Financial Disclosure. LASIK Flap Parameters IntraLase Microkeratome 6/9/2008. Femtosecond LASIK Flaps: What Could We Customize Yesterday?

Size: px
Start display at page:

Download "Financial Disclosure. LASIK Flap Parameters IntraLase Microkeratome 6/9/2008. Femtosecond LASIK Flaps: What Could We Customize Yesterday?"

Transcription

1 Financial Disclosure Arturo Chayet, MD Tijuana, BC Mexico Perry S. Binder, MS, MD San Diego CA USA I have the following financial interests or relationships to disclose: AMO/IntraLase Corporation - C Acufocus - Travel Outcomes Analysis Software, Inc O Allergan, Inc. C UV X Partcipating Consultant Ophthonix, Inc. - C LASIK Flap Parameters IntraLase Microkeratome Hinge Location N, S, T N,S Hinge Width Software, Degrees Keratometry Dependent Flap Diameter Software Controlled Keratometry Dependent Flap Thickness Software Controlled Low SD Pachymetry & Blade Dependent; High SD Flap Shape Planar Meniscus (Schwind, Lasitome Planar) Side Cut Angle Software controlled, Degrees 28 degrees Femtosecond LASIK Flaps: What Could We Customize Yesterday? Flap Diameter Flap Side Cut Angle Degrees Hinge Location Nasal, Superior, Temporal Hinge Angle 30 to 90 Degrees Flap Depth Flap Centration Flap Creation Speed 17 to 25 Seconds/9mm diameter Laser spot and line separation 8 x 8 um Laser spot energy 0.9 to 1.2 uj Why Should We Customize LASIK Flaps? Limiting Corneal Diameters Unusual Orbital Configurations Eliminate/Control Risk of Hinge Ablation w Certain Laser Algorithms Interface Epithelial Ingrowth LASIK Dry Eye Symptoms Nerve Regeneration Flap Slippage/Stability Long Term Side Cut Wound Healing Predict or Eliminate Induced HOA RMS Improve Ease of Flap Lift IntraLase 5 th Generation Laser 2008 High rep rate, 5 th generation femtosecond laser (IntraLase technology). 150 khz Flap customization capabilities, including elliptical shape, unique sidecut architecture shapes Lower energy and faster flap creation - 8 to 12 sec. for 9 mm flap w 8 x 8 um Spot & line 1

2 IntraLase 5 th Generation Laser 2008 Allows Bevel-In Sidecut Angle Innovative new industrial design - hi-res video microscope - touch screen user interface - digital video output High Repetition Rate Faster procedure time Flaps created in less than 10 secs depending on S/L separation Lesser chance of suction break affecting outcomes Increased patient throughput Patient comfort w less suction time Allows use of low energy for less tissue response/inflammation smoother stromal bed surfaces Allows use of tight spot separation for easy lifts IntraLase Generations 4 th Generation 5 th Generation Hinge Location N, S, T N,S, T Hinge Width Software, Degrees Software, Degrees Round vs. Elliptical Flaps Round: Invades peripheral vital lamellar fibers Elliptical: Preserves peripheral vital lamellar fibers Flap Diameter Software Controlled Software Controlled Flap Thickness Software Controlled Low SD Software Controlled Low SD Flap Shape Planar Planar, Elliptical Side Cut Angle Software controlled, Degrees Software controlled, Degrees 9 mm Flap Time Sec. w 8 x 8 S/L Sec. w 8 x 8 S/L Raster Energy uj uj Right Eye: Round Flap with a Superior vs Elliptical with a Temporal Hinge Elliptical Flap Symmetrical distribution of forces to the elliptical cornea Prevents resection of the vital peripheral corneal fibers that contribute greatly to the biomechanical strength of the cornea Moves the hinge peripherally to maximize stromal bed exposure for full delivery of excimer ablation Allows use of wider hinge angle for greater flap stability and preservation of corneal nerves 2

3 Elliptical flap OS Temporal Hinge Kerry Assil, MD Contralateral feasibility study Performed on 20 eyes using calibration adjustment Vertical diameter = 9.0mm Horizontal diameter = 7% larger Temporal hinge 60º hinge angle Round flap Hinge will undergo ablation S T OS Temporal Hinge OS Temporal Hinge Decrease hinge to 45º Avoids hinge ablation But smaller hinge reduces flap stability S T Or one can create an elliptical flap and increase horizontal treatment diameter as well as avoid hinge ablation Larger hinge angle for improved flap stability Less dry eye? S T Flap Induced Change in Manifest Refraction and Aberration: Elliptical vs Circular Conclusion: Statistically significant differences in Defocus Higher Order RMS Wavefront Error Spherical Aberration (SA) (Subset of Higher Order Errors) All differences in aberrations are less than 0.22 µm for both the elliptical and circular flap groups No clinically relevant statistically significant differences in flap stability, visual outcomes, or optical aberrations when the flap shape is slightly elliptical Sidecut Angle J Marshall: bevel in side cut angle provides the best biomechanical strength in penetrating keratoplasty A Chayet. Data on file, AMO, Inc. 3

4 J Marshall & K Meeks Inverted Bevel In Side Cut Angle Provides better wound healing for biomechanical stability of the post LASIK cornea Easier to reposition the flap Prevents flap slippage intraoperatively No gutter or flap edge gap Theoretical benefits Resists Trauma Further Reduced Risk of Epithelial Ingrowth Control Induced HOA RMS Results: Rabbit Study (M. Knorz, MD) 70 degree 5 th Generation FS laser flaps had more than 2x the strength of the MK flaps 140 degree 5 th Generation FS laser flaps had more than 3x the strength of the MK flaps Measurement of Flap Tensile Strength Human Study A. Chayet, MD Patients suitable for myopic LASIK Prospective, Randomized, Contralateral 1 eye 70º, 1 eye 150º sidecut angle Flaps created, relifted 10 weeks later w excimer ablation Graded flap lift ease; side cut angle masked to surgeon FLAP LIFT at 10 WEEKS 70 Degree Bevel 150 Degree Bevel Evaluation of Flap Adhesion: Initial Clinical Experience with ifs laser % of eyes Greater Flap Adhesion Strength at 10 Weeks with Inverted 150 Bevel-In Side Cut 5% 64% 31% N=30 0 Less Resistance More Resistance No Difference P Binder, A Chayet. Presented ASCRS

5 Evaluation of Flap Adhesion: Initial Clinical Experience with ifs laser Discussion: Gutter was noticeably less Flap Creation Possibility of less epithelial in-growth on primary and secondary procedures Supports earlier findings of both Marshall and Knorz May reduce incidence of flap slippage in addition to oval flap and wider hinge width Preserves the contribution of Bowman s Membrane to the strength of the post-lasik cornea P Binder, A Chayet. Presented ASCRS Clinical Studies (A. Chayet, MD) Study to Optimize Parameters : A total of 38 Patients (76 eyes) Included 26 Contra lateral Mate Pairs (26 Round, 26 Oval Flaps) Flap Thickness: 90 (N=43) or 100 (N=33) um Diameter: 8.0 to 9.0 mm Ovality : 7 to 9%; Temporal Hinge 45 or 55 degrees Round Flaps: Superior Hinge, 45 or 55 degrees Side Cut Angle: 70 degrees Raster Energy: 0.38 to 0.79 uj 5x5 S/L N=9; 6x6 S/L N=43 7x7 S/L N= 8; 8x8 N= 6 Time for 9 mm flap was 10 for 8 x8 and for 7 x 7 Optimization Study (All Eyes) OVAL ROUND Att d No. Eyes Mean Range No. Eyes Mean Range Optimization Study (Contralateral Eyes) OVAL ROUND Att d No. Eyes Mean Range No. Eyes Mean Range Attempted vs. Achieved Percentage of Eyes Reported Cumulative Snellen UCVA (20/) *emmetropic targets only* 1Day (n=73) 1 Week (n=73) 1 Month (n=73) Achieved 7 6 y = x R 2 = y = x R 2 = Attempted Round Oval Round Oval 5

6 Comparison of Stromal Bed Quality of the 5 th Generation ifs and the Ziemer LDV 4 th ifs Laser 5 th ifs Laser ZIEMER LDV Laser M Sarayba, D Durrie, MD. Data on file, AMO, Inc. 9 x 30 x 135 x 300 x Note flap edge profiles LASIK SURGERY GOALS PREDICT WAVEFRONT ABERATIONS PREDICT FLAP THICKNESS TO CONTROL DEPTH OF LASER ABLATION AS WELL AS SAFELY CORRECT MOST REFRACTIVE INDICATIONS ELIMINATE FLAP COMPLICATIONS OPERATE ALL ORBITAL CONFIGURATIONS REDUCE OR ELIMINATE INFLUENCE OF PREOP CORNEAL THICKNESS AND CURVATURE ON FLAP DIMENSIONS IMPROVE FLAP STABILITY REDUCE DRY EYE SYMPTOMS CRATE SMOOTH STROMAL SURFACES PREDICTABLE AND EXCELLENT VISUAL AND REFRACTIVE OUTCOMES 5 TH Generation ifs Laser Accomplishes most of these ideal goals better than any currently existing technology while placing all the tools necessary for customizing the flap within the hands of the surgeon - Increased Speed to Permit Tight Spot/Line Separation - Inverted Side Cut Bevel Strengthens Wound - Elliptical Dimensions Permit Safety with Additional Potential Clinical Benefits 6

Femtosecond Lasers in LASIK Surgery

Femtosecond Lasers in LASIK Surgery Femtosecond Lasers in LASIK Surgery Dr Chan Tat Keong Senior Consultant Refractive Surgery Service Singapore National Eye Centre Disclosure Speaker has no financial interest in the products to be discussed

More information

Uniquely Safe. predictably better for our patients. enhancement, may be significantly reduced.

Uniquely Safe. predictably better for our patients. enhancement, may be significantly reduced. Uniquely Safe Clinical Support: Six different studies verify the improved safety of flap creation with the INTRALASE FS laser when compared to traditional microkeratomes. Clinical studies validate the

More information

Initial clinical experience with the FS200 Femto and EX500 excimer

Initial clinical experience with the FS200 Femto and EX500 excimer Initial clinical experience with the FS200 Femto and EX500 excimer lasers for LASIK ASCRS, San Diego 2011 A. John Kanellopoulos, MD Professor NYU Medical School, NY Director, Laservision.gr Institute,

More information

Femto-LASIK. Pulsewidth: Ultrashort-pulse micro- machining can make sub- wavelength holes. micromachining

Femto-LASIK. Pulsewidth: Ultrashort-pulse micro- machining can make sub- wavelength holes. micromachining All-laser laser LASIK (Femto( Femto-LASIK) Femto-LASIK 台 大 眼 科 王 一 中 IntraLase 2/1 Perfect Vision Ziemer (DaVinci) Carl Zeiss Meditec Pulsewidth: Femtosecond laser (Nd:Glass)) 153 nm (near infrared) Each

More information

One Use-PlusSBK versus LDV Femto Laser Clinical evaluation

One Use-PlusSBK versus LDV Femto Laser Clinical evaluation One Use-PlusSBK versus LDV Femto Laser Clinical evaluation Nikica Gabric, Maja Bohac, Iva Dekaris Eye Clinic Svjetlost Zagreb, Croatia MORIA ONE USE-PLUS SBK MICROKERATOME Automatic linear microkeratome

More information

OCT-guided Femtosecond Laser for LASIK and Presbyopia Treatment

OCT-guided Femtosecond Laser for LASIK and Presbyopia Treatment Shinagawa LASIK Center OCT-guided Femtosecond Laser for LASIK and Presbyopia Treatment Minoru Tomita, MD, Ph.D 1) Executive Medical Director at Shinagawa LASIK Center, Tokyo, Japan 2) Clinical Professor

More information

Shinagawa LASIK Center. Examination rooms

Shinagawa LASIK Center. Examination rooms Examination rooms Since was established in October 2004 and from that time through March 2010 we have performed over 700,000 cases. in Tokyo (70% of operations) and 3 branch clinics in Osaka, Nagoya, and

More information

The Evolution of the Optical Zone in Corneal Refractive Surgery. Bruce Drum, Ph.D.

The Evolution of the Optical Zone in Corneal Refractive Surgery. Bruce Drum, Ph.D. The Evolution of the Optical Zone in Corneal Refractive Surgery. Bruce Drum, Ph.D. FDA, Division of Ophthalmic and ENT Devices, Rockville, MD Disclaimer This presentation represents the professional opinion

More information

What Is The Real Benefit Of Femto- Lasik Compared To Microkeratome Lasik?

What Is The Real Benefit Of Femto- Lasik Compared To Microkeratome Lasik? What Is The Real Benefit Of Femto- Lasik Compared To Microkeratome Lasik? M. Sameh El-Agha, MD, FRCS(Ed) Cairo University 2 nd Annual EFCRG Course and Meeting April 30-May 1, 2015 1 What s wrong with microkeratome

More information

FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US

FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US JON DISHLER, MD DENVER, COLORADO, USA INTRODUCTION AND STUDY OBJECTIVES This article summarizes the first US

More information

Minimally Invasive Surgery: Femtosecond Lasers and Other Innovative Microsurgical Techniques

Minimally Invasive Surgery: Femtosecond Lasers and Other Innovative Microsurgical Techniques Minimally Invasive Surgery: Femtosecond Lasers and Other Innovative Microsurgical Techniques Julio Narváez MD Associate Professor of Ophthalmology Loma Linda University Non-Refractive Applications of Femtosecond

More information

Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps

Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps Lingo Y. Lai, MD William G. Zeh, MD Clark L. Springs, MD The authors

More information

Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay

Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay Minoru Tomita, MD, PhD 1,2 1) Shinagawa LASIK, Tokyo,

More information

Evolution of Refractive Surgery 2003

Evolution of Refractive Surgery 2003 Evolution of Refractive Surgery 2003 Daniel S. Durrie, MD Overland Park, Kansas USA Surgical Options 1. corneal curvature 2. change the lens 3. add a lens Evolution of Refractive Surgery Evolution of Refractive

More information

Wavefront Analysis of Flap & Laser-induced aberrations in 2-step LASIK. Ann Laurenzi, O.D. Cole Eye Institute Cleveland Clinic Foundation

Wavefront Analysis of Flap & Laser-induced aberrations in 2-step LASIK. Ann Laurenzi, O.D. Cole Eye Institute Cleveland Clinic Foundation Wavefront Analysis of Flap & Laser-induced aberrations in 2-step LASIK Ann Laurenzi, O.D. Cole Eye Institute Cleveland Clinic Foundation Co-Authors Maria Regina Chalita, M.D. Samra Waheed, M.D. Meng Xu,

More information

The «three-in-one» Microkeratome for traditional LASIK, EPI-LASIK, and anterior and posterior Lamellar Keratoplasty

The «three-in-one» Microkeratome for traditional LASIK, EPI-LASIK, and anterior and posterior Lamellar Keratoplasty The «three-in-one» Microkeratome for traditional LASIK, EPI-LASIK, and anterior and posterior Lamellar Keratoplasty Ziemer Group We develop and produce diagnostic and surgical products for the ophthalmic

More information

What now, when Presbyopia sets in? Minoru Tomita, MD, PhD Executive Director Shinagawa LASIK Center, Tokyo, JAPAN

What now, when Presbyopia sets in? Minoru Tomita, MD, PhD Executive Director Shinagawa LASIK Center, Tokyo, JAPAN What now, when Presbyopia sets in? Minoru Tomita, MD, PhD Executive Director, Tokyo, JAPAN Financial disclosure Travel expenses for the ASCRS meeting were paid by Ziemer and AcuFocus, Inc. Presbyopia:

More information

Retreatment by Lifting the Original Laser in Situ Keratomileusis Flap after Eleven Years

Retreatment by Lifting the Original Laser in Situ Keratomileusis Flap after Eleven Years Retreatment by Lifting the Original Laser in Situ Keratomileusis Flap after Eleven Years Hassan Hashemi, MD 1,2 Mehrdad Mohammadpour, MD 3 Abstract Purpose: To describe a case of successful laser in situ

More information

Overview of Refractive Surgery

Overview of Refractive Surgery Overview of Refractive Surgery Michael N. Wiggins, MD Assistant Professor, College of Health Related Professions and College of Medicine, Department of Ophthalmology Jones Eye Institute University of Arkansas

More information

NEW HORIZONS IN CORNEAL SURGERY VERSATILE FEMTOSECOND LASER WORKSTATION WE FOCUS ON PERFECTION

NEW HORIZONS IN CORNEAL SURGERY VERSATILE FEMTOSECOND LASER WORKSTATION WE FOCUS ON PERFECTION NEW HORIZONS VERSATILE FEMTOSECOND IN CORNEAL LASER WORKSTATION SURGERY WE FOCUS ON PERFECTION ADVANCED FEMTOSECOND LASER TECHNOLOGY COMMITTED TO VERSATILITY > ONE SYSTEM FOR ALL FEMTO-APPLICATIONS > ANATOMICALLY

More information

Richard S. Hoffman, MD. Clinical Associate Professor of Ophthalmology Oregon Health & Science University

Richard S. Hoffman, MD. Clinical Associate Professor of Ophthalmology Oregon Health & Science University Zeiss Mel 80 and Visumax Refractive Laser Systems Richard S. Hoffman, MD Clinical Associate Professor of Ophthalmology Oregon Health & Science University No Financial Interest ZEISS Workstation CRS-Master

More information

IntraLase Corp. Clinical Studies Fact Sheet

IntraLase Corp. Clinical Studies Fact Sheet Page 1 of 12 Contact: Liana Miller (949) 595-4320 liana@goolsbygroup.com IntraLase Corp. Clinical Studies Fact Sheet Clinical data validates IntraLase as a superior technology for creating corneal flaps

More information

Ophthalmology Department,Tanta University, Egypt

Ophthalmology Department,Tanta University, Egypt Moataz M. Sabry, MD, PhD. Ophthalmology Department,Tanta University, Egypt 1 SHOULD WE ABONDONE MECHANICAL MICROKERATOMES? 2 With Mechanical, LASIK is a one-laser procedure, there s no moving of patient

More information

Epi-LASIK Surgery. The procedure of choice for surface ablation.

Epi-LASIK Surgery. The procedure of choice for surface ablation. Epi-LASIK Surgery The procedure of choice for surface ablation. powered by Moria Preservation of Corneal Biomechanical Integrity, minimizing the risks of ectasia Post-LASIK CH decrease (Reichert ORA) 0-1

More information

Comparison of Retinal Image Quality between SBK and PRK. Allen Boghossian, D.O. Durrie Vision Overland Park, KS

Comparison of Retinal Image Quality between SBK and PRK. Allen Boghossian, D.O. Durrie Vision Overland Park, KS Comparison of Retinal Image Quality between and Allen Boghossian, D.O. Durrie Vision Overland Park, KS Study Design Purpose: To compare optical quality and intraocular scatter between and using double-pass

More information

XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7. LASIK: basic steps for safety and great results

XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7. LASIK: basic steps for safety and great results XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7 LASIK: basic steps for safety and great results Microkeratomes Jérôme C. VRYGHEM, M.D. Brussels Eye Doctors Brussels

More information

LASIK Surgery. Thin planar flaps created predictably and economically without compromise

LASIK Surgery. Thin planar flaps created predictably and economically without compromise LASIK Surgery Thin planar flaps created predictably and economically without compromise 1 One Use-Plus SBK: reliably creates thin planar LASIK flaps Moria One Use-Plus SBK Microkeratome: Predictably Thin,

More information

Aberrations caused by decentration in customized laser refractive surgery

Aberrations caused by decentration in customized laser refractive surgery Aberrations caused by decentration in customized laser refractive surgery Diana C. Lozano 1,2 Advisors: Jason Porter 2,3a, Geunyoung Yoon 2,3b, and David R. Williams 2,3a San Diego State University, San

More information

Cornea and Refractive Surgery Update

Cornea and Refractive Surgery Update Cornea and Refractive Surgery Update Fall 2015 Optometric Education Dinner Sebastian Lesniak MD Matossian Eye Associates Disclosures: None Bio: Anterior Segment and Cornea Surgery Fellowship Wills Eye

More information

CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD

CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD From: BOGOTA LASER REFRACTIVE INSTITUTE Bogota, Colombia DISCLOSURES FOR GUSTAVO TAMAYO

More information

Medical Director, Shinagawa LASIK Center, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China

Medical Director, Shinagawa LASIK Center, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China Medical Director,, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China Financial disclosure: Ziemer Group AG, Switzerland AcuFocus, CA Schwind Eye-Tech-Solutions,

More information

Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study

Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study ASCRS 2012 Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study Jonathan B. Kahn, M.D. 1 and A. John Kanellopoulos, M.D. 1,2 1 New York University School

More information

RELEX SMILE AND SMILE EXTRA.. OUR 1 YEAR RESULTS AND PATIENTS SURVEY

RELEX SMILE AND SMILE EXTRA.. OUR 1 YEAR RESULTS AND PATIENTS SURVEY RELEX SMILE AND SMILE EXTRA.. OUR 1 YEAR RESULTS AND PATIENTS SURVEY DR SANDIP MITRA MD FRCS CORNEA AND REFRACTIVE FELLOW (ROYAL VICTORIA EYE AND EAR HOSPITAL, AUSTRALIA) RELEX SMILE UNIT AT THE ALZAHRA

More information

Innovations in Refractive Surgery

Innovations in Refractive Surgery Innovations in Refractive Surgery Edward E. Manche, MD Byers Eye Institute Stanford University School of Medicine Financial Interest Disclosures AMO D Best Doctors A Calhoun Vision R Avellino Laboratories

More information

Ectasia after laser in-situ keratomileusis (LASIK)

Ectasia after laser in-situ keratomileusis (LASIK) Ectasia after laser in-situ keratomileusis (LASIK) 長 庚 紀 念 醫 院 眼 科 蕭 靜 熹 Post-LASIK ectasia A rare complication of LASIK Manhattan jury awarded a former investment banker a record $7.25 million for post-lasik

More information

Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery

Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery A. John Kanellopoulos, M.D. Clinical Profesor of Ophthalmology New York University School of Medicine, New York, NY, USA Laservision.gr Institute,

More information

SCHWIND CAM Perfect Planning wide range of applications

SCHWIND CAM Perfect Planning wide range of applications SCHWIND CAM Perfect Planning wide range of applications ORK-CAM PresbyMAX PALK-CAM PTK-CAM 2 SCHWIND CAM the system solution The latest version of the modular SCHWIND CAM represents an even more efficient

More information

LASIK Surgery. One Use-Plus. The Moria Option for SBK

LASIK Surgery. One Use-Plus. The Moria Option for SBK LASIK Surgery One Use-Plus The Moria Option for SBK One Use-Plus Accuracy and predictability equivalent to Femto-SBK One Use-Plus SBK Flap thickness using ultrasound pachymetry 1 Flap thickness with Femto-SBK

More information

To date, several million patients have been treated worldwide. So why not discover the benefits The Eye Hospital can bring to your life.

To date, several million patients have been treated worldwide. So why not discover the benefits The Eye Hospital can bring to your life. L a s e r E y e S u r g e r y I N F O R M A T I O N 1 Welcome Imagine the freedom of being able to do away with glasses and contact lenses. You too, may be suitable for laser eye surgery, freeing you from

More information

Management of Epithelial Ingrowth after LASIK. Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA

Management of Epithelial Ingrowth after LASIK. Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA Management of Epithelial Ingrowth after LASIK Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA Acknowledgements IOP Ophthalmics Staar Surgical Case Presentation 46

More information

LASIK complications and their management ESCRS Munich 9.2003

LASIK complications and their management ESCRS Munich 9.2003 LASIK complications and their management ESCRS Munich 9.2003 A. John Kanellopoulos, M.D. Associate Professor NYU Medical School Director, LaserVision.gr Eye Institute Case report 1 2 years s/p PK LASIK

More information

LASIK EPILASIK FEMTOSECOND LASER. Advantages

LASIK EPILASIK FEMTOSECOND LASER. Advantages LASIK EPILASIK FEMTOSECOND LASER Advantages There are many advantages to having laser vision correction. Laser vision correction gives most patients the freedom to enjoy their normal daily activities without

More information

LASIK. Complications. Customized Ablations. Photorefractive Keratectomy. Femtosecond Keratome for LASIK. Cornea Resculpted

LASIK. Complications. Customized Ablations. Photorefractive Keratectomy. Femtosecond Keratome for LASIK. Cornea Resculpted Refractive Surgery: Which Procedure for Which Patient? David R. Hardten, M.D. Minneapolis, Minnesota Have done research, consulting, or speaking for: Alcon, Allergan, AMO, Bausch & Lomb, Inspire, Medtronic,

More information

femtosecond laser platform Exceptional versatility without compromise

femtosecond laser platform Exceptional versatility without compromise Introducing the VICTUS femtosecond laser platform Exceptional versatility without compromise FEMTOSECOND TECHNOLOGY that empowers Introducing VICTUS the first femtosecond laser capable of exceptional performance

More information

Duckworth & Kent Ophthalmic Titanium Surgical Instruments

Duckworth & Kent Ophthalmic Titanium Surgical Instruments Duckworth & Kent Ophthalmic Titanium Surgical Instruments at the Leading Edge LASIK Instruments Duckworth and Kent is the first and original manufacturer and supplier of titanium surgical instruments.

More information

Schwind Amaris 500E Cutting edge technology impressively efficient

Schwind Amaris 500E Cutting edge technology impressively efficient Schwind Amaris 500E Cutting edge technology impressively efficient TREAT 2 TREAT Schwind Amaris 500E Cutting edge technology from the technology leader Everything that a patient can expect from corneal

More information

Alexandria s Guide to LASIK

Alexandria s Guide to LASIK Alexandria s Guide to LASIK A Community Service Project sponsored by: Wallace Laser Center Your Guide To A Successful LASIK Procedure The word LASIK is actually an acronym for Laser Assisted In-Situ Keratomileusis.

More information

Femtolaser and ocular surgery

Femtolaser and ocular surgery Femtolaser and ocular surgery Safety Quick visual recovery Excellent vision without glasses It is an ultrafast laser using a near infrared light to create cuts in ocular tissues First used in corneal refractive

More information

MAZAHERI LASIK METHOD FOR VISUAL ENHANCEMENT TECHNICAL FIELD OF THE INVENTION. [0001] The present invention is directed, in general, to

MAZAHERI LASIK METHOD FOR VISUAL ENHANCEMENT TECHNICAL FIELD OF THE INVENTION. [0001] The present invention is directed, in general, to MAZAHERI LASIK METHOD FOR VISUAL ENHANCEMENT TECHNICAL FIELD OF THE INVENTION [0001] The present invention is directed, in general, to a surgical procedure and, more particularly, to surgical procedure

More information

Accelerated Refractive Performance

Accelerated Refractive Performance Accelerated Refractive Performance Get There at the Speed of WaveLight Designed to accommodate your refractive technology goals now and into the future, the WaveLight Workstation is a faster way to get

More information

Re-Treatments after ReLEx - SMILE

Re-Treatments after ReLEx - SMILE Re-Treatments after ReLEx - SMILE - own Experiences - Bertram Meyer - AOC Laser Center/LERC - Cologne/Dubai ESC Meeting 2014 - Cairo Re-Treatments after ReLEx - SMILE Retreatments are rare (< 2%) - n =

More information

ALL-LASER LASIK USING THE ZEISS VisuMax MEL 80 REFRACTIVE WORKSTATION

ALL-LASER LASIK USING THE ZEISS VisuMax MEL 80 REFRACTIVE WORKSTATION ALL-LASER LASIK USING THE ZEISS VisuMax MEL 80 REFRACTIVE WORKSTATION A two-center study related to clinical outcome for all-laser LASIK corrections using the VisuMax MEL80 TM workstation RAINER WILTFANG,

More information

Excellent outlook for your eyes: With SCHWIND AMARIS technology

Excellent outlook for your eyes: With SCHWIND AMARIS technology Excellent outlook for your eyes: With SCHWIND AMARIS technology Laser surgery for the eyes Comfortable, fast and safe The SCHWIND laser eye procedure When performing laser procedures, eye surgeons apply

More information

Copyright Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.

Copyright Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited. Advances in refractive surgery: microkeratome and femtosecond laser flap creation in relation to safety, efficacy, predictability, and biomechanical stability Karl Stonecipher a, Teresa S. Ignacio b and

More information

New topographic custom ablation procedure for treating irregular astigmatism post keratoplasty with high frequency (1 KHz) excimer laser.

New topographic custom ablation procedure for treating irregular astigmatism post keratoplasty with high frequency (1 KHz) excimer laser. New topographic custom ablation procedure for treating irregular astigmatism post keratoplasty with high frequency (1 KHz) excimer laser. G. COLONNA M.D., G. Lorusso M.D., S. Santoro M.D. ESCRS Berlin

More information

Cross-Linking with Refractive Surgery: Pros and Cons

Cross-Linking with Refractive Surgery: Pros and Cons Cross-Linking with Refractive Surgery: Pros and Cons Raj K. Rajpal, M.D. Medical Director and Founder See Clearly Vision Group Mclean, Virginia Clinical Associate Professor Georgetown University Washington,

More information

Eye Associates Custom LASIK With IntraLASIK Correction Of Nearsightedness, Farsightedness, and Astigmatism Using IntraLase TM Technology

Eye Associates Custom LASIK With IntraLASIK Correction Of Nearsightedness, Farsightedness, and Astigmatism Using IntraLase TM Technology Eye Associates Custom LASIK With IntraLASIK Correction Of Nearsightedness, Farsightedness, and Astigmatism Using IntraLase TM Technology INDICATIONS AND PROCEDURE This information is being provided to

More information

IntraLase and LASIK: Risks and Complications

IntraLase and LASIK: Risks and Complications No surgery is without risks and possible complications and LASIK is no different in that respect. At Trusted LASIK Surgeons, we believe patients can minimize these risks by selecting a highly qualified

More information

From theoretical laser ablation design to real outcomes: implications for optimized corneal refractive surgery

From theoretical laser ablation design to real outcomes: implications for optimized corneal refractive surgery Wavefront Sensing Meeting. Whistler,Canada, Feb 04 From theoretical laser ablation design to real outcomes: implications for optimized corneal refractive surgery Susana Marcos, PhD Instituto de Optica,

More information

Curtin G. Kelley, M.D. Director of Vision Correction Surgery Arena Eye Surgeons Associate Clinical Professor of Ophthalmology The Ohio State

Curtin G. Kelley, M.D. Director of Vision Correction Surgery Arena Eye Surgeons Associate Clinical Professor of Ophthalmology The Ohio State Curtin G. Kelley, M.D. Director of Vision Correction Surgery Arena Eye Surgeons Associate Clinical Professor of Ophthalmology The Ohio State University Columbus, Ohio Refractive Errors Myopia (nearsightedness)

More information

New and Improved Femtosecond Laser Applications. Karl Stonecipher, MD Wavefront Congress 2008

New and Improved Femtosecond Laser Applications. Karl Stonecipher, MD Wavefront Congress 2008 New and Improved Femtosecond Laser Applications Karl Stonecipher, MD Wavefront Congress 2008 When birds don t fly, neither should you. When cows bunch together in a field, a storm is coming. When ants

More information

PRK: Simple, Safe & Reliable

PRK: Simple, Safe & Reliable OSN New York 2013 PRK: Simple, Safe & Reliable Technique & Pearls Christopher E. Starr, MD Associate Professor of Ophthalmology Director, Refractive Surgery Service Director, Ophthalmic Education Director,

More information

LASIK Eye Surgery Report

LASIK Eye Surgery Report LASIK Eye Surgery Report LASIK eye surgery can be a liberating experience for people hoping to reduce or eliminate their dependence on glasses and contact lenses. Most patients do not realize how evolved

More information

Refractive Surgery. Evolution of Refractive Error Correction

Refractive Surgery. Evolution of Refractive Error Correction Refractive Surgery Techniques that correct for refractive error in the eye have undergone dramatic evolution. The cornea is the easiest place to place a correction, so most techniques have focused on modifying

More information

SCHWIND AMARIS 750S Always innovative

SCHWIND AMARIS 750S Always innovative SCHWIND AMARIS 750S Always innovative TREAT 4 TREAT The SCHWIND AMARIS 750S The absolute best performance from the leader in technology The demands patients are placing on treatment methods and the results

More information

Consumer s Guide to Choosing Your Refractive Surgeon

Consumer s Guide to Choosing Your Refractive Surgeon Consumer s Guide to Choosing Your Refractive Surgeon Refractive Surgical Center 100 Meridian Centre, Suite 125, Rochester, NY 14618 585-273-2020 www.strongvision.urmc.edu There are many things to consider

More information

Surface Ablation After Corneal

Surface Ablation After Corneal Surface Ablation After Corneal Surgery: Management of Haze Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA Financial Disclosures Travel Stipend/Honoraries: IOP Ophthalmics

More information

Refractive Errors & Correction

Refractive Errors & Correction Super Vision 6 Chapter Lasik is currently the most sophisticated procedure for correction of refractive errors. Lasik is an acronym for Laser Assisted Insitu Keratomileusis. In Lasik, Excimer laser is

More information

INTRACOR. An excerpt from the presentations by Dr Luis Ruiz and Dr Mike Holzer and the Round Table discussion moderated by Dr Wing-Kwong Chan in the

INTRACOR. An excerpt from the presentations by Dr Luis Ruiz and Dr Mike Holzer and the Round Table discussion moderated by Dr Wing-Kwong Chan in the INTRACOR An excerpt from the presentations by Dr Luis Ruiz and Dr Mike Holzer and the Round Table discussion moderated by Dr Wing-Kwong Chan in the 1 Dr Luis Ruiz Presbyopia treatment with INTRACOR Luis

More information

Anastasios John Kanellopoulos, M.D., Clinical Professor of Ophthalmology in NYU Medical School, Director of the Laser Vision Institute, Athens, Greece

Anastasios John Kanellopoulos, M.D., Clinical Professor of Ophthalmology in NYU Medical School, Director of the Laser Vision Institute, Athens, Greece Femtosecond LASIK Practical pearls from 5 years of experience Anastasios John Kanellopoulos, M.D., Clinical Professor of Ophthalmology in NYU Medical School, Director of the Laser Vision Institute, Athens,

More information

LASIK, Epi LASIK and PRK Past present and future

LASIK, Epi LASIK and PRK Past present and future LASIK, Epi LASIK and PRK Past present and future Ioannis G. Pallikaris MD, PhD Institute of Vision and Optics University of Crete Medical School Heraklion Crete Greece Photorefractive Keratectomy Kerr-Muir

More information

LASIK & LASEK. at the Leading Edge. Including Instruments for Femto Second Laser

LASIK & LASEK. at the Leading Edge. Including Instruments for Femto Second Laser Established in 1959 LASIK & LASEK DK Stein Utility Forceps Gulani LASIK Marker Cionni Femto Speculum DK Femto Flap Lifter and Retreatment Spatula Including Instruments for Femto Second Laser 7 Marquis

More information

Ocular Surface Syndrome after LASIK

Ocular Surface Syndrome after LASIK Alaa Atef Ghaith, MD Professor of Ophthalmology Alexandria University Ocular Surface Syndrome after LASIK Up to 33% of eyes Multifactorial entity which causes distress to the patients and physicians 1

More information

Consumer s Guide to LASIK

Consumer s Guide to LASIK Consumer s Guide to LASIK A Community Service Project brought to you by Price Vision Group Your Guide To A Successful LASIK Procedure The purpose of this educational guide is to help prospective patients

More information

GLOBE NEWS. LASIK - What are my Choices? A COMPREHENSIVE SELECTION OF INSTRUMENTS FROM KATENA. Katzen Flap Unzipper FOR OPHTHALMIC PROFESSIONALS

GLOBE NEWS. LASIK - What are my Choices? A COMPREHENSIVE SELECTION OF INSTRUMENTS FROM KATENA. Katzen Flap Unzipper FOR OPHTHALMIC PROFESSIONALS GLOBE NEWS VOLUME 9 NUMBER 1 FOR OPHTHALMIC PROFESSIONALS LASIK - What are my Choices? A COMPREHENSIVE SELECTION OF INSTRUMENTS FROM KATENA The growth of LASIK surgery has dramatically increased during

More information

Technical specifications. TECHNOLAS Femtosecond Workstation 520F Versatility at its best. Diode Pumped Solid State Laser (DPSSL)

Technical specifications. TECHNOLAS Femtosecond Workstation 520F Versatility at its best. Diode Pumped Solid State Laser (DPSSL) Technical specifications Laser type Pulse duration Wavelength Pulse frequency Supply Power consumption Size Weight System Components Microscope Safety Room conditions Diode Pumped Solid State Laser (DPSSL)

More information

Surgical Advances in Keratoconus. Keratoconus. Innovations in Ophthalmology. New Surgical Advances. Diagnosis of Keratoconus. Scheimpflug imaging

Surgical Advances in Keratoconus. Keratoconus. Innovations in Ophthalmology. New Surgical Advances. Diagnosis of Keratoconus. Scheimpflug imaging Surgical Advances in Keratoconus Keratoconus Ectatic disorder 1 in 1,000 individuals Starts in adolescence & early adulthood Uncertain cause 20% require corneal transplant Innovations in Ophthalmology

More information

Early Flap Displacement after LASIK

Early Flap Displacement after LASIK Early Flap Displacement after LASIK Gerry Clare, FRCOphth, Tara C. B. Moore, PhD, Claire Grills, PhD, Antonio Leccisotti, MD, PhD, Johnny E. Moore, FRCOphth, PhD, Steve Schallhorn, MD Purpose: To evaluate

More information

Keratoconus is one of the most challenging corneal

Keratoconus is one of the most challenging corneal Corneal Remodeling Using the Keraring A variety of thicknesses, arc lengths, and optical zone sizes allows tailoring of the procedure to the individual patient. BY DOMINIQUE PIETRINI, MD; AND TONY GUEDJ

More information

Preliminary U.S. FDA Outcomes of SMILE

Preliminary U.S. FDA Outcomes of SMILE Preliminary U.S. FDA Outcomes of SMILE D. REX HAMILTON, MD, MS, FACS HEALTH SCIENCES CLINICAL PROFESSOR OF OPHTHALMOLOGY MEDICAL DIRECTOR, UCLA LASER REFRACTIVE CENTER STEIN EYE INSTITUTE, GEFFEN SCHOOL

More information

PATIENT CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK)

PATIENT CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) INTRODUCTION: You have been diagnosed with myopia (nearsightedness) or hyperopia (farsightedness) with or without astigmatism, or astigmatism alone. Myopia is a result of light entering the eye and focusing

More information

LASIK Wavefront Guided idesign LASIK with IntraLase

LASIK Wavefront Guided idesign LASIK with IntraLase LASIK Wavefront Guided idesign LASIK with IntraLase What is LASIK? LASIK (Laser Assisted In-Situ Keratomileusis), commonly referred to as laser eye surgery or laser vision correction is a safe High Definition

More information

Femtosecond LASIK: Practical Pearls From Five Years of Experience. Copyrighted material. Not for distribution. chapter

Femtosecond LASIK: Practical Pearls From Five Years of Experience. Copyrighted material. Not for distribution. chapter chapter 11 Femtosecond LASIK: Practical Pearls From Five Years of Experience Anastasios John Kanellopoulos, MD Through my past 17 years in Ophthalmology, I have been involved in LASIK surgery, and it has

More information

Why more and more patients prefer ReLEx-Smile?

Why more and more patients prefer ReLEx-Smile? Why more and more patients prefer ReLEx-Smile? Bertram Meyer - AOC Laser Center/LERC - Cologne/Dubai ESC Meeting 2014 - Cairo Femto-LASIK is still Gold Standard worldwide (independent of laser systems)

More information

Comparison Between the Visian ICL, LASIK, and PRK

Comparison Between the Visian ICL, LASIK, and PRK Deciding on the vision correction procedure that s right for you is an important one. The table below provides a general comparison of the major differences between Visian ICL, LASIK and PRK. It is NOT

More information

Patient s Guide to Choosing Your Refractive Surgeon

Patient s Guide to Choosing Your Refractive Surgeon Patient s Guide to Choosing Your Refractive Surgeon LASIK & Advanced Vision Correction 100 Meridian Centre, Suite 125, Rochester, NY 14618 There are many things to consider when looking for a doctor to

More information

Alain Saad, MD, Alice Grise-Dulac, MD, Damien Gatinel, MD, PhD

Alain Saad, MD, Alice Grise-Dulac, MD, Damien Gatinel, MD, PhD CASE REPORT Bilateral loss in the quality of vision associated with anterior corneal protrusion after hyperopic LASIK followed by intrastromal femtolaser-assisted incisions Alain Saad, MD, Alice Grise-Dulac,

More information

Bascom Palmer Eye Institute. LASIK and Your Vision Correction

Bascom Palmer Eye Institute. LASIK and Your Vision Correction Bascom Palmer Eye Institute LASIK and Your Vision Correction For Many Patients, the Wait is Over The Vision Correction Center at Bascom Palmer For many patients who want to see near, far and everywhere

More information

LASIK Enhancement Commitment

LASIK Enhancement Commitment LASIK Enhancement Commitment ClearView Eye Clinic wants you to always See A Better Way! That s why we offer a Lifetime Lasik Enhancement Commitment Plan. Should your vision change over time, and it is

More information

Comparison of the corneal response to laser in situ keratomileusis with flap creation using the FS15 and FS30 femtosecond lasers

Comparison of the corneal response to laser in situ keratomileusis with flap creation using the FS15 and FS30 femtosecond lasers ARTICLE Comparison of the corneal response to laser in situ keratomileusis with flap creation using the FS15 and FS30 femtosecond lasers Clinical and confocal microscopy findings Michael Y. Hu, James P.

More information

UPDATE ON AVEDRO CROSSLINKING STUDIES

UPDATE ON AVEDRO CROSSLINKING STUDIES UPDATE ON AVEDRO CROSSLINKING STUDIES Peter S. Hersh, M.D. Director, Cornea & Laser Eye Institute CLEI Center for Keratoconus Clinical Professor of Ophthalmology, Rutgers Medical School Visiting Researcher,

More information

Efficacy, precision, accuracy, and safety of the SMILE procedure

Efficacy, precision, accuracy, and safety of the SMILE procedure Efficacy, precision, accuracy, and safety of the SMILE procedure Jesper Hjortdal Clinical professor Head of Corneal & Refractive Surgery Department of Ophthalmology Aarhus University Hospital Denmark Small

More information

The Laser Eye Center s surgeons are sub-specialized in both cornea and refractive surgery, and are among the region s most experienced surgeons.

The Laser Eye Center s surgeons are sub-specialized in both cornea and refractive surgery, and are among the region s most experienced surgeons. Laser Eye Center 1 About Us The Laser Eye Center at AUBMC is a state-of-the-art, continuously updated facility with a mission to provide high-precision refractive surgery to correct visual errors. Staffed

More information

Clinic s Logo YOUR Z-LASIK CLINIC. (( Clinic s name ))

Clinic s Logo YOUR Z-LASIK CLINIC. (( Clinic s name )) Clinic s Logo YOUR Z-LASIK CLINIC in (( Location )) (( Clinic s name )) The gentle way to restore sharp vision We have performed surgical vision correction since (( year )) and treated more than (( number

More information

ICRS implantation with the Femto LDV laser in stabilized KC patients: 6 months results

ICRS implantation with the Femto LDV laser in stabilized KC patients: 6 months results ICRS implantation with the Femto LDV laser in stabilized KC patients: 6 months results Jérôme C. VRYGHEM, M.D. Brussels Eye Doctors Brussels, Belgium No financial interest! A lot of KC patients show interest

More information

Quality Control in Refractive Surgery

Quality Control in Refractive Surgery Quality Control in Refractive Surgery Stefan Pieger*, M.Sc. Ingenieurbüro Pieger GmbH, Wendelstein, Germany Introduction Personal experience as application specialist for refractive excimer lasers since

More information

Our Commitment To You

Our Commitment To You SYSTEM SUPPORT Quality-crafted, the system boasts dependability with high efficiency and low gas usage. We provide responsive service and maintenance contract options, supported by our nationwide direct

More information

The POwer OF One The One FemTO PlaTFOrm FOr COrnea, PresbyOPia and CaTaraCT

The POwer OF One The One FemTO PlaTFOrm FOr COrnea, PresbyOPia and CaTaraCT The Power of One The One Femto Platform for Cornea, Presbyopia and Cataract Time to listen, passion to design, power to build A partnership for the future Technology is rapidly changing and it is important

More information

refractive surgery a closer look

refractive surgery a closer look 2011-2012 refractive surgery a closer look How the eye works Light rays enter the eye through the clear cornea, pupil and lens. These light rays are focused directly onto the retina, the light-sensitive

More information

Cornea. Wavefront-guided Laser-assisted in situ Keratomileusis. Wavefront Sensing Methods and Devices. Preoperative Diagnostics.

Cornea. Wavefront-guided Laser-assisted in situ Keratomileusis. Wavefront Sensing Methods and Devices. Preoperative Diagnostics. Wavefront-guided Laser-assisted in situ Keratomileusis Steve Schallhorn, MD Professor of Ophthalmology, University of California, San Francisco, US; Chief Medical Director, Optical Express, UK; and Private

More information