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It is interesting to note that when a clinical trial of optical ray-tracing–guided LASIK was completed 1 year ago, this profile saved even more tissue with even better refractive outcomes. Patient bed. Request An Appointment. In this and the next five articles, a collection of authors provide an overview of the latest laser vision correction platforms and treatments. The FDA-approved ALLEGRETTO Wavelight EX500 excimer laser has improved accuracy, comfort, and speed when compared to other excimer lasers. Alcon plans for broad commercial release of Contoura Vision in in the US in early 2016. LASIK and other forms of laser refractive surgery, such as PRK and LASEK, all use a highly specialized excimer laser to reshape the cornea and correct refractive errors including myopia (nearsightedness), hyperopia (farsightedness) and astigmatism.. Excimer lasers have revolutionized the field of laser eye surgery. The laser is economical with corneal tissue. Though our cross-linking studies in the U.S. can only cross-link the patient, in Europe they’re also able to use the laser to correct refractive errors at the same time as the cross-linking.”. “They’re looking at other sources of aberrations and joining them with data points from topography and tomography to try to improve the outcomes of refractive surgery,” he says. Tips and techniques for working with the first toric presbyopic intraocular lens approved in the United States. Not Rated Rate this modal. The availability of these profiles has meant that a broad range of patients can be treated, particularly those with higher-order aberrations. With the EX500, a myopia treatment at a 6-mm optical zone takes 1.4 seconds per diopter; at a 6.5-mm optical zone it takes 1.9 seconds per diopter. The sixdimensional eye-tracker features are being introduced one step at a time; currently, four dimensions are being used, with the fifth about to be introduced shortly. “We found that the faster 400-Hz results were better, especially with the higher minuses,” says Dr. Stonecipher. In traditional LASIK, the surgeon utilizes a surgical blade called a microkeratome to create a thin, hinged flap in the clear surface of the eye (cornea). The on-screen information is so comprehensive that the entire procedure can be done by looking only at the screen, if that is the surgeon’s preference. WaveLight EX500 Excimer Laser. This video is unavailable. This feature increases patient safety, as the surgeon immediately knows the flap thickness and residual corneal thickness prior to starting ablation utilizing a no-touch technique. Methods: A retrospective chart review of consecutive cases of high myopic eyes (≥6.0 Diopters [D]) undergoing PRK with the Alcon Wavelight EX500 excimer laser (Alcon Laboratories, Fort Worth, TX, USA) was done. The WaveLight EX500 Excimer Laser System is capable of wavefront-guided ablations; however, the refractive procedures performed in this study by the WaveLight EX500 laser used wavefront-optimized technology, which provides ablations determined by an … It delivers average treatment time of approximately 1.4 seconds per diopter. For comparison sake, the previous model ran at 400 Hz. “And I think that’s related to speed. Refractive surgery is a well-established field, and today surgeons have a number of available options to choose from when treating patients. The right ocular contains patient name, date of birth, the eye to be treated, the ablation profile to be used, the strength of the eye-tracker signal, and the progression of the ablation as a percentage. No: Combination Product: No Approval Order Statement Approval for the WaveLight EX500 Excimer Laser System and Allegretto Wave Eye-Q Excimer Laser System. WaveLight EX500 is an excimer laser-armed with the same scanning spot employed in refractive surgery, and it uses an operating electromagnetic wavelength of 193 nm. “It can do the measurements both before the procedure and during it,” says Dr. Stonecipher. He states that he is a consultant to and clinical investigator for Alcon/WaveLight. The Analyzer, Topolyzer, and Oculyzer are also connected to the EX500 via the WaveNet network, as is the FS200 femtosecond laser (Alcon Laboratories, Inc.). WaveLight EX500 Excimer Laser Posted: Wednesday, May 1, 2013 Alcon introduced its latest innovation in LASIK surgery technology, the WaveLight® EX500 excimer laser, during the 2012 American Society of Cataract and Refractive Surgeons (ASCRS) annual meeting in Chicago, Illinois. The innovative WaveLight EX500 Excimer Laser is the newest and fastest laser system available in the U.S. that enhances the precision, reliability and safety of laser vision correction. Wavelight EX500 Excimer vs Allegretto EX500. With 500 Hz, though, it’s speed is 1.4 seconds per diopter.” Dr. Stonecipher says it’s been his experience that up to about -7 D, the outcomes between the 400-Hz and the 500-Hz lasers are somewhat similar. The WaveLight? Alcon Scientific Results and Data Presentations during AAO . The Oculyzer II, also known as the Pentacam HD (Oculus Optikgeräte GmbH), provides more high-definition data than the previous Oculyzer. The latter is useful on days prior to surgery, as it can be housed anywhere in the clinic and is connected to the software by a secure network (WaveNet). It is key to the smooth use of the laser, especially if it is used in conjunction with the FS200. com. You may have heard of traditional or standard LASIK compared to “all-laser” or “bladeless” LASIK. Considering surgery. Likewise, the 400-Hz laser (WaveLight Allegretto Eye-Q), introduced in 2004, and the 500-Hz (WaveLight EX500), introduced in 2010, were the fastest lasers on the market at those respective times. In laments terms this is good news because now the laser checks and rechecks the position of the eye 500 times a second. The WaveLight EX500 Excimer Laser System is capable of wavefront-guided ablations; however, the refractive procedures performed in this study by the WaveLight EX500 laser used wavefront-optimized technology, which provides ablations determined by an algorithm established from population norms. Reproduction in whole or in part without permission is prohibited. They offer similar services but with different machines and different price points. Visit MyAlcon today. I cannot recall the last time a patient was brought back to the laser room to remove interface debris or a particle. These devices are indicated for use in Photorefractive Keratectomy (PRK) … Optimizes temporal and spatial shot distribution5. Arthur B. Cummings, MB ChB, FCS(SA), MMed (Ophth), FRCS(Edin), practices at the Wellington Eye Clinic & UPMC Beacon Hospital, Dublin, Ireland. EtherNet/IP™ Compatible GW Unit Instruction Manual Wavelight® Ex500 Excimer Laser | MyAlcon.com Manuals for KDL-40EX500 | Sony USA Ex500 Manual Motorola EX500 … So I’ve gone to two consultations with both being top of their game in the city. Each of these lasers meets criteria for safety and effectiveness. However impressive its speed, this is by no means the laser’s overriding feature. Dr. Cummings may be reached at tel: +353 1 2930470; fax: +353 1 2935978; e-mail: [email protected] The WaveLight EX500 performs this fundamental part of surgery with exceptional precision and efficiency, with special safety features to minimize risks. In the 400-Hz group, 98.5 percent (64/65) and 100 percent (65/65) of eyes were within ±0.50 D of the intended correction at three and six months postoperatively. The standard ablation profile for both platforms is wavefrontoptimized, which is what we use for 85% of our primary procedures. Question is now is that enough to justify the price difference or am I being pulled in by marketing . The WaveLight? Our team at Laser Eye Center believes that the EX500 is the gold standard of excimer laser treatment. Optical low-coherence reflectometry (WaveLight EX500) was used to measure central corneal thickness prior to lifting the flap, and the residual stromal bed immediately after excimer ablation. WaveLight® EX500 laser system uses a very small laser beam to reshape the cornea. The EX500 is also designed in such a way that it fits into a refractive suite of lasers and diagnostic instruments made by Alcon/WaveLight. The result is the natural aspherical shape of the cornea is preserved to a degree that older lasers simply could not achieve. Screen. The WaveLight® EX500 Excimer Laser is the cutting edge of LASIK and PRK surgery technology. The Allegretto Wave was developed specifically for wavefront treatments—with a fast, accurate tracker, a small 0.95-mm spot size, a rapid 200-Hz repetition rate, and a Gaussian beam profile that is particularly well-suited to treating localized aberrations. One of the key features of the device is its ablation speed, running at 500 Hz, vs. the speed of the previous model, the Allegretto Wave IQ 400 Hz. What separates this system from the pack is that its ablation speed is running at 500Hz. Additionally, data are obtained from the iris and limbus to aid the cyclorotational tracker in actively and passively ensuring that the ablation is delivered to the intended location. “So, for those patients in whom you’re concerned about the depth of the residual stromal bed, you can make intraoperative adjustments. Thinking about getting PRK done. A supplemental … The WaveLight EX500 excimer laser (Alcon Laboratories, Inc.) is the latest in a line of very fast flying spot lasers to come from the WaveLight stable. Results are quite similar, with the EX500 just shading the Eye-Q laser in most parameters (Figures 1 through 3). To aid in decision making, the ablation profiles that are being considered for a treatment can be compared on the same screen. Retinal specialists unpack the data and discuss how it can be applied in the clinic. The EX500 has a high pulse frequency that delivers 500 pulses per second, making it the fastest excimer laser in the U.S. today. Purpose: To present refractive outcomes from consecutive cases with the Alcon Wavelight® EX500 excimer laser using photorefractive keratectomy (PRK) in patients with high myopia. The company says that positioning the fixation light within the other lights helps prevent cyclotorsion and gets the eye into the right alignment. Learn more about the Alcon WaveLight® Refractive Laser Suite and how it may benefit your practice. The topo-guided treatment is aimed at patients who have asymmetric bow ties, topographic abnormalities, decentrations or need larger treatment zones when there’s a potential for problems with glare and halo. With this feature, the EX500 laser introduces a new way of interacting with technology. “Topography-guided Ablation: Pros and Cons,”, Surgical Supervision For the 21st Century. “Being able to enter refractions in 1/100 of a diopter helps you with the accuracy of your nomogram,” Dr. Stonecipher avers. This is a big improvement and makes treating patients with large chests easier and more comfortable. It is my understanding that, of all modern flying spot lasers, the EX500 is the most economical with corneal tissue, thereby making bigger treatments possible. Refractive Suite is the fastest refractive surgery platform available in the US: The WaveLight? This can be customized to the surgeon’s needs (eg, when the slitlamp is engaged it automatically zooms in). During LASIK, we also incorporate the WaveLight FS200, a laser tool used to create the corneal flap with far greater precision and safety than a … The quicker laser head lessens the prevalence of corneal stromal bed dehydration during the procedure, which can contribute to overcorrection and occurs when a flap is created in the eye. WAVELIGHT LASIK AT CLARIS EYE. There are multiple other features on the laser platform, but I will discuss only those that I am very familiar with and use on a regular basis: Online optical pachymetry. The WaveLight EX500 sends extra pulses to the periphery of the cornea to compensate for the angle of the laser beam. 4 This innovative technology tracks the movement of the eye 200 times per second, allowing extreme precision. The EX500 is used to reshape the cornea and reduce irregularities in … From intrastromal correction to surface ablation to lens-based strategies, the aim of these techniques is to provide patients with a better refractive status and, in as many cases as possible, spectacle independence. Faster, safer, and more comfortable crisp, clear vision a broad range patients. 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