Laser Refractive Cataract Surgery with the LenSx Laser

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Laser Refractive Cataract Surgery with the LenSx Laser"

Transcription

1 Laser Refractive Cataract Surgery with the LenSx Laser a Novartis company

2 LenSx Laser 2

3 3 An Evolving Definition of Cataract Average Age of US Cataract Patient is Projected to Decline Today: earlier diagnosis & treatment before substantial vision loss In 2011, almost 800,000 surgeries will be performed on patients years old New surgical approaches available to improve UCVA for many patients Established LASIK market validates that patients will pay for surgically improved vision

4 4 The Changing Face of Cataract Surgery The Baby Boomer Generation - Large, rapidly growing demographic - Educated, financially secure - Increased life expectancy - Longer working careers - Demand high quality vision (reading, distance, night vision) - New requirement for near vision (computers) - Unwilling to compromise active lifestyle - Embracing demand driven healthcare

5 5 Laser Refractive Cataract Surgery Will the femtosecond laser: Incite new interest among patients for an elective refractive cataract surgery procedure? - Yes, 70% of LASIK flaps now made with femtosecond laser! 1 Increase the VALUE of Refractive Cataract Surgery? Value will be driven and dictated by the Baby Boomer generation - Reproducible predictability must be demonstrated - Outcomes similar to LASIK will be required - A more concierge-like experience will be expected 1 Mahdavi S, Three-year perspective on the business impact of IntraLase technology, sm2strategic.com/files/intralasesurvey2005, Accessed 03 July 2011.

6 6 The Need for Improvement

7 7 Limitations of Traditional Cataract Surgery

8 8 Improved Refractive Cataract Surgery Address Major Requirements for Improved Refractive Procedure IOL Position Predictability Uniform Shape and Size Capsulotomy Corneal Astigmatism Reproducible Corneal Entry and Arcuate Incisions Early Wow Factor Reduced Phaco Power and Corneal Edema Norrby SJ, J Cataract Refract Surg 2008;34: Hill WJ, J Cataract Refract Surg 2008;34: Devgan U, Current Opinions in Ophthalmology 2011;18:19 22.

9 9 The LenSx Laser A dynamic, platform technology designed to: Deliver the precision of a femtosecond laser to Refractive Cataract Surgery Rapidly advance the evolution of true image-guided intraocular surgery Advance the development of a more digitized, predictable approach to lens replacement surgery

10 10 Image-Guided Refractive Cataract Surgery

11 11 Manual Clear Corneal Incisions Dynamics of wound architecture created with hand-held instruments 1 : - imprecise tunnel length and geometry - frequently require stromal hydration to seal - may result in cascading intraoperative difficulties (fluid control, anterior chamber maintenance) - incisions may be unstable at low IOPs Recent literature suggests an increased incidence of post-op infection 2 1 Behrens A, Stark WJ, Pratzer KA, McDonnell PJ. Dynamics of small-incision clear cornea wounds after phacoemulsification surgery using optical coherence tomography in the early postoperative period, J Refract Surg, 2008;24(1): Taban M, Behrens A, Newcomb RL, Nobe MY, Saedi G, Sweet PM, McDonnell PJ. Acute endophthalmitis following cataract surgery: a systematic review of the literature, Arch Ophthalmol. 2005;123(5):

12 12 LenSx Laser Corneal Incisions Customized wound architecture and placement Self-sealing incisions

13 13 Effective Lens Position (ELP) The key to highly accurate IOL power calculation is being able to correctly predict ELP for any given patient and IOL 1 ELP for the 5 formulas commonly in use are: SRK/T d = A-constant Hoffer Q d = pacd Holladay 1 d = Surgeon Factor Holladay 2 d = ACD Haigis d = a0 + (a1 * ACD) + (a2 * AL) ELP is assumed value, from empirical data (A constant and surgeon factor) A significant source of IOL power error 2 and key to post surgery refraction 3 Size of capsulorhexis effects ELP 4 1 Haigis W, Lege B, Miller N, Schneider B, Comparison of immersion ultrasound biometry and partial coherence interferometry for IOL calculation according to Haigis, Graefes, Arch Clin Exp Ophthalmol, 2000;238: Norrby S, Sources of error in intraocular lens power calculation,j Cataract Refract Surg, 2008;34: Hill WE, Does the Capsulorrhexis Affect Refractive Outcomes? In Chang D, editor: Cataract and Refractive Surgery Today, 2009:78. 4 Cekiç O, Batman C, The relationship between capsulorhexis size and anterior chamber depth relation. Ophthalmic Surg Lasers, 1999;30(3): Erratum in: Ophthalmic Surg Lasers,1999;30(9):714

14 14 Factors Affecting IOL Predictability 1 If IOL is 0.5 mm posterior to the assumed plane, a 21 D lens will produce only 20 D of correction Hyperopic If IOL is 0.5 mm anterior to the assumed plane, a 21 D lens will produce 22 D of correction Myopic 1 Norrby S, Sources of error in intraocular lens power calculation,j Cataract Refract Surg, 2008;34:

15 15 Does Capsulotomy Size Impact ELP? Consistent capsulorhexis diameter is critical to Effective Lens Position 1,2 A 4 mm capsulorhexis results in longer post-operative ELPo than does a 6 mm capsulorhexis for the type of IOL used 3 To ensure that an IOL s position in the bag matches the anticipated formula used to calculate its power, the capsulorhexis should be round, centered and smaller than the IOL optic 2 1 Hill WE. Hitting Emmetropia. Chang D. (ed.) In: Mastering Refractive IOLs The Art and Science. Slack, Incorporated, Hill WE. Does the Capsulorhexis Affect Refractive Outcomes? Chang D. (ed.) In: Cataract Surgery Today, Bryn Mawr Communications, Wayne, Pennsylvania p Cekiç O, Batman C, The relationship between capsulorhexis size and anterior chamber depth relation. Ophthalmic Surg Lasers, 1999;30(3): Erratum in: Ophthalmic Surg Lasers,1999;30(9):714

16 16 Laser Fragmentation Mechanism of Action Chop Patterns Cylinder Patterns

17 Average Power (%) Effective Phaco Time (min) 17 LenSx Laser Phacofragmentation Cylinder pattern, utlilized for the softer lens, enables removal with I & A only, no phaco power Chop pattern efficiently fragments the lens for removal with reduced phaco power and time 1 Comparison of Average Phaco Power Comparison of Effective Phaco Time Phaco only Laser plus Phaco Phaco only Laser plus Phaco % reduction 43% reduction 1 Nagy ZZ, Takacs A, Filkorn T, Sarayba M, Initial Clinical Evaluation of an Intraocular Femtosecond Laser in Cataract Surgery, Journal of Refractive Surgery, 2009;25:

18 19 Treatment of Pre-Existing Astigmatism Cataract and refractive surgeons report that between 5 and 30% of their patients require LASIK, LRI or some other secondary enhancement procedure in order to improve their visual outcomes Market Scope Global IOL report.

19 20 Arcuate Incisions Manually executed by tracing corneal marks with handheld diamond knife Inconsistent depth control Unpredictable effect due to imprecise wound architecture and depth No image-guided surgical planning or visualization

20 21 LenSx Laser Arcuate Incisions Image-guided surgical planning with 3D visualization: Real time corneal thickness Computer programmed incisions - % depth - incision length and position - 3D visualization of incision placement Predictable incision width, tunnel length Titratable incisions - adjustable during surgical procedure - adjustable post-op at slit lamp *510(k) Premarket Notification to the FDA, LenSx Laser System, K101626, 2010.

21 22 LenSx Laser Arcuate Incision Square edge Uniform depth (no ripples) Precise, reproducible Arc shape Arc length Diameter Steinert RF, Application of the Femtosecond Laser in Cataract Surgery for the Creation of Multi-Planar, Self-Sealing Incisions, ASCRS 2010, Boston

22 25 LenSx Laser vs Manual CCC* Analysis: Non-randomized, prospective, single site, single surgeon study With single lens type, ALCON monofocal SN60WF Manual group (n=26) - Attempted 5.0mm capsulotomy Mastel 5.75 mm OZ marker to create 5.0 mm CCC LenSx Laser group (n=22) - Femtosecond laser created 5.0 mm capsulotomy Accuracy to Target, Actual ELPo (LENSTAR Optical Biometer ACD) No significant difference in baseline between cohorts LENSTAR is a registered trademark of Haag-Streit * Robert J Cionni MD. Presented AAO 2011 Refractive Sub-Specialty Day, Comparison of Effective Lens Position and Refractive Outcome: Femtosecond Laser vs Manual Capsulotomy

23 26 LenSx Laser vs Manual CCC Actual vs Predicted ELP 5.00 LenSx Laser Group (n=22) 5.00 Manual Group (n=26) Actual ELP 1M PostOP Actual ELP 1M PostOP % Confidence Intervals R² = R² = Predicted ELP Predicted ELP Better ELP predictability 71% of the variable s variance result for the LenSx Laser group Vs. only 29% for the manual group.

24 28 Where Are We Today? The LenSx Laser The only femtosecond laser cleared for all indications in cataract surgery US and CE mark: - Anterior Capsulotomy - Laser Phacofragmentation - Cataract Incisions, including Arcuate Incisions The only femtosecond laser commercialized to date for cataract surgery indication

25 30 Patient Expectations The medical milestone of cataract will be increasingly re-defined by lifestyle requirements This younger, active patient population will seek a surgical resolution much earlier than previous generations LenSx Laser technology provides the patient: Perceived benefits of a laser procedure - Computer controlled precision - Procedural predictability A comprehensive, advanced technology approach to lens replacement surgery A truly premium, value-added surgical experience

26 31 Opportunity for Eyecare Providers LenSx Laser technology provides: Known benefits of femtosecond technology - Improved accuracy of all incisions - Predictability at every step True image-guided intraocular surgery - Opportunity to create optimal wound architecture - Precise capsulotomy design for every IOL A strong value proposition - A message that easily resonates with patients and staff

27 PROBLEMS Primarily financial Insurance companies do not provide an increase in fees when the femtosecond laser is used. Laser costs $475,000. There is a "click" fee charge of $400 every time the laser is used. Annual Maintenance fee of $40,000. Therefore the average cost per case is significant. We are allowed to charge a patient for LRI's which can be performed with the laser. We are also allowed to charge a patient for premium lenses such as toric and multifocals. However, that charge would have to be significantly increased if performed with the Femtosecond laser. How much will the market stand?

Providing Optimal Optics For Your Astigmatic Cataract Patients. While the cornea remains relatively stable and prolate throughout life

Providing Optimal Optics For Your Astigmatic Cataract Patients. While the cornea remains relatively stable and prolate throughout life Providing Optimal Optics For Your Astigmatic Cataract Patients David I. Geffen, OD, FAAO Why keep the crystalline lens? While the cornea remains relatively stable and prolate throughout life Unless we

More information

WVI Co-management Update 2012

WVI Co-management Update 2012 WVI Co-management Update 2012 Ming Wang, MD, PhD Clinical Associate Professor of Ophthalmology, UT International President, Shanghai Aier Eye Hospital Director, Wang Vision Institute Attending Surgeon,

More information

Financial Disclosure. So what s the problem? 7/13/12 FEMTOSECOND LASER CATARACT SURGERY: FAD OR FUTURE? Laser Cataract Surgery: the claim

Financial Disclosure. So what s the problem? 7/13/12 FEMTOSECOND LASER CATARACT SURGERY: FAD OR FUTURE? Laser Cataract Surgery: the claim FEMTOSECOND LASER CATARACT SURGERY: FAD OR FUTURE? Douglas D. Koch, M.D. Cullen Eye Institute Baylor College of Medicine Houston, Texas Financial Disclosure I have a financial interest with the following

More information

Custom Cataract Surgery. Laser and Lens Options

Custom Cataract Surgery. Laser and Lens Options Custom Cataract Surgery Laser and Lens Options What is a Cataract? More than fifty percent of people over the age of 60, and quite a few younger than that, suffer from cataracts. In fact, cataracts are

More information

Laser Assisted Cataract Surgery

Laser Assisted Cataract Surgery Laser Assisted Cataract Surgery: The New Frontier The Joseph H. Wyatt DO Lecture Brian D. Ranelle D.O. Texas Eye and Laser Center Ft. Worth and Hurst, Texas Laser Assisted Cataract Surgery The New Frontier

More information

Cataract Surgical Packages

Cataract Surgical Packages Cataract Surgical Packages Cataract surgery has evolved over the years and is one of the safest and most successful procedures performed today. There are choices to consider in how your surgery is performed

More information

EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.ejpmr.com

EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.ejpmr.com ejpmr, 2015,2(3), 436-440 EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.ejpmr.com Tumram et al. SJIF Impact Factor 2.026 Research Article ISSN 3294-3211 EJPMR CLINICAL OUTCOME OF TORIC IOL

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

CATARACT SURGICAL PACKAGES

CATARACT SURGICAL PACKAGES CATARACT SURGICAL PACKAGES LenSx Laser Cataract Surgery Featuring the ORA System OKLAHOMA CITY 608 Stanton L. Young Boulevard Oklahoma City, OK 73104 405.271.1090 www.dmei.org SURGICAL PACKAGES Advanced

More information

IOL Power Calculation After Myopic LASIK. Hany Helaly, Lecturer of Ophthalmology, Faculty of Medicine, Alexandria University.

IOL Power Calculation After Myopic LASIK. Hany Helaly, Lecturer of Ophthalmology, Faculty of Medicine, Alexandria University. IOL Power Calculation After Myopic LASIK Hany Helaly, Lecturer of Ophthalmology, Faculty of Medicine, Alexandria University. SUPERVISORS Prof. Dr. Mohammad El-Hifnawy Professor of Ophthalmology Faculty

More information

SARAH PHYLLIPS. Now, a cataract procedure as unique as your eye itself. TABLE 1. Age: 68.2. Depth (ACD) 3.48 0.36 Axial LengTH 23.79 0.

SARAH PHYLLIPS. Now, a cataract procedure as unique as your eye itself. TABLE 1. Age: 68.2. Depth (ACD) 3.48 0.36 Axial LengTH 23.79 0. TABLE 1 Baseline data SARAH PHYLLIPS Age: 68.2 mean ± Standard Deviat Anterior Chamber Depth (ACD) 3.48 0.36 Axial LengTH 23.79 0.55 Keratometry (K) 43.10 1.04 Now, a cataract procedure as unique as your

More information

Insert to. January 2011. Comfort and confidence for all IOL calculations

Insert to. January 2011. Comfort and confidence for all IOL calculations Insert to January 2011 Comfort and confidence for all IOL calculations Advanced Optical Biometry and Keratometry with LENSTAR LS 900 CONTENTS Lenstar and Ray-Tracing Calculations...3 By Jaime Aramberri,

More information

Increasing cost of health care 2010 Prevalence of Cataract Patients: 24.4 M (NEI/NIH) of patients age 40+

Increasing cost of health care 2010 Prevalence of Cataract Patients: 24.4 M (NEI/NIH) of patients age 40+ 7/27/15 Comanaging Modern Cataract Surgery: Guiding patients through Advanced Technology and Optimizing Surgical Outcomes Disclosures: Robert S. Stutman, OD, MBA, FAAO Alcon Speaker s Alliance Select Eye

More information

Managing Astigmatism in your Cataract Practice

Managing Astigmatism in your Cataract Practice Managing Astigmatism in your Cataract Practice KAREN S. BACHMAN, COMT, COE, OCS THE EYE INSTITUTE OF UTAH Disclaimer Ms. Bachman: Member of Alcon Speakers Alliance Mr. Larson: Employee of Corcoran Consulting

More information

AcrySof IQ Toric IOL (SN6ATT) Surgeon Keys for Success & Acknowledgement

AcrySof IQ Toric IOL (SN6ATT) Surgeon Keys for Success & Acknowledgement AcrySof IQ Toric IOL (SN6ATT) Surgeon Keys for Success & Acknowledgement Alcon Laboratories, Inc is pleased to announce the availability of the AcrySof IQ Toric intraocular lens, and delighted that you

More information

Cataract Surgery after Myopic Refractive Procedures. Ray Guard Eye Center Huang Wei-Jen, MD

Cataract Surgery after Myopic Refractive Procedures. Ray Guard Eye Center Huang Wei-Jen, MD Cataract Surgery after Myopic Refractive Procedures Ray Guard Eye Center Huang Wei-Jen, MD Financial Disclosures : * No financial interest on products mentioned Cataract Surgery after Myopic Refractive

More information

Management of Astigmatism in Cataract Surgery

Management of Astigmatism in Cataract Surgery Management of Astigmatism in Cataract Surgery Jonathan B. Rubenstein, M Vice- Chairman and eutsch Family Professor of Ophthalmology irector of Refractive Surgery Rush University Medical Center Financial

More information

Incision along Steep Axis

Incision along Steep Axis Toric IOL An option or a must? ~ 15% cataract surgical patients >1.5 D Options: spectacles, CLs, Incision along steep axis, LRI, AK, toric IOL, Excimer Laser or a combination Walter J. Stark, MD Professor

More information

Comparison of 2 laser instruments for measuring axial length

Comparison of 2 laser instruments for measuring axial length ARTICLE Comparison of 2 laser instruments for measuring axial length Kenneth J. Hoffer, MD, H. John Shammas, MD, Giacomo Savini, MD PURPOSE: To compare axial length (AL), anterior chamber depth (ACD),

More information

Simple regression formula for intraocular lens power adjustment in eyes requiring cataract surgery after excimer laser photoablation

Simple regression formula for intraocular lens power adjustment in eyes requiring cataract surgery after excimer laser photoablation J CATARACT REFRACT SURG - VOL 32, MARCH 26 Simple regression formula for intraocular lens power adjustment in eyes requiring cataract surgery after excimer laser photoablation Samuel Masket, MD, Seth Everett

More information

OCT-based IOL power calculation for eyes with previous myopic and hyperopic laser vision correction

OCT-based IOL power calculation for eyes with previous myopic and hyperopic laser vision correction American Academy of Ophthalmology Annual Meeting Orlando, Florida, 21-25 October 2011 OCT-based IOL power calculation for eyes with previous myopic and hyperopic laser vision correction Weeks Professor

More information

Premium IOL Implantation Calculations in Post-LASIK Cataract Eyes Using ASCRS IOL Calculator

Premium IOL Implantation Calculations in Post-LASIK Cataract Eyes Using ASCRS IOL Calculator Premium IOL Implantation Calculations in Post-LASIK Cataract Eyes Using ASCRS IOL Calculator Sahiba K Chailertborisuth, Saneha K. C. Borisuth, Navaneet S.C. Borisuth, MD, PhD Virdi Eye Clinic & Laser Vision

More information

I HAVE SUDDENLY STARTED SEEING BLURRY. WHY WOULD THAT BE?

I HAVE SUDDENLY STARTED SEEING BLURRY. WHY WOULD THAT BE? I HAVE SUDDENLY STARTED SEEING BLURRY. WHY WOULD THAT BE? THIS COULD BE DUE TO CATARACT A cataract is clouding of the lens in the eye that affects vision. Most cataracts are related to aging. A cataract

More information

Cataract Surgery in Small Eyes Richard S. Hoffman, MD Clinical Associate Professor of Ophthalmology Oregon Health & Science University No Financial Interests Anatomic Classification Short AC depth with

More information

Insert to October 2013 THE COMPLETE PICTURE. Experiences with the ALADDIN system. Sponsored by Topcon

Insert to October 2013 THE COMPLETE PICTURE. Experiences with the ALADDIN system. Sponsored by Topcon Insert to October 2013 THE COMPLETE PICTURE Experiences with the ALADDIN system Sponsored by Topcon THE COMPLETE PICTURE Advantages of The Aladdin How this all-in-one optical biometer edged out the IOLMaster

More information

Incisional techniques still have a place in the era of toric intraocular lenses

Incisional techniques still have a place in the era of toric intraocular lenses OCULAR SURGERY NEWS US EDITION Volume 27 Number 15 AUGUST 10, 2009 A SLACK Incorporated publication Incisional techniques still have a place in the era of toric intraocular lenses Refining the science

More information

ALL-IN-ONE Optical Biometry, Dual Scheimpflug Tomography and Placido Topography

ALL-IN-ONE Optical Biometry, Dual Scheimpflug Tomography and Placido Topography ALL-IN-ONE Optical Biometry, Dual Scheimpflug Tomography and Placido Topography GALILEI G6 Clinical Applications High confidence premium IOL selection The GALILEI G6 offers a link to the ray-tracing software

More information

What is the main target for all phaco surgeons?

What is the main target for all phaco surgeons? CORRECTION C O OF ASTIGMATISM DURING CATARACT SURGERY Abdallah dllh K. Hassouna, M.D. Sherein S. Wahba, M.D. Ain Shams University 2009 Main target What is the main target for all phaco surgeons? Main Target

More information

ASTIGMATIC CORRECTION

ASTIGMATIC CORRECTION LASER ARCS FOR The approaches of five femtosecond laser systems. Femto LDV BY NIRAJ DESAI, MD The Femto LDV Z6 (Ziemer Ophthalmic Systems) can create clear corneal and arcuate incisions, LASIK flaps, a

More information

9/26/2012. Financial Disclosures: Consultant for these Companies. Our Strive Towards Perfection

9/26/2012. Financial Disclosures: Consultant for these Companies. Our Strive Towards Perfection Overview of Cataract Surgery: 1. Newest Technology 2. A Refractive Procedure Gerard D Aversa, M.D. Partner, Ophthalmic Consultants of Long Island and Island Eye Surgery Center Financial Disclosures: Consultant

More information

Femtosecond Laser Capsulotomy and Manual Continuous Curvilinear Capsulorrhexis Parameters and Their Effects on Intraocular Lens Centration

Femtosecond Laser Capsulotomy and Manual Continuous Curvilinear Capsulorrhexis Parameters and Their Effects on Intraocular Lens Centration ORIGINAL ARTICLES Femtosecond Laser Capsulotomy and Manual Continuous Curvilinear Capsulorrhexis Parameters and Their Effects on Intraocular Lens Centration Kinga Kránitz, MD; Agnes Takacs, MD; Kata Miháltz,

More information

The LenSx Laser System. Discover the assurance of bladeless cataract surgery

The LenSx Laser System. Discover the assurance of bladeless cataract surgery g/ 14. The LenSx Laser System Discover the assurance of bladeless cataract surgery Don t let cataracts limit your lifestyle If you or someone you care for has been diagnosed with cataracts, you re certainly

More information

Current Trends in Modern Cataract Surgery. Jose Ivan Quiceno, MD Division of Ophthalmology Scripps Clinic Medical Group

Current Trends in Modern Cataract Surgery. Jose Ivan Quiceno, MD Division of Ophthalmology Scripps Clinic Medical Group Current Trends in Modern Cataract Surgery Jose Ivan Quiceno, MD Division of Ophthalmology Scripps Clinic Medical Group Current Trends in Modern Cataract Surgery Modern cataract surgery is not only a rehabilitative

More information

IOLMaster 500. Excellence in Biometry. Precision. Simplicity. Outcomes.

IOLMaster 500. Excellence in Biometry. Precision. Simplicity. Outcomes. IOLMaster 500 Excellence in Biometry. Precision. Simplicity. Outcomes. 2 IOLMaster 500 The gold standard in biometry is evolving to meet today s challenges Mastery is achieved through continuous practice

More information

Cataract Testing. What a Patient undergoes prior to surgery

Cataract Testing. What a Patient undergoes prior to surgery Cataract Testing What a Patient undergoes prior to surgery FINANCIAL DISCLOSURE I have no financial interest or relationships to disclose What do most Technicians find to be the most mundane yet very important

More information

Isn t it time to see what you ve been missing?

Isn t it time to see what you ve been missing? Isn t it time to see what you ve been missing? The world s most sophisticated laser cataract surgery system About cataracts and cataract surgery A cataract is a common condition in which the normally clear

More information

Discover the assurance of bladeless cataract surgery. The LenSx Laser System. Important Product Information for the LenSx Laser

Discover the assurance of bladeless cataract surgery. The LenSx Laser System. Important Product Information for the LenSx Laser The LenSx Laser System Important Product Information for the LenSx Laser CAUTION: The LenSx Laser is restricted by law to the sale and use by, or on the order of, a physician. DESCRIPTION: The LenSx Laser

More information

THE BEST OF BOTH WORLDS Dual-Scheimpflug and Placido Reaching a new level in refractive screening

THE BEST OF BOTH WORLDS Dual-Scheimpflug and Placido Reaching a new level in refractive screening THE BEST OF BOTH WORLDS Dual-Scheimpflug and Placido Reaching a new level in refractive screening GALILEI G4 Clinical Applications Corneal Implant Planning The comes with a licensable corneal inlay software

More information

Phacoemulsification: Considerations for Astigmatism Management Jason P. Brinton, MD and Thomas A. Oetting, MS, MD June 10, 2011

Phacoemulsification: Considerations for Astigmatism Management Jason P. Brinton, MD and Thomas A. Oetting, MS, MD June 10, 2011 Phacoemulsification: Considerations for Astigmatism Management Jason P. Brinton, MD and Thomas A. Oetting, MS, MD June 10, 2011 Introduction Patient expectations for cataract surgery have increased significantly

More information

The future of cataract surgery has arrived

The future of cataract surgery has arrived The future of cataract surgery has arrived A cataract clouding of the eye s natural lens as a result of aging or injury is the leading cause of preventable blindness worldwide. 1 Cataract surgery is one

More information

Supplement to October 2014. Master Your Toric Planning and Improve Refractive Outcomes With the LENSTAR LS 900. Sponsored by

Supplement to October 2014. Master Your Toric Planning and Improve Refractive Outcomes With the LENSTAR LS 900. Sponsored by Supplement to October 2014 Master Your Toric Planning and Improve Refractive Outcomes With the LENSTAR LS 900 Sponsored by Contents Lenstar and the T-Cone Toric Platform... xx Offering sophisticated planning

More information

LASIK and Refractive Surgery. Laser and Lens Vision Correction Options

LASIK and Refractive Surgery. Laser and Lens Vision Correction Options LASIK and Refractive Surgery Laser and Lens Vision Correction Options For over 30 years, The Eye Institute of Utah has been giving people vision for life... Dr. Andrew Lyle, vision pioneer and founder

More information

Stephen Slade, M.D., Surgeon experiences good results with LenSx Laser over the past year. Revolutionary technology for revolutionary cataract surgery

Stephen Slade, M.D., Surgeon experiences good results with LenSx Laser over the past year. Revolutionary technology for revolutionary cataract surgery www.eyeworld.org Revolutionary technology for revolutionary cataract surgery 2 0 1 1 A S C R S A S O A S a n D i e g o S h o w D a i l y S u p p l e m e n t Supported by Alcon Inc. Surgeon experiences

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

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

ADDENDUM to the Informed Consent for Cataract Surgery with Intraocular Lens Implant

ADDENDUM to the Informed Consent for Cataract Surgery with Intraocular Lens Implant ADDENDUM to the Informed Consent for Cataract Surgery with Intraocular Lens Implant INTRODUCTION Except for unusual situations, a cataract operation is indicated only when you cannot function satisfactorily

More information

Informed Consent for Cataract Surgery and/or Implantation of an Intraocular Lens (IOL)

Informed Consent for Cataract Surgery and/or Implantation of an Intraocular Lens (IOL) Bruce H. Brumm, MD, PC 6751 North 72 nd Street, Ste 105 Omaha, NE 68122 (402) 572-2020 800-775-5909 www.brummeye.com Informed Consent for Cataract Surgery and/or Implantation of an Intraocular Lens (IOL)

More information

What are your options for correcting astigmatism?

What are your options for correcting astigmatism? What are your options for correcting astigmatism? If you depend upon eyeglasses, you may have experienced the inconvenience of not being able to find your glasses when you really need them. Eyeglasses

More information

Femtosecond Laser Cataract Surgery. Eric Donnenfeld MD, Current State of Cataract Surgery

Femtosecond Laser Cataract Surgery. Eric Donnenfeld MD, Current State of Cataract Surgery Femtosecond Laser Cataract Surgery Eric Donnenfeld MD, Current State of Cataract Surgery Today, with the use of small incisions and foldable intraocular lenses (IOLs), cataract extraction has become a

More information

Informed Consent for Refractive Lens Exchange (Clear Lens Replacement)

Informed Consent for Refractive Lens Exchange (Clear Lens Replacement) Mark Packer, M.D. Informed Consent for Refractive Lens Exchange (Clear Lens Replacement) This surgery involves the removal of the natural lens of my eye, even though it is not a cataract. The natural lens

More information

Supplement to January 2013. Sponsored by STAAR Surgical. New Outcomes:

Supplement to January 2013. Sponsored by STAAR Surgical. New Outcomes: Supplement to January 2013 Sponsored by STAAR Surgical New Outcomes: Visian ICL CentraFLOW Technology Highlights from the Ninth Annual Visian ICL Experts Symposium, September 2012 Visian ICL With KS-Aquaport

More information

The LenSx Laser System. Discover the advantages of laser cataract refractive surgery

The LenSx Laser System. Discover the advantages of laser cataract refractive surgery The LenSx Laser System Discover the advantages of laser cataract refractive surgery 9522.indd 2 An advancement in cataract treatment How your cataract procedure is performed is up to you and your doctor.

More information

CONSENT FOR CATARACT SURGERY

CONSENT FOR CATARACT SURGERY CONSENT FOR CATARACT SURGERY INTRODUCTION The natural crystalline lens can become cloudy due to aging, trauma, disease or medications. This condition is called a cataract. When cataracts become visually

More information

LASER CATARACT SURGERY

LASER CATARACT SURGERY LASER CATARACT SURGERY Laser cataract surgery is now a reality, and now it is available at ReVision LASIK and Cataract Surgery Center. James Schumer, M.D. performed the first laser cataract surgery in

More information

Update on Post- Refractive Surgery IOL Calculations

Update on Post- Refractive Surgery IOL Calculations Update on Post- Refractive Surgery IOL Calculations Hawaiian Eye 2014 Kauai Rhonda G Waldron MMSc, COMT, CRA, ROUB, RDMS Diagnostic Echographer, Senior Associate in Ophthalmology Emory Eye Center Atlanta,GA

More information

LASIK & Refractive Surgery

LASIK & Refractive Surgery LASIK & Refractive Surgery LASIK PRK ICL RLE Monovision + + + For over 30 years, The Eye Institute of Utah has been giving people vision for life... The Eye Institute of Utah was the first medical facility

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

OMNI EYE SPECIALISTS. The Intraocular Lens

OMNI EYE SPECIALISTS. The Intraocular Lens OMNI EYE SPECIALISTS Intraocular Lens Options In Cataract Surgery Or Refractive Lens Exchange Surgery Your decision to have vision surgery is important and the doctors at Omni Eye Specialists will explain

More information

Technology Brief. Femtosecond lasers for cataract surgery

Technology Brief. Femtosecond lasers for cataract surgery HealthPACT Health Policy Advisory Committee on Technology Australia and New Zealand Technology Brief Femtosecond lasers for cataract surgery February 2012 State of Queensland (Queensland Health) 2012 This

More information

Benefits and Harms of Femtosecond Laser Assisted Cataract Surgery: A Systematic Review

Benefits and Harms of Femtosecond Laser Assisted Cataract Surgery: A Systematic Review 4 Department of Veterans Affairs Health Services Research & Development Service Benefits and Harms of Femtosecond Laser Assisted Cataract Surgery: A Systematic Review December 2013 Prepared for: Department

More information

Ophthalmology ROUNDS. Femtosecond Laser Cataract Surgery: Improving Precision, Improving Results

Ophthalmology ROUNDS. Femtosecond Laser Cataract Surgery: Improving Precision, Improving Results 2013 Volume 10, Issue 1 Ophthalmology ROUNDS Femtosecond Laser Cataract Surgery: Improving Precision, Improving Results BY RAYMOND STEIN, MD, FRCSC, AND REBECCA STEIN, BSC, MBCHB (CANDIDATE) Femtosecond

More information

Keratorefractive Surgery for Post-Cataract Refractive Surprise. Moataz El Sawy

Keratorefractive Surgery for Post-Cataract Refractive Surprise. Moataz El Sawy Keratorefractive Surgery for Post-Cataract Refractive Surprise Moataz El Sawy Departmentof Ophthalmology, Faculty of Medicine,MenoufiyaUniversity, Egypt mfelsawy@yahoo.co.uk Abstract: Purpose: To evaluate

More information

The Digital Microscope Platform. Heads-up Surgery with Integrated Applications

The Digital Microscope Platform. Heads-up Surgery with Integrated Applications The Digital Microscope Platform Heads-up Surgery with Integrated Applications 3 D D I G I T A L I now routinely use heads-up 3D surgery in all my retinal and cataract cases, and I believe many surgeons

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

LenSx Lasers, Inc. ! Alcon LenSx (CA, USA) ! OptiMedica CATALYS (CA, USA) ! LensAR (FL, USA) ! Technolas / B&L VICTUS (Munich, GER) !

LenSx Lasers, Inc. ! Alcon LenSx (CA, USA) ! OptiMedica CATALYS (CA, USA) ! LensAR (FL, USA) ! Technolas / B&L VICTUS (Munich, GER) ! LenSx Lasers, Inc. Laser Systems! Alcon LenSx (A, USA)! OptiMedica ATALYS (A, USA)! LensAR (FL, USA) Michael. Knorz Medical Faculty Mannheim, University of Heidelberg Mannheim, Germany! Technolas / B&L

More information

No-history method of intraocular lens power calculation for cataract surgery after myopic laser in situ keratomileusis

No-history method of intraocular lens power calculation for cataract surgery after myopic laser in situ keratomileusis J CATARACT REFRACT SURG - VOL 33, JANUARY 2007 No-history method of intraocular lens power calculation for cataract surgery after myopic laser in situ keratomileusis H. John Shammas, MD, Maya C. Shammas,

More information

The Calhoun adjustable IOL breaks new ground

The Calhoun adjustable IOL breaks new ground Page 1 of 5 Article Date: 3/1/2014 Focus on Cornea The Calhoun adjustable IOL breaks new ground Chemical technology allows the lens reshape itself to produce precise outcomes after implantation. BY JERRY

More information

Practice Spotlight. Three Surgeon-Innovators Share their LenSx Laser Pearls. Published as a promotional supplement to

Practice Spotlight. Three Surgeon-Innovators Share their LenSx Laser Pearls. Published as a promotional supplement to Practice Spotlight Three Surgeon-Innovators Share their LenSx Laser Pearls Funding and content assistance provided by Published as a promotional supplement to April 2013 Introduction To say that technology

More information

Laser cataract surgery

Laser cataract surgery Copyright 2013 Eyemax. All rights reserved. Laser cataract surgery Welcome to Chokshi vision center Leading the way to Better Vision World Class Vision Correction Chokshi Vision Center offers world class

More information

VA high quality, complications low with phakic IOL

VA high quality, complications low with phakic IOL Page 1 of 5 VA high quality, complications low with phakic IOL Use in keratoconus will continue, one surgeon predicts; another ponders long-term safety Nov 1, 2007 By:Nancy Groves Ophthalmology Times Several

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

Everything New with IOL and Cataract Surgery

Everything New with IOL and Cataract Surgery Everything New with IOL and Cataract Surgery What an Optometrists Needs to Know Jim Owen, OD, MBA, FAAO Cataract Surgery Eye Care Still the most common eye surgery performed Aging Population makes it even

More information

LASER CATARACT SURGERY

LASER CATARACT SURGERY LASER CATARACT SURGERY We re Taking Cataract Surgery to Another Level, Yet Again. At Associated Eye Care you can now experience advanced, bladeless cataract surgery. As the region s first and most experienced

More information

Tucson Eye Care, PC. Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens

Tucson Eye Care, PC. Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens Tucson Eye Care, PC Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is provided so that you may make an informed decision about having eye

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

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

IOL Power Calculations for Postrefractive Surgery Eyes

IOL Power Calculations for Postrefractive Surgery Eyes eyetube.net The Creator s Forum: IOL Power Calculations for Postrefractive Surgery Eyes Olsen Formula By Thomas Olsen, MD, PhD The calculation of IOL power in an eye that has undergone corneal refractive

More information

bringing life into focus Laser Cataract Surgery and Lens Implants

bringing life into focus Laser Cataract Surgery and Lens Implants bringing life into focus Laser Cataract Surgery and Lens Implants Our Vision Serves To Enhance Yours Every day, you participate in activities that require focused vision. Whether it s reading a newspaper,

More information

COMPARISON OF INTRAOCULAR LENS POWER CALCULATION METHODS IN EYES THAT HAVE UNDERGONE LASER-ASSISTED IN-SITU KERATOMILEUSIS

COMPARISON OF INTRAOCULAR LENS POWER CALCULATION METHODS IN EYES THAT HAVE UNDERGONE LASER-ASSISTED IN-SITU KERATOMILEUSIS COMPARISON OF INTRAOCULAR LENS POWER CALCULATION METHODS IN EYES THAT HAVE UNDERGONE LASER-ASSISTED IN-SITU KERATOMILEUSIS BY Li Wang MD PhD, Marc A. Booth MD, AND Douglas D. Koch MD* ABSTRACT Purpose:

More information

All from one trusted partner:

All from one trusted partner: Supplement to November/December 2013 All from one trusted partner: ZEISS Everything you need for happy patients. All from one trusted partner: ZEISS Everything you need for happy patients. 2 Supplement

More information

Staying on Target With Better Biometry

Staying on Target With Better Biometry Insert to Sponsored by an educational grant from Haag-Streit USA January 2010 Staying on Target With Better Biometry A roundtable discussion about the new LENSTAR LS900, the first biometer of the entire

More information

Total Corneal Astigmatism Correction With Limbal Relaxing Incisions Made by Femtosecond Laser System

Total Corneal Astigmatism Correction With Limbal Relaxing Incisions Made by Femtosecond Laser System Total Corneal Astigmatism Correction With Limbal Relaxing Incisions Made by Femtosecond Laser System Pilavas J 2, Nissirios N 1,2, Hatsis A 1,2 1 Long Island Vision Experts, Rockville Centre, NY and 2

More information

Crystalens upside-down yields myopic shift

Crystalens upside-down yields myopic shift Dealing With The Refractive Surprise Richard S. Hoffman, MD Clinical Associate Professor of Ophthalmology Casey Eye Institute Oregon Health and Science University No Financial Interest Why The Surprise?

More information

WHAT IS A CATARACT, AND HOW IS IT TREATED?

WHAT IS A CATARACT, AND HOW IS IT TREATED? 4089 TAMIAMI TRAIL NORTH SUITE A103 NAPLES, FL 34103 TELEPHONE (239) 262-2020 FAX (239) 435-1084 DOES THE PATIENT NEED OR WANT A TRANSLATOR, INTERPRETOR OR READER? YES NO TO THE PATIENT: You have the right,

More information

Biometry for Refractive Lens Surgery

Biometry for Refractive Lens Surgery 3 Biometry for Refractive Lens Surgery Mark Packer, I. Howard Fine, Richard S. Hoffman CORE MESSAGES 2 Achieving emmetropia in refractive lens surgery depends on accurate biometry and IOL power calculation.

More information

Tamás Filkorn, MD; Illés Kovács, MD, PhD; Ágnes Takács, MD; Éva Horváth, MD; Michael C. Knorz, MD; Zoltán Z. Nagy, MD, DSC

Tamás Filkorn, MD; Illés Kovács, MD, PhD; Ágnes Takács, MD; Éva Horváth, MD; Michael C. Knorz, MD; Zoltán Z. Nagy, MD, DSC Comparison of IOL Power Calculation and Refractive Outcome After Laser Refractive Cataract Surgery With a Femtosecond Laser Versus Conventional Phacoemulsification Tamás Filkorn, MD; Illés Kovács, MD,

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

Informed Consent for Refractive Lens Exchange (Clear Lens Extraction)

Informed Consent for Refractive Lens Exchange (Clear Lens Extraction) Informed Consent for Refractive Lens Exchange (Clear Lens Extraction) This form is designed to ensure that you have all the information you need to make a decision about whether or not you wish to undergo

More information

The cataract laser technology of tomorrow is here for you today.

The cataract laser technology of tomorrow is here for you today. The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options Thanks to new advancements, this is a great time to have cataract surgery Laser

More information

Management of Corneal Astigmatism by Limbal Relaxing Incisions during Cataract Surgery

Management of Corneal Astigmatism by Limbal Relaxing Incisions during Cataract Surgery Management of Corneal Astigmatism by Limbal Relaxing Incisions during Cataract Surgery Mohammad Ali Zare, MD 1 Mehdi Hosseini Tehrani, MD 2 Mohsen Gohari, MD 3 Mahmood Jabbarvand, MD 1 Mohammad Naser Hashemian,

More information

HKSH Introduces New Femtosecond Laser Enhanced Refractive Cataract Surgery High Precision and Safety

HKSH Introduces New Femtosecond Laser Enhanced Refractive Cataract Surgery High Precision and Safety For Immediate Release HKSH Introduces New Femtosecond Laser Enhanced Refractive Cataract Surgery High Precision and Safety (30 August, 2012 Hong Kong) Hong Kong Sanatorium & Hospital ( HKSH ) proudly announces

More information

Refractive Outcomes and Initial Clinical Experiences

Refractive Outcomes and Initial Clinical Experiences Richard L. Lindstrom, MD Founder and Attending Surgeon: Minnesota Eye Consultants Adjunct Professor Emeritus: University of Minnesota, Department of Ophthalmology Associate Director: Minnesota Lions Eye

More information

Presbyopia modern surgical treatments. Johan Lønsmann Poulsen, Euroeyes

Presbyopia modern surgical treatments. Johan Lønsmann Poulsen, Euroeyes Presbyopia modern surgical treatments Johan Lønsmann Poulsen, Euroeyes Presbyopia the earliest treatments Reading stones Emperor Nero (37-68 AD) Presbyopia design trends c. 1400s c. 1680-1750 c. 1800 1850

More information

IBRA Professional. Leading Technology for Refractive Outcome Analysis. Brochure 2015

IBRA Professional. Leading Technology for Refractive Outcome Analysis. Brochure 2015 IBRA Professional Leading Technology for Refractive Outcome Analysis Brochure 2015 Introduction IBRA is the leading all-in-one system for refractive laser and lens surgery outcomes, allowing eye surgeons

More information

JAMES S. LEWIS, MD. James S. Lewis, MD. Curriculum Vitae Certification: American Board of Ophthalmology, 1989 Affiliation: Wills Eye Surgical Network

JAMES S. LEWIS, MD. James S. Lewis, MD. Curriculum Vitae Certification: American Board of Ophthalmology, 1989 Affiliation: Wills Eye Surgical Network Ophthalmologist JAMES S. LEWIS, MD CATARACT AND GLAUCOMA SURGEON CORNEA AND LASIK SPECIALIST James S. Lewis, MD 215.886.9090 8380 Old York Road Suite 110A Elkins Park, PA 19027 jslewis@jameslewismd.com

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

Alcon. January 2016 Page 1 of 5 Novartis AG 2016 www.novartis.com

Alcon. January 2016 Page 1 of 5 Novartis AG 2016 www.novartis.com Alcon Alcon is a global leader in eye care and offers and extensive breadth of products serving the full lifecycle of patient needs across eye diseases, vision conditions and refractive errors. In 2015,

More information

Premium Lenses in Problematic Patients

Premium Lenses in Problematic Patients Premium Lenses in Problematic Patients How to be successful with presbyopic lenses in eyes that have already had LASIK surgery. Walter Bethke, Managing Editor If implanting a monofocal intraocular lens

More information

Timothy D. McGarity, M.D.

Timothy D. McGarity, M.D. Timothy D. McGarity, M.D. Dr. McGarity received his B.S. in Microbiology, honors, at the University of Arkansas, Fayetteville, and his M.D. at the University of Arkansas for Medical Sciences, Little Rock.

More information

Challenging Refractive Surgery Cases. Vance Thompson, MD, FACS Refractive and Cataract Surgery Vance Thompson Vision Sioux Falls, South Dakota

Challenging Refractive Surgery Cases. Vance Thompson, MD, FACS Refractive and Cataract Surgery Vance Thompson Vision Sioux Falls, South Dakota Challenging Refractive Surgery Cases Vance Thompson, MD, FACS Refractive and Cataract Surgery Vance Thompson Vision Sioux Falls, South Dakota Financial Disclosures Research/consulting: Alcon AMO B & L

More information