EyeWorld China December 2019 Issue

ENHANCING SURGICAL PERFORMANCE WITH CATARACT REFRACTIVE SUITE Newer technologies and machines provide more data, are user friendly and offer consistency, predictability and accuracy during cataract surgery. However, no single machine is perfect and machines from different productions do not always communicate with each other. To fulfill this gap, we have the next evolution in cataract surgery, the cataract refractive suit, a platform that integrates different technologies and devices to improve safety, efficacy and precision of cataract surgery. Leading ophthalmic experts presented their clinical insights on cataract refractive suite and its components; the Centurion ® Vision system, LenSx ® laser and ORA ® VerifEye+ The Centurion ® cataract refractive suite includes the VERION™ Image Guided System, LenSx ® laser, LuxORLX3 operating microscope, Centurion ® vision system, range of advanced technology IOLs and ORA ® VerifEye+. The VERION™ image guided system assists in pre-operative planning of choice of IOL, incision and axis and lens position. The innovative phacoemulsification by the Centurion ® vision system provides greater chamber stability, lower temperature rise and improved surgical control. The Active Fluidics™ allows dynamic IOP management by monitoring the aspiration flow rate, irrigation pressure and vacuum, and compensates for pressure loss to maintain the target surgeon- selected IOP. Surgeons can select a target IOP ranging from higher to near normal physiologic IOP according to their preference and skill level. Since Active Fluidics™ mitigates IOP surge effectively it allows the surgery to be performed at physiologic IOP, thus maintaining anterior chamber stability. Furthermore, the Ultrasert™ delivery system allows consistent, predictable and controlled IOL insertion, and the Optiwave Refractive Analysis (ORA™) system with VerifEye+ technology performs intraoperative aberrometry that provides unique information to improve refractive outcomes. With the amalgamation of several technologies the cataract refractive suite offers several advantages. (Table 2) Centurion ® Cataract Refractive Suite Abhijeet Desai Cataract Refractive Suite is a new standard of performance in cataract surgery, which features an amalgamation of several technologies and devices that improve safety, efficacy and precision of cataract surgery and promote predictable post- operative outcomes. TheCenturion ® VisionSystemfeatures innovativephacoemulsification technologies that offers greater chamber stability, lower temperature rise and improved surgical control during cataract surgery. The Centurion ® Vision System incorporates multiple intelligent technologies to improve surgical precision and efficiency of cataract surgery. “I want everyone to think of cataract surgery with Centurion ® Vision System as a process of integrated functions working in coordination. We must broaden our thought matrix to understand how the capabilities of Centurion ® Vision System can facilitate more efficient and safer cataract surgery’, said Dr. David Lubeck. Getting the Best Out of the Centurion ® Vision System David Lubeck Table 3: Unique features of Centurion ® Vision System 1. Active fluidics™ • Allows the surgeon to work at more efficient flow and vacuum rates • Optimizes anterior chamber stability • Allows surgery at physiologic IOP 2. Balanced tip probe improves phaco efficiency • Reduces power requirement • Reduces heat at incision • Reduces impact on endothelium and other intraocular structures 3. Continuous torsional ultrasound for phacoemulsification provides • Better nucleus followability • Decreased nucleus chatter • Fewer loose nucleus fragments • Efficient nucleus emulsification. 4. Ergonomic design, wireless footswitch and intuitive touch- screen display 5. Applied Integration TM allowing use easier combination with other technologies Centurion ® Vision System sets a new standard of performance in cataract surgery by combining multiple intelligent phaco technologies and offers greater chamber stability, lower temperature rise and improved surgical control during cataract surgery. 5 Table 2: Advantages of Cataract Refractive Suite 1. Increases accuracy and predictability 2. Integrates diagnostics 3. Improves work flow and patient movement 4. Saves time, which converts in to better quality counseling 5. Avoids of transcription errors 6. Increase consistency of results 7. Offers efficient post-operative analysis 8. Improves physician conviction on advice on premium IOLs The Catara Refractive BY ALCON The Cataract Refractive Suite BY ALCON The Cataract Refractive Suite BY ALCON The Cataract Refractive Suit BY ALCON