Germany). Dr. Swan has no financial
interests related to his comments.
Contact information
Kretz: f.kretz@augenklinik.de
Sretavan: sretavan@mynosys.com
Swan:
russell.swan@vancethompsonvision.com
Waltz: kwaltz56@gmail.com
Zepto continued from page 63
Once in the eye, the push rod needs to be pulled back and its tip left at position 1 to allow
the suction cup and capsulotomy ring to regain their circular shape. With the tip at position 1,
the push rod can provide mechanical stiffness to Zepto's silicone neck (arrow) and assist the
surgeon in positioning the capsulotomy tip at the desired location.
Source (all): Russell Swan, MD
When the Zepto tip is outside of the eye, the push rod is extended to elongate the collapsible
tip so that it can fit through corneal incisions 2.2 mm and greater.
