EyeWorld India September 2017 Issue

56 EWAP DEVICES September 2017 “In my hands, the IntraLase technology for LASIK has unique features that allow me to fully cre- ate a customized flap for a patient and has completely changed my approach to LASIK over the years,” said Stephen Coleman, MD , Albuquerque, New Mexico. “Flap diameter, flap shape, flap thickness, as well as the angle of the side- wall construction are all easily and readily programmable in my laser suite, for each individual patient. It is fast, precise, accurate, and reproducible.” Dr. Coleman considers this technology to be the single greatest advancement in his 22 years of do- ing LASIK. “It is an absolute game- changer. It exceeds other huge steps forward, such as the introduc- tion of eye-tracking systems as well as customized excimer treatments, both of which made LASIK a much better procedure. Modern LASIK, which in my estimation includes using a femtosecond laser to create the flap, is the approach I use when treating all my patients—family, professional athletes, movie stars, military pilots, and firefighters. It’s the best that I can offer in 2017,” Dr. Coleman said. VisuMax femtosecond laser The VisuMax (Carl Zeiss Meditec, Jena, Germany) employs high- performance femtosecond laser technology and is characterized by its cutting precision, speed, and gentle treatment technique, ac- cording to the company website. With ReLEx SMILE, VisuMax begins a paradigm shift in refrac- tive surgery: minimally invasive laser vision correction. According to William Wiley, MD , Cleveland, the patient experi- ence with this platform is the best in its class. “It has low pressure docking, which allows for comfort- able procedures for patients and minimal eye irritation in the early postop period. It also allows for no loss of vision during suction, which is less anxiety-provoking for the patient. Patient fixation during lasering allows for easy docking, and low energy delivery allows for minimal inflammation and quick healing. Additionally, the precise depth provides confidence that appropriate corneal tissue is pre- served,” he said. Dr. Wiley uses the VisuMax for both flap making and SMILE. “It is key to have another modality to treat refractive errors, capturing more patients and offering more options for vision correction and providing unique advantages for certain patients,” he said. EWAP Reference 1. Sun Q, et al. Effect of femtosecond and microkeratome flaps creation on the cornea biomechanics during laser in situ keratomileusis: one year follow-up. Int J Ophthalmol . 2016;9:1409–1414. Editors’ note: Dr. Wiley has financial interests with Alcon and Carl Zeiss Meditec. Drs. Coleman, Slade, and Stonecipher have no financial interests related to their comments. Contact information Coleman: stephen@colemanvision.com Slade: sgs@visiontexas.com Stonecipher: StoneNC@aol.com Wiley: wiley@cle2020.com Three femtosecond laser platforms Look for information on other current femtosecond laser platforms in upcoming issues of EyeWorld. WaveLight FS200 s¬3TANDARD¬mAP¬CREATION¬TAKES¬APPROXIMATELY¬ ¬SECONDS s¬!UTOMATED¬VACUUM¬CONTROL¬OF¬THE¬PATIENT¬INTERFACE¬FOR¬CONSISTENT suction and minimized IOP and ocular distortion during suction s¬!DJUSTABLE¬HINGE¬POSITION¬AND¬SIZE ¬VARIABLE¬SIDE CUT¬ANGLES flap sizes, and shapes IntraLase s¬-ORE¬THAN¬ ¬MILLION¬PROCEDURES¬HAVE¬BEEN performed safely and effectively s¬!LLOWS¬SURGEONS¬TO¬TAILOR¬THE¬,!3)+¬mAP¬ACCORDING to the shape of the patient’s eye s¬)NCLUDING¬PREPARATION¬TIME ¬THE¬ENTIRE¬,!3)+¬PROCEDURE typically takes about 10 minutes VisuMax s¬#HARACTERIZED¬BY¬ITS¬CUTTING¬PRECISION ¬SPEED ¬AND¬GENTLE treatment technique s¬7ITH¬2E,%X¬3-),% ¬THE¬LASER¬BEGINS¬A¬PARADIGM¬SHIFT¬IN refractive surgery: minimally invasive laser vision correction s¬,OW¬PRESSURE¬DOCKING¬ALLOWS¬FOR¬COMFORTABLE¬PROCEDURES¬FOR patients and minimal eye irritation in the early postop period filler ad Femtosecond corneal – from page 55