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VisuMax from ZEISSDefining the pulse rate in refractive surgery
Accelerating the pulserate of your practice.ZEISS VisuMaxRemarkable precision and detailDefining new trends in modern corneal surgeryAs a ground-breaking, high-performance femtosecond laser system, theVisuMax from ZEISS is significantly shaping the world of refractive surgery.With its cutting precision, exceptional speed and gentle treatment approach,as demonstrated in multiple published studies it is the ideal platform for cutting-edge corneal surgery applications, including Flaps, Keratoplasty, Incisionsfor ICR and Lenticule Extraction with SMILE from ZEISS.SMILE is redefining refractive surgery as we know it. ZEISS is at the forefrontof this minimally invasive Laser Vision Correction.The combination of the VisuMax and the MEL 90* excimer laser from ZEISSaddresses wide-ranging needs of the modern re fractive surgical practice. In fact,it is the first refractive platform to perform all options of laser vision correction:PRK/LASEK (surface ablation surgery), Femto-LASIK/LASIK (flap surgery) as wellas Small Incision Lenticule Extraction (minimally invasive surgery).The result is a refractive platform that merges proven corneal surgicaltechniques with remarkable details as the basis for excellent, highlyindividualized treatment processes.// PRECISIONMADE BY ZEISS3
ZEISS VisuMaxPrecision in all its facetsZEISS VisuMax highlightsThe building blocks of state-of-the-art femtosecond technologyThe VisuMax is a truly innovative femtosecond laser system. With itsperfectly coordinated components, it has precise cutting capabilities as well asproven efficacy, predictability and comfort.Lenticule ExtractionKeratoplastyThe VisuMax is the first femtosecond laser system toWith the Keratoplasty option, the VisuMax covers severalperform the minimally invasive, Lenticule Extraction procedure.corneal transplant procedures, including lamellar andWith SMILE from ZEISS, a refractive lenticule as well as thepenetrating keratoplasty. High-precision cutting qualityincision through which it is extracted are created in a singleand rapid incision speed enable the efficient preparationstep – without ablation or flap. Despite its provenof precision corneal grafts and recipient corneas.A contact glass designed for the corneaProven cutting precisionBrilliant visual controlLike the surface of the human cornea, VisuMaxHigh-precision ZEISS optics provide an extremelyThe integrated high-quality ZEISS surgical micro-contact glasses are curved. Available in three dif-focused laser beam. The result: the well alignedscope ensures precise and complete visual con-ferent sizes (S, M, L), they are optimally designedsystem of laser pulse energy and high pulse fre-trol during every manual surgical manipulation.to fit the anatomy of the eye. As a result, the cor-quency leads to accurate incisions - at preciselyIt includes a digital video camera for recordingnea largely retains its natural physiological shape.the desired depth of the cornea, with three-di-surgical procedures right on the spot.Artifacts are avoided in the cutting result, as ismensional, curved incisions.unnecessarily high IOP for the patient.predictability, a retreatment may be necessary in rare cases.If so, the initial incision created with SMILE can be extendedIncision for ICRinto a flap with the option CIRCLE* from ZEISS.The femtosecond laser technology of the VisuMax is also ideallysuited for creating incisions in preparation of intracorneal ringFlap(ICR) implantations. When defining tunnel parameters, it evenThe VisuMax creates flaps of a highly predictableperforms inclined cutting geometries and ring tunnel seg-thick ness and of adjustable geometries for Femto-LASIKments smaller than 360 with a high degree of flexibility.and options based on it, such as PRESBYOND , a binocularplanning tool for patients with presbyopia.A smart unitEfficiency that pays offReassurance right on the spotThe sturdy, ergonomic pivoting patient supportingWith a pulse frequency of 500 kHz, the ZEISSAs a universal workstation for corneal surgery,system is designed to provide maximum comfortVisuMax enables short treatment times, makingthe system features integrated slit illuminationduring the treatment. It continuously monitors theprocedures more comfortable for both physiciansto monitor treatments and immediately controlpatient’s position, automatically making neededand patients. The result is an efficient workflowresults – without the patient needing to be moved.adjustments. ZEISS VisuMax also incorporates anand a higher throughput of satisfied patients.easy-to-use, interactive touchscreen and intuitive software to assist the surgeon at every stepthroughout the procedure.45
ZEISS SMILEMinimally invasive surgerySMILE from ZEISS is turning the world of refractive surgery on its head.The latest application is described as “LASIK without a flap andPRK without pain.”1 And ZEISS is leading the way – with SMILEfor Lenticule Extraction.SeamlessHighlights of SMILE and theThe ZEISS VisuMax is the firstThe lenticule creation and extraction arecorresponding methodfemtosecond laser system to supportperformed without interruption. Also, Small incision of 2-4 mmthis unique minimally invasive laserthe patient doesn’t need to be moved. Side-cut length up to 80 % shortervision correction procedure. Thereby, aThat’s why SMILE offers a fast, seamlessand cap incision area up to 30 %highly precise, precalculated lenticule istreatment.smaller than Femto-LASIK flapFlapless Three treatment steps Potentially lower incidence ofcreated inside the intact cornea andremoved via a small incision.Refractive correction with ZEISS SMILEExcellent outcomestransient dry eye syndrome and lessAdvanced laser vision correction withnerve transection thanks to smallestMinimally invasiveSMILE promotes more efficient work-incisions without flapsRequiring no flap, SMILE offers theflows, short treatment times and littlepotential for fewer transected nerves,stress for patients – as well as excellentsignificantly reduced incidence ofoutcomes with high predictability,transient dry eye syndrome, and aincluding for higher refraction values.lower risk of infection and epithelialingrowth. Smaller incisions also improveepithelium healing. Less risk of infections and epithelialingrowth Good reproducibility of the lenticule,irrespective of individual cornealcharacteristics and ambient conditionsLenticule creationLenticule removalImpairment is correctedA small piece of corneal tissue (lenticule) and aThe lenticule is removed through the incision withRemoving the lenticule changes the shape of thesmall incision are created inside the intact cornea.minimal disruption to the corneal biomechanics.cornea, thereby achieving a vision correction. Excellent predictability, particularlyfor higher refraction values Efficient treatment process withoutpatient having to switch places1Rupal Shah, MD, Institute of Laser Medicine, Mumbai, India67
High-precision flaps, grafts and incisionsAnd a new level of Femto-LASIK workflow efficiencyCustomized corneal grafts for keratoplastyFor treatments such as conventional Femto-LASIK includingPRESBYOND Laser Blended Vision, the VisuMax delivers highly preciseflaps. Together with the MEL 90 excimer laser and the CRS-Master *treatment planning station, ZEISS provides an optimal combination forefficient workflows and excellent results.With the Keratoplasty option, the ZEISS VisuMax becomes a state-of-the-artworkstation for customized corneal grafts, enabling smooth lamellar andcircular incisions for Penetrating Keratoplasty (PKP), Deep Anterior LamellarKeratoplasty (DALK) and Descemet’s Stripping Endothelial Keratoplasty (DSEK).The practical Keratoplasty adapter provides a robustSpecially designed curved contact glass (type KP) pre-Separation of the cut lamellae from the recipient cor neaand sterile work surface for preparing corneal graftsvents unnecessary compression of the corneal tissueas viewed through the VisuMax surgical microscopeFlexible access for ICR incisionsCut right with ZEISS VisuMaxMEL 90 excimer excellenceCRS-Master for individual High-precision flapsPrecise, efficient, safe and fast – thetreatments High reproducibility and flap thicknessZEISS MEL 90 excimer laser is a trueThe ZEISS CRS-Master is an advancedworkhorse for performing a broadtreatment planning tool for the remote Easy flap repositioningrange of corneal surgical procedures.planning of regular and customized Smooth stromal bed surfacesThe MEL 90 is combining yourtopo graphy-guided treatments. Proven workflowexperience with modern advancementsPRESBYOND Laser Blended Vision, Prevents unnecessarily raised IOPlike the FLEXIQUENCE switch functiona treatment option for presbyopicand outstanding intraoperative ablationpatients, is another key applicationspeed of up to 1.3 seconds per diopter**.of the CRS-Master.consistencyPivoting patient supporting system Move patients comfortably and quicklyEquipped with the Incision for ICR option, the ZEISS VisuMax offers uniqueadvantages for intracorneal ring (ICR) implantations. Even inclined cuttinggeometries and partial segments from 90 to 270 are possible. Cornealtunnels are prepared quickly, precisely and with a high degree of flexibility. Easy-to-understand ICR user interfaceFreely variable cutting Rapid, intuitive entry of treatmentparameters, even forparameters Stored user-defined cutting geome incisions parallel tothe posterior cornealsurfacetries for improved workflowfrom the femtosecond to the excimerlaser with the pivoting patient sup porting system.** LASIK, myopia, 500 Hz, OZ: 6 mm8*MEL 90, CRS-Master, PRESBYOND and CIRCLE are not approved for sale in the United States.9
Technical dataVisuMax from ZEISSSystem componentsPatient supporting system, including platformIntegrated uninterruptible power supply (UPS)Surgical microscope with additional slit illuminationVideo camera with integrated digital recordingLaser parametersWavelength1043 nmPulse duration220-580 fsLaser pulse rate500 kHzInstallation and set-up conditionsWeight870 kg (including patient supporting system, platform, UPS)Footprint standaloneL x W: 3.80 m x 4.40 mFootprint MEL 90 with VisuMax 90 L x W: 3.92 m x 3.94 mFootprint MEL 90 with VisuMax 180 L x W: 4.50 m x 3.79 mElectrical connection100-240 V, 50/60 Hz, max. 16 A Separately fused circuitOperating conditionsRoom temperature18 to 25 CAtmospheric humidity30 to 70 %AccessoriesSingle-use contact glasses Treatment Pack (sizes S/M/L and type KP)Keratoplasty adapter for patient supporting system1011
VisuMaxSMILEMEL 90PRESBYONDCRS-MasterCarl Zeiss Meditec AGGoeschwitzer Strasse 51–5207745 /visumaEN 34 010 0007V Printed in Germany CZ-X/2020 International edition: Not for sale in the US.The contents of the brochure may differ from the current status of approval of the product or service offering in your country. Please contact our regional representatives for more information.Subject to changes in design and scope of delivery and due to ongoing technical development. VisuMax, SMILE, ReLEx, MEL, FLEXIQUENCE,PRESBYOND and CRS-Master are either trademarks or registeredtrademarks of Carl Zeiss Meditec AG or other companies of the ZEISS Group in Germany and/or other countries. Carl Zeiss Meditec AG, 2020. All rights reserved.0297
The latest application is described as "LASIK without a flap and PRK without pain."1 And ZEISS is leading the way - with SMILE for Lenticule Extraction. Flapless The ZEISS VisuMax is the first femtosecond laser system to support this unique minimally invasive laser vision correction procedure. Thereby, a
