It’s not often that a new excimer laser gets approved for laser vision correction, so when it happens, surgeons take notice. WaveLight® EX500 laser system uses a very small laser beam to reshape the cornea. In the 200-Hz group, at the three- and six-month follow-up 84 percent (119/141) and 77 percent (109/141) of eyes, respectively, saw 20/20 or better uncorrected. All other data are intuitively placed. Information Provided By: GLOBAL DSR. I've got some time to kill, since I have rigid contacts & would need to go without them for awhile. 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. 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. Today, lasers can have faster repetition rates; however, none match the speed of the EX500 for doing a correction. The Topolyzer Vario provides more than just topography information, such as pupil information and pupil centroid shift for all pupil sizes measured during the examination. 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 WaveLight® EX500 Excimer Laser offers a wide range of customization options for your unique eyes. The surgeon then lifts the flap and applies a laser treatment to reshape the eye to correct vision. “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. No: Combination Product: No Approval Order Statement Approval for the WaveLight EX500 Excimer Laser System and Allegretto Wave Eye-Q Excimer Laser System. Thanks for visiting CRSTEurope. Alcon Scientific Results and Data Presentations during AAO . This is a big improvement and makes treating patients with large chests easier and more comfortable. Moderately high myopic eyes (6.0 to <8.0 D [6 D]) were compared with high myopic eyes (8.0 D or greater [8 D]). Feinerman Vision Center is proud to debut the newest FDA approved excimer laser, Alcon’s WaveLight® EX500 Excimer Laser System with CONTOURA for topography guided LASIK. Ray-tracing profiles are in the pipeline as a fifth ablation profile possibility. Motorized zoom.The microscope is cataract-surgery quality and can be programmed to automatically zoom in or out at different stages of the procedure. This innovative and FDA approved laser decreases procedure times with its 500 Hz speed, delivering the world’s shortest treatment times. Tips and techniques for working with the first toric presbyopic intraocular lens approved in the United States. 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. By contrast, in the 400-Hz group 80 percent (52/65) and 92 percent (60/65) of eyes had 20/20 or better uncorrected vision at three and six months, respectively. “We found that the faster 400-Hz results were better, especially with the higher minuses,” says Dr. Stonecipher. The EX500 is used to reshape the cornea and reduce irregularities in … Review Us. https://crstodayeurope.com/articles/2012-feb/the-wavelight-ex500-excimer-laser/. 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. All rights reserved. Visit MyAlcon today. The laser is economical with corneal tissue. 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. © 2021 Bryn Mawr Communications, LLC.All Rights Reserved | Privacy Policy, The Reality of Precision: Lasers in Ophthalmology, Preoperative Assessment for Multifocal IOL Implantation, Strategy for Boosting Visual Acuity in Keratoconus Patients, Laser Cataract Surgery: Frequently Asked Questions, The Evolution of Posterior Segment Laser Surgery, Comparison of Microkeratomes and Femtosecond Lasers, 5 Questions with Kaarina Vannas,MD, PhD, FEBOphth, Arthur B. Cummings, MB ChB, FCS(SA), MMed (Ophth), FRCS(Edin). Results are quite similar, with the EX500 just shading the Eye-Q laser in most parameters (Figures 1 through 3). To be sure to track the eye accurately, the EX500’s tracking system is composed of four lights situated in positions similar to the corners of a rectangle, with a fifth fixation light placed in the middle of the rectangle. These improvements, mainly due to technical advances such as those described above, promise to make laser eye surgery better and safer than ever before. Arthur B. Cummings, MB ChB, FCS(SA), MMed (Ophth), FRCS(Edin), practices at the Wellington Eye Clinic & UPMC Beacon Hospital, Dublin, Ireland. Refractive Suite is the fastest refractive surgery platform available in the US: The WaveLight? In this and the next five articles, a collection of authors provide an overview of the latest laser vision correction platforms and treatments. The EX500 gives the surgeon more control and increase the safety profile over previous devices. The WaveLight EX500 performs this fundamental part of surgery with exceptional precision and efficiency, with special safety features to minimize risks. The system is equipped with an eyetracker to help assure that it places the … So I’ve gone to two consultations with both being top of their game in the city. 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. Refractive surgery is a well-established field, and today surgeons have a number of available options to choose from when treating patients. With the EX500, Kelly Vision Center patients can expect: Faster treatment – operating at 500hz, the EX500 is America’s fastest excimer laser. Patient bed. These devices are indicated for use in Photorefractive Keratectomy (PRK) … It is quick and simple to use and correlates with preoperative Pentacam pachymetry and postoperative optical coherence tomography flap thickness measurements. The WaveLight EX500 is the quickest excimer laser available today, working at 500 Hz with a treatment period of 1.4 seconds per diopter-a 20% improvement over preceding laser generations. The new eye tracker will engage six dimensions, namely x and y, passive and active cyclorotation, tilt (eye roll), and dynamic pupil centroid shift. The quicker speed, combined … Copyright © 2021 Jobson Medical Information LLC unless otherwise noted. To aid in decision making, the ablation profiles that are being considered for a treatment can be compared on the same screen. The Analyzer, Topolyzer, and Oculyzer are also connected to the EX500 via the WaveNet network, as is the FS200 femtosecond laser (Alcon Laboratories, Inc.). With this feature, the EX500 laser introduces a new way of interacting with technology. With a repetition rate of 500 pulses per second, the EX500 is the fastest on the US market today. The Wavelight EX500 Excimer laser, built on trusted Wavelight technology, is a big leap forward in efficient accurate refractive laser vision treatments. 4 This innovative technology tracks the movement of the eye 200 times per second, allowing extreme precision. What separates this system from the pack is that its ablation speed is running at 500Hz. The WaveLight EX500 laser changes all that! “But when they get out of those treatment ranges into higher ones, as well as with mixed astigmatism and hyperopes, speed becomes a factor, since desiccation becomes important with regard to outcomes.” For comparison, Dr. Stonecipher cites a study that compared the results of the 200-Hz Allegretto Wave to those of the 400-Hz device in 206 eyes of 121 patients with -6 to -12 D of error with up to 3 D of cylinder.1 At the three- and six-month visits in the 200-Hz group, 77 percent (109/141) and 86 percent (121/141) of eyes, respectively, were within ±0.50 D of the intended correction. The WaveLight® Refractive Suite was designed with … The WaveLight® EX500 is the fastest excimer laser available today, operating at 500 Hz with a treatment time of 1.4 seconds per diopter-a 20 percent improvement over previous laser generations. Watch Queue Queue. This speed also increases your throughput. A look at the various ways to stiffen the cornea and the results they’re producing. Each of these lasers meets criteria for safety and effectiveness. The eye tracker runs at 1,050 Hz and has a latency time of 2 milliseconds, tracks pupils from 1.5 to 8 mm and is able to compensate for cyclotorsion. 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. It is key to the smooth use of the laser, especially if it is used in conjunction with the FS200. The new bed has motorized head tilt and head position functions. A myopia treatment at a 6-mm optical zone takes 1.4 seconds per diopter, and at a 6.5-mm optical zone (my default diameter) it takes 1.9 seconds per diopter. Though they’re not approved in the United States, there are features of the EX500 that are available elsewhere in the world that increase its functionality in various situations. Eye tracker. 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. You may have heard of traditional or standard LASIK compared to “all-laser” or “bladeless” LASIK. For comparison sake, the previous model ran at 400 Hz. Wavelight Contoura. “It can do the measurements both before the procedure and during it,” says Dr. Stonecipher. Screen. WaveLight EX500 vs VISX Star S4? “So, for those patients in whom you’re concerned about the depth of the residual stromal bed, you can make intraoperative adjustments. 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. Dr. Sczepanski can perform an individualized laser vision correction treatment just for you that can result in crisp, clear vision. Wavefront-guided, based on the Allegretto Wavefront Analyzer data (Tscherning); Topography-guided, T-CAT, derived from data from the Placido-disc Topolyzer; Topography-guided, Oculink, derived from the Scheimpflug Oculyzer device; and. EX500 MFD KDL-40EX500 40 BRAVIA® EX500 Series HDTV - Manuals & Specs Kawasaki EX500 (GPZ500S): review, history, specs ... 04 RadioCall.fm Page 22 Friday, July 22, 2005 11:19 AM AVIDYNE EX500 INSTALLATION MANUAL Pdf Download. Alcon plans for broad commercial release of Contoura Vision in in the US in early 2016. What Sets Alcon Wavelight EX500 Apart from the Rest? Finally, the use of wavefront-guided is rare with the system, comprising maybe 2 percent of the total.”, Dr. Stonecipher says WaveLight is looking at ray tracing. This rapid treatment speed translates into less dehydration of the corneal bed and improved refractive predictability due to … WaveLight EX500 Excimer Laser. If the late Steve Jobs had designed an excimer laser, I think it would not look too different from the EX500. EtherNet/IP™ Compatible GW Unit Instruction Manual Wavelight® Ex500 Excimer Laser | MyAlcon.com Manuals for KDL-40EX500 | Sony USA Ex500 Manual Motorola EX500 … The surgeon can choose among wavefront-optimized, wavefront-guided, topography-guided, and asphericityguided (Custom-Q) ablation profiles. The FDA has approved several excimer lasers for use in vision correction surgery. It’s possible that such fine adjustments will be able to get patients closer to 20/20 vision. Alcon Laser - Excimer Wavelight Ex500 Model Information: Built for Speed and Superb Outcomes The WaveLight Refractive Suite is the fastest refra Contoura Vision is performed with Alcon’s WaveLight Allegretto Wave Eye-Q or WaveLight EX500 Excimer LaserSystems, in conjunction with the WaveLight Topolyzer Vario Diagnostic Device. For instance, if you become concerned about the amount of tissue that the laser will have to remove, you can switch from an 8-mm to a 6-mm optical zone.”. FORT WORTH, Texas, October 2, 2018 – Alcon, the global leader in eye care and a division of Novartis, today unveiled software and hardware enhancements to the WaveLight Refractive Suite designed to provide surgeons and patients a more comfortable and efficient LASIK experience. “Around 10 to 12 percent will be done with the topo-guided treatment. Considering surgery. Basel, November 15, 2015 – Alcon, the global leader in eye care and a division of Novartis, will introduce Contoura Vision, the latest advancement in its WaveLight refractive portfolio during the annual meeting of the American Academy of Ophthalmology (AAO) in Las Vegas, November 14-17, 2015. The standard ablation profile for both platforms is wavefrontoptimized, which is what we use for 85% of our primary procedures. The FDA has approved several excimer lasers for use in vision correction surgery. Each of these lasers meets criteria for safety and effectiveness. Flap thickness (FT) was calculated using simple subtraction. Not Rated Rate this modal. “Outside of the United States, about 85 to 90 percent of cases on the EX500 or Allegretto are performed with a wavefront-optimized treatment,” 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 WaveLight® EX500 Excimer Laser is the cutting edge of LASIK and PRK surgery technology. The faster speed, combined … The WaveLight EX500 excimer laser system (see Figure 1) has been used at the Wellington Eye Clinic in Dublin, Ireland, for laser refractive surgery procedures, particularly LASIK and photo-refractive keratectomy. “This topo-guided laser platform’s also being used in conjunction with corneal cross-linking to treat keratoconus or laser-induced ectasia, and John Kanellopoulos, MD, has published several papers using the topo-guided laser with his cross-linking treatments. com. However impressive its speed, this is by no means the laser’s overriding feature. Now you can experience better vision the Claris way — with our newest and most exclusive WaveLight Refractive Suite, which includes the Alcon WaveLight® EX500 Excimer Laser, the WaveNet server and FS200, and Contoura® Vision. 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. 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. With a speed of 400 Hz, the laser ablated at a rate of two seconds per diopter. “However, it matters. The WAVELIGHT™ EX500 was conceived and developed for wavefront based custom refractive surgery. Schedule a Consultation To schedule an appointment, call 704-540-9595 or complete the short form below. Looking for superb outcomes for procedures like PRK, LASIK, LASEK? Retinal specialists unpack the data and discuss how it can be applied in the clinic. Anyone know anything about these machines to compare them? The eye tracker is also motorized, no longer swinging over the patient’s chest but dropping from within the laser bridge over the eye. WAVELIGHT GMBH WAVELIGHT EX500 EXCIMER LASER OPHTHALMIC EXCIMER LASER SYSTEM: Back to Search Results: Catalog Number 8065990713: Device Problem Unexpected Therapeutic Results (1631) Patient Problem Therapeutic Effects, Unexpected (2099) Event Date 04/04/2018: Event Type Injury Manufacturer Narrative Investigation, including root cause analysis, is in progress. If customized treatments are required, a decision tree is followed to choose among four ablation profiles: With the EX500, however, the above options have been improved further. The WAVELIGHT™ EX500 Excimer Laser extends possibilities beyond 20/20, and minimizes problems associated with older generation lasers, such as reduced night vision, glare, and haloes. The WaveLight® EX500 is the fastest excimer laser available today, operating at 500 Hz with a treatment time of 1.4 seconds per diopter-a 20 percent improvement over previous laser generations. 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. Learn more about the Alcon WaveLight® Refractive Laser Suite and how it may benefit your practice. One of these add-ons is a topography-guided treatment module, which works based on measurements gathered by the WaveLight topographer. This video is unavailable. The laser has the widest range of treatment possibilities. The company says that positioning the fixation light within the other lights helps prevent cyclotorsion and gets the eye into the right alignment. 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. Some devices run at eight to 10 seconds per diopter, so this can be five times faster.”. 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. At the six-month follow-up, Dr. Stonecipher and his colleagues found that refractive predictability and visual acuity were statistically significantly superior in eyes in the 400-Hz group (p<0.01). 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. 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. Additional pulses are sent to the periphery to compensate for energy loss. The Bausch & Lomb Technolas 217z customized ablation system was approved to correct up to -7 D of myopia with up to -3 D of astigmatism. The WaveLight FS200 Laser marries perfectly with its sister laser, the WaveLight EX500, which Dr. Mozayeni has been using since 2009. Dr. Cummings may be reached at tel: +353 1 2930470; fax: +353 1 2935978; e-mail: abc@wellingtoneyeclinic. Asphericity-guided, using Custom-Q profiles. “In some other systems, if your nomogram called for 2.21 D of correction, you could do a 2-D treatment or a 2.25-D treatment. LED slit lamp. In laments terms this is good news because now the laser checks and rechecks the position of the eye 500 times a second. 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