PRESBYOND Laser Blended Vision Customized. All distances. Immediate.

PRESBYOND Laser Blended Vision Customized. All distances. Immediate.

The moment you bridge the gap to clear vision at all distances. This is the moment we work for. // PRESBYOND Made By Carl Zeiss

PRESBYOND Laser Blended Vision A clear choice for presbyopic patients PRESBYOND Laser Blended Vision from Carl Zeiss is an advanced method for treating patients with age-related loss of accommodation, also known as presbyopia. It offers the opportunity to achieve freedom from glasses by combining the simplicity and accuracy of corneal refractive surgery with the benefits of increased depth of field in retaining visual quality. As a surgical solution based on the naturally occurring spherical aberrations of the eye, PRESBYOND Laser Blended Vision extends the scope of customized ablation beyond the limits of conventional monovision laser methods in several ways. Whether for its customized treatment profiles, its visual acuity at all distances, its indications range or its immediate impact, PRESBYOND Laser Blended Vision is a clear treatment choice for the fast growing demographic of presbyopic patients. PRESBYOND Laser Blended Vision Customized. All distances. Immediate. PRESBYOND Laser Blended Vision lets you greatly expand your MEL 80 excimer laser treatment repertoire and your patient base 4

Next-level vision correction beyond conventional monovision Although similar to conventional monovision laser treatments in terms of the workflow, PRESBYOND Laser Blended Vision takes customized vision correction a step beyond, particularly with respect to the outcomes. No increase in depth of field Dominant eye ±0.0 D DISTANCE NEAR Non-dominant eye up to -3.0 D No increase in depth of field Conventional monovision With conventional monovision treatment methods (both surgical and contact lens), the dominant eye is corrected for distance vision to almost plano. The non-dominant eye, on the other hand, is corrected for near vision, usually to be myopic up to -3.0 D. Accommodation is thereby often diminished. The method aims to achieve optimal vision at distance and near range. Following the procedure, the brain must contend with two separate images with different levels of correction. According to scientific studies, only about 60 % of patients are able to successfully merge the two images to experience sharp binocular vision at near and distance range. 1 Patients that tolerate the method are left with an uncorrected, compromised gap in the intermediate range, the socalled Blur Zone. In addition to the fuzzy image, it can also cause other side effects such as reduced contrast sensitivity and stereoacuity. Also, it often takes patients a long time to get used to merging the two images into one picture. Conventional monovision is a correction method with compromises. For a number of patients, it is not a suitable option. 6

PRESBYOND Laser Blended Vision A new, physiologically optimized laser treatment method for presbyopic patients, PRESBYOND Laser Blended Vision represents the next stage in eye care excellence. Similar to conventional monovision, the dominant eye is corrected for distance vision to almost plano, whereas the non-dominant eye is corrected to be slightly myopic for near vision to -1.5 D. This micro-monovision strategy is further enhanced by a decisive difference: an increase in the depth of field of each eye using a wavefront-optimized ablation profile to create a continuous refractive power gradient for the whole optical zone of the cornea. PRESBYOND Laser Blended Vision is an absolutely individualized treatment plan based on preoperative spherical aberrations and the functional age of the eye. As a result, a customized fusion of the two images for near and distance vision is created for each patient the so-called Blend Zone. Increase in depth of field Dominant eye ±0.0 D DISTANCE NEAR Non-dominant eye -1.5 D The unique Blend Zone Essentially, the Blend Zone makes it easier for the brain to merge the images of both eyes, thereby achieving true binocular vision. This is a significant advantage over conventional monovision. In addition to excellent near and far vision, PRESBYOND Laser Blended Vision patients also experience very good visual acuity and contrast sensitivity in the intermediate range. They adapt faster and most are delighted about not having to wear glasses anymore. Not surprisingly, PRESBYOND Laser Blended Vision is tolerated by a high number of patients up to 97 %. 1 Increase in depth of field 7

Customized Generally speaking, conventional monovision methods utilize standard ablation profiles. In the case of PRESBYOND Laser Blended Vision, they are customized for each eye individually because of the increased depth of field. Individualized ablations PRESBYOND Laser Blended Vision is a truly customized approach for treating presbyopic patients. It incorporates preoperative wavefront data to fine-tune the depth of field for each eye individually. The functional age of the eye is also factored in. In result, a personalized ablation profile is created for optimized target refraction. The monovision component can be pre-adjusted for the patient s tolerance level. Also, different optical zone sizes can be selected to account for the patient s pupil size. Ideal for a growing demographic As an optimized laser method for age-related loss of accommodation, PRESBYOND Laser Blended Vision is ideally suited for serving the needs of patients 40 60 years of age a fast-growing demographic group interested in sophisticated options. It is also one of the least invasive methods for addressing presbyopia. Familiar procedure Following the same workflow as established LASIK procedures, PRESBYOND Laser Blended Vision combines the convenient binocular treatment planning of the CRS-Master with the proven comfort and workflow of the MEL 80 excimer laser from Carl Zeiss. 8

» PRESBYOND Laser Blended Vision provides the most natural form of presbyopic correction, including 97 % of all refractive errors with preservation of contrast sensitivity, night vision and stereoacuity; it is easily enhanced, adjusted and even reversed, if needed. It s the Olympic Gold medalist in presbyopic surgery. Prof. Dan Reinstein, London Vision Clinic, United Kingdom, August 2012» 9

All distances Strictly in terms of the visual outcomes, PRESBYOND Laser Blended Vision transcends conventional monovision methods by offering clear sight at all distances: near, intermediate and far. Better yet, virtually all patients are freed from the need to wear reading glasses. 1-4, 6 Outstanding visual acuity By customizing each eye individually, PRESBYOND Laser Blended Vision provides excellent visual acuity for near and distance vision. Unlike conventional monovision methods, PRESBYOND Laser Blended Vision also offers good intermediate vision in the Blend Zone. According to clinical studies, there is virtually no loss of contrast sensitivity and stereoacuity is maintained. Also, side effects such as multiple images in one eye are almost eliminated. An all-natural approach PRESBYOND Laser Blended Vision is a physiological solution and a true binocular method for treating presbyopic patients. Wide indication range PRESBYOND Laser Blended Vision is a proven and effective method for treating indications ranging from -8.0 D to +2.0 D, including emmetropic and astigmatic presbyopic patients (up to 2.0 cyl).» I have been impressed by the very high patient tolerance rate for PRESBYOND Laser Blended Vision which is much higher than what we see for conventional monovision methods. Christian de Courten, MD, MV Sante Vision, Switzerland, July 2012» 10

Immediate What also clearly sets PRESBYOND Laser Blended Vision apart from other laser techniques is the immediate positive impact it offers patients and refractive surgeons alike visually for the former, economically for the latter. 1 4 Appropriate for most patients A key advantage of PRESBYOND Laser Blended Vision is that it is proven to be tolerated by more patients than conventional monovision. It is effective for treating up to 97 % 1 of all presbyopia-related forms of impairment as compared to only 59 67 % for conventional monovision. Even presbyopic patients with emmetropia and astigmatism can be treated. In fact, it has the potential to achieve a far greater success rate than any comparable treatment. 1,5 A competitive edge PRESBYOND Laser Blended Vision allows refractive practices already using a MEL 80 excimer laser and CRS-Master from Carl Zeiss to significantly expand their LASIK repertoire and increase the patient base. For most patients, a positive effect is that they can read without glasses the very same day. As such, PRESBYOND Laser Blended Vision offers a decisive competitive advantage over LASIK practices only specializing in monovision treatment methods.» Zeiss Laser Blended Vision is the answer to the missing platform in LASIK refractive surgery for myopic, hyperopic and even emmetropic patients. Andrew Taylor, MD. F.R.C.S.C., LASIK Eye Surgery Niagara Falls, Canada, January 2012» 12

A perfect combination: CRS-Master and MEL 80 PRESBYOND Laser Blended Vision is an optional software upgrade for the CRS-Master from Carl Zeiss. It forms a perfect fit with the MEL 80 excimer laser, expanding the repertoire of the customized refractive laser corrections far beyond the limits of conventional monovision methods. 14

000000-1429-382-04-GB-Vs01 MWIB Technical data CRS-Master Dimensions (W x D x H) Weight Max. 1060 x 420 x 1510 mm Max. 110 kg Input voltage with table 120, 230 V AC ± 10 % without table 100, 120, 230 V AC; adjustable, single phase Input current Max. 6.3 A Rated frequency 50/60 Hz Ambient conditions Temperature +15... +30 C Relative humidity 30... 75 % Non condensing Air pressure 700... 1060 hpa Data backup Data transfer Data printout Approval CD/DVD USB flash memory drive (USB memory stick) Via network connection with Ethernet cable and optional network isolator CE mark as per Medical Device Directive 93/42/EEC MEL 80 Laser data Type Wavelength Frequency Aiming beam diode Device data Weight of MEL 80 Weight of patient supporting system Dimensions (Laser, W x D x H) Dimensions including patient supporting system (W x D x H) Power supply Approval Gas supply ArF excimer laser 193 nm 250 Hz 650 nm (laser class 1 according IEC 60825-1) 290 kg incl. gas cylinder 232 kg 800 x 1550 x 1490 mm 1800 x 3140 x 1490 mm 100 V AC; 50/60 Hz; 17.5 A 120 V AC; 50/60 Hz; 14.6 A 208, 220, 230, 240 V AC; 50/60 Hz; 7.9 A CE mark as per Medical Device Directive 93/42/EEC Integrated ArF-Premix cylinder 10 l References Claims made in this document are supported by information provided in the following publications: 1. Reinstein DZ, Couch DG, Archer TJ. LASIK for Hyperopic Astigmatism and Presbyopia Using Micro-monovision With the Carl Zeiss Meditec MEL 80. J Refract Surg. 2009;25(1):37-58. 2. Reinstein DZ, Archer TJ, Gobbe M. LASIK for Myopic Astigmatism and Presbyopia Using Non-Linear Aspheric Micro-Monovision with the Carl Zeiss Meditec MEL 80 Platform. J Refract Surg. 2011;27(1):23-37. 3. Reinstein DZ, Carp GI, Archer TJ, Gobbe M. LASIK for the correction of presbyopia in emmetropic patients using aspheric ablation profiles and a micro-monovision protocol with the Carl Zeiss Meditec MEL 80 and VisuMax. J Refract Surg. 2012 [In Press]. 4. Reinstein DZ, Archer TJ, Gobbe M. Stereoacuity after Corneal Presbyopic LASIK in Myopic, Hyperopic and Emmetropic Patients. ESCRS Annual Meeting, Vienna, September 2011. 5. Evans BJ. Monovision: a review. Ophthalmic Physiol Opt. 2007;27(5):417-439. 6. Reinstein DZ, Archer TJ, Gobbe M. LASER BLENDED VISION FOR PRESBYOPIA CORRECTION. Pallikaris I, Plainis S, Charman WN. Presbyopia: Origins, Effects, and Treatment (pp. 191-196). 2012 SLACK Incorporated. Equipment Surgical microscope Active eye tracker CCA+ (plume removal system) Spot scanning parameters Beam dimensions Phototherapeutic keratectomy Area ablation VISIBLEAND INVISBLE LASER RADIATIONAVOID EYE OR SKIN EXPOSURE TO DIRECT OR SCATTERED RADITION CLASS 4 LASER PRODUCT ACCORDING DIN EN 60825-1:2003 UND :2008 193 nm, <2 mj, 4-7ns OPMI pico with integrated video camera Infrared, pupil and limbus tracking, 1050 frames per second (fps) Integrated in device 0.7 mm FWHM (Full width at half maximum), Gaussian beam profile Programmed PTK shaping 15

0297 Your local contact: Argentina Carl Zeiss Argentina S.A. Calle Nahuel Huapi 4015 / 25 C1430 BCO Buenos Aires Argentina Phone: +54 11 45 45 66 61 bruzzi@zeiss.com.ar Australia Carl Zeiss Pty Ltd Tenancy Office 4, Level 1 40-52 Talavera Road North Ryde NSW 2113 Australia Phone: +61 2 9020 1333 med@zeiss.com Austria Carl Zeiss GmbH Laxenburger Str. 2 1100 Vienna Austria Phone: +43 1 79 51 80 austria@zeiss.org Belgium Carl Zeiss NV-SA Ikaroslaan 49 1930 Zaventem Belgium Phone: +32 2 719 39 11 info@zeiss.be Brazil Carl Zeiss do Brasil Ltda. Av. Naçoes Unidas, 21711 CEP04795-100 São Paulo Brazil Phone: +55 11 5693 5521 medbrasil@zeiss.org Canada Carl Zeiss Canada Ltd. 45 Valleybrook Drive Toronto, ON M3B 2S6 Canada Phone: +1 800 387 8037 czcmed@zeiss.com China Carl Zeiss Shanghai Co. Ltd. 1/f., Ke Yuan Building 11 Ri Yin Nan Road Waigaoqiao Free Trade Zone 2005 Yang Gao Bei Road Shanghai 200131 China Phone: +86 21 5048 17 17 sro@zeiss.com.cn Czech Republic Carl Zeiss spol. s.r.o. Radlická 14/3201 150 00 Prague 5 Czech Republic Phone: +420 233 101 221 zeiss@zeiss.cz France Carl Zeiss Meditec France SAS 60, route de Sartrouville 78230 Le Pecq France Phone: +33 1 34 80 21 00 med@zeiss.fr Germany Carl Zeiss Meditec VG mbh Carl-Zeiss-Strasse 22 73447 Oberkochen Germany Phone: +49 7364 20 6000 vertrieb@meditec.zeiss.com Surgical Ophthalmology: Phone: +49 800 470 50 30 iol.order@meditec.zeiss.com Hong Kong Carl Zeiss Far East Co. Ltd. Units 11-12. 25/F Tower 2, Ever Gain Plaza No. 88 Container Port Road Kwai Chung Hong Kong Phone: +852 2332 0402 czfe@zeiss.com.hk India Carl Zeiss India Pvt. Ltd. Plot No.3, Jigani Link Road Bommasandra Industrial Area Bangalore - 560 099 India Phone: +91 80 4343 8000 info@zeiss.co.in Italy Carl Zeiss S.p.A. Viale delle Industrie 20 20020 Arese (Milan) Italy Phone: +39 02 93773 1 infomed@zeiss.it Japan Carl Zeiss Meditec Japan Co. Ltd. Shinjuku Ku Tokyo 160-0003 22 Honchio-Cho Japan Ophthalmic instruments: Phone: +81 3 33 55 0331 medsales@zeiss.co.jp Surgical instruments: Phone: +81 3 33 55 0341 cmskoho@zeiss.co.jp Malaysia Carl Zeiss Sdn Bhd. Lot2, Jalan 243/51 A 46100 Petaling Jaya Selangor Darul Ehsan Malaysia Phone: +60 3 7877 50 58 malaysia@zeiss.com.sg Mexico Carl Zeiss de México S.A. de C.V. Avenida Miguel Angel de Quevedo 496 04010 Mexico City Mexico Phone: +52 55 59 99 0200 cz-mexico@zeiss.org Netherlands Carl Zeiss B.V. Trapezium 300 Postbus 310 3364 DL Sliedrecht Netherlands Phone: +31 184 43 34 00 info@zeiss.nl New Zealand Carl Zeiss (N.Z.) Ltd. 15B Paramount Drive P.O. Box 121-1001 Henderson, Auckland 0650 New Zealand Phone: +64 9 838 5626 med@zeiss.com Poland Carl Zeiss sp. Z o.o. ul. Lopuszanska 32 02-220 Warsaw Poland Phone: +48 22 858 2343 medycyna@zeiss.pl Singapore Carl Zeiss Ptd. Ltd. 50 Kaki Bukit Place Singapore 415926 Singapore Phone: +65 6741 9600 info@zeiss.com.sg South Africa Carl Zeiss (Pty.) Ltd. 363 Oak Avenue Ferndale Randburg 2194 South Africa Phone: +27 11 886 9510 info@zeiss.co.za South Korea Carl Zeiss Co. Ltd. Seoul 121-828 Mapo-gu 141-1, Sangsu-dong 2F, BR Elitel Bldg. South Korea Phone: +82 2 3140 2600 korea@zeiss.co.kr Spain Carl Zeiss Meditec Iberia S.A.U. Ronda de Poniente, 15 Tres Cantos 28760 Madrid Spain Phone: +34 91 203 37 00 info@zeiss.es Sweden Carl Zeiss AB Tegeluddsvaegen 76 10254 Stockholm Sweden Phone: +46 84 59 25 00 info@zeiss.se Switzerland Carl Zeiss AG Feldbachstrasse 81 8714 Feldbach Switzerland Phone: +41 55 254 7534 info@zeiss.ch Thailand Carl Zeiss Thailand 90 CyberWorld Tower A, 36 th Floor, Unit A 3601 230 Ratchadapisek Road Huaykhwang, Bangkok 10310 Thailand Phone: +66 2 248 8787 thailand@zeiss.com.sg United Kingdom Carl Zeiss Ltd. 509 Coldhams lane Cambridge CAMBS CB1 3JS, United Kingdom Phone: +44 1707 871200 info@zeiss.co.uk United States of America Carl Zeiss Meditec, Inc. 5160 Hacienda Drive Dublin, CA 94568 USA Phone: +1 925 557 4100 info@meditec.zeiss.com Publication No: 000000-2000-981 Printed in Germany CZ-X/2012 The contents of the brochure may differ from the current status of approval of the product in your country. Please contact our regional representative for more information. Subject to change in design and scope of delivery and as a result of ongoing technical development. Printed on elemental chlorine-free bleached paper. 2012 by Carl Zeiss Meditec AG. All copyrights reserved. Carl Zeiss Meditec AG Goeschwitzer Strasse 51 52 07745 Jena Germany www.meditec.zeiss.com/presbyond