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MEL 90 from ZEISSAdvancing excimer laser technology

Matching yourprofile precisely.ZEISS MEL 90// RELIABILITYMADE BY ZEISS

ZEISS MEL 90My profile preciselyThe use of excimer laser technology in refractive surgery startsin 1986 – with ZEISS. The MEL 90* carries that legacy forward.Successfully combining years of expertise and innovativeperformance features, it offers users a highly rewarding handlingexperience.Specially designed for the needs of the modern refractivesurgeon, the MEL 90 incorporates proven safety as well asindividually configurable options. Unique product qualities likethe FLEXIQUENCE switch function, the Triple-A profile and theoutstanding intra-operative ablation speed of up to 1.3 secondsper diopter** create entirely new treatment prospects.The MEL 90 from ZEISS – your preferences, your workflow, yourexpectations – precisely. The excimer laser that intelligentlycombines proven experience and exciting advancement.** LASIK, myopia, 500 Hz, OZ: 6 mm4

My preferencespreciselyWhen viewed closely, every refractive surgeon works somewhatdifferently, has personal preferences and needs regarding systemhandling and fosters his own surgical style. You will love the way theMEL 90 takes all of these important factors into account.Applied flexibilityPredictable and gentleFLEXIQUENCETriple-AA true novelty – the FLEXIQUENCE The MEL 90 also features the Triple-Aswitch function lets you flexiblyAdvanced Ablation Algorithm. As achoose between 250 Hz and 500 Hzuniform ablation profile for a widefrequency. It allows you to combinerange of sphero-cylindrical (SCA)your previous clinical experience withcorrections, it simplifies treatmentexcimer technology as well as theplanning.innovative advantages of the MEL 90.In fact, you can have twice the speedTriple-A offers a high degree ofin a fraction of a second with a simpleprecision and predictability. In additiontouch of the finger – enabling you toto intelligent energy correction, itleverage both proven reliability andcomprises an aspherically optimizednew treatment opportunities.design that also focuses on minimaltissue removal. This results in gentletreatments of standard, but also eyeswith higher and lower ametropias.All combined into one single ablationalgorithm: Triple-A.6

MEL 90 powerMEL 90 accuracyMEL 90 timeWith its unique FLEXIQUENCE switch functionThe Triple-A profile enables fast, safe and highlyWhen performing LASIK for myopia at 500 Hz,(250 Hz and 500 Hz operation) and additionalprecise treatments. Its excellent predictability,MEL 90 can intra-operatively ablate 1 diopter inconfiguration options the MEL 90 is a trueeven with astigmatism and higher ametropias,as little as 1.3 seconds. Intuitive system guidancecustomized power package.offers additional safety.and speedy treatment planning allow foradditional time savings.7

My workflowpreciselyYou will especially value the treatment-oriented functions theMEL 90 offers. Designed to make your work noticeably easier,they are also efficient and cost-effective. You can program thesystem to precisely fit your needs and that of your OR team –thereby adding focus to your overall workflow.Advanced system guidanceEasy calibrationThe systems‘ intuitive graphic userWith the proven fluence test, laserinterface supports fast treatmentcalibration is very quick and easy.procedures. You can flexibly adjust thetouch screen to wherever you need itVery service friendlyand, thus, maintain a good ergonomicThe MEL 90 is a highly reliable systemsitting posture throughout the operation.requiring very little service maintenance.The unique beam path evacuationTouch screen or keyboard controleliminates the need for flushing gas.For additional convenience, you canchoose to make entries either per touchSeamless data integrationscreen or keyboard.Patient data transfer is very easythanks to the seamless interactionTwo workstationsbetween the MEL 90 and otherTruly exceptional – a second, optionalrefractive platforms from ZEISS –touch screen on the system, whichVisuMax and CRS-Master *.allows the assistant to already preparethe next therapy while the surgeonis still concluding the post-operativecare. Depending on the OR setup,the assistant touch screen can also beplaced on a separate table.8

MEL 90 connectivityMEL 90 teamworkMEL 90 flexibilityThe workflow-optimized compatibility of theAs a true team player, the MEL 90 greatlyFlexible touch screen positioning and optionalMEL 90, VisuMax and CRS-Master ensures a highsimplifies the interaction between the surgeon,keyboard control let you design your workstationlevel of practice consistency. An HD video port,assistant staff and system technology. Whenjust the way you want it.network printer and PDF export capabilities offerequipped with a second workstation, it can beadditional workflow support.configured to optimally complement thetreatment routine of the OR team.9

My expectationspreciselyPriority one, of course, is the satisfaction of your patients, which islargely dependent upon the safety and reliability of the treatment.The MEL 90 combines high-quality elements and performance tohelp you optimally fulfill your customers’ requirements. You andyour patients will be delighted with the excellent clinical results.Excellent precisionControlled OR environmentTriple-A corrections can be performedThe ZEISS exclusive sensor-controlledwith impressive precision and a highCCA plume removal system supportsdegree reproducibility, even for veryoptimal atmospheric conditionssmall and very large refractive errors,throughout the treatment.both with and without astigmatism.The new ablation profile and improvedSafe eye trackingenergy correction also offers otherThe MEL 90 is equipped with an activeadvantages such as few inducedeye tracker with an excellent responsespherical aberrations and tissue-savingtime to provide high-level treatmentablation.safety with very stable results.High patient comfortIn combination, short treatmentsand seamless procedural flow help toenhance the patient experience. Thecomfortable patient supporting systemensures stress-free and stable positioningthroughout the entire OR procedure.10

MEL 90 intelligenceMEL 90 atmosphereMEL 90 outcomesThe Triple-A profile is based on an intelligentThe unique, sensor-controlled CCA plumeThe MEL 90 can be precisely tailored to thecombination of refractive correction and cleverremoval system supports optimal atmosphericindividual needs of the modern refractive surgicalenergy distribution. It enables an asphericallyconditions around the patient‘s eye – therebypractice. Its preinstalled functions also offeroptimized design with minimal ablation depth.also significantly improving the predictability ofsurgeons optimal support for achieving excellentAs a result, treatments are faster and save tissue.the results.treatment results.11

The refractive system landscapefrom ZEISSAs a comprehensive, well thought-out concept, ZEISS has put togetheran optimally matched refractive system landscape consisting of theMEL 90 excimer laser, the VisuMax femtosecond laser and theCRS-Master treatment planning station. Operating in unison, thesethree leading edge products support a streamlined workflow andefficient patient management.The MEL 90 performanceVisuMaxCRS-MasterspectrumPrecision in all its facetsSimple treatment planning250 Hz500 HzThe VisuMax is a groundbreakingThe CRS-Master enables efficientFemto-LASIKFemto-LASIKfemtosecond system noted fortreatment planning – even outsideLASIKits outstanding incision precision andof the OR – for conventional as wellLASEKspeed as well as its gentle treatmentas customized LASIK, Femto-LASIK,PRKqualities – whether for flap cuts,PRK and LASEK corrections. With itsPTKkeratoplasty and incisions for ICRcomprehensive capabilities, theor SMILE .CRS-Master is a valuable instrumentLASIK PRESBYOND Laser Blended Vision*for virtually any practice environment. I ndividualized, topography-guidedtreatments L aser-independent sphero-cylindrical(SCA) treatment planningCRS-Master, VisuMax and MEL 90The optimally interlinked refractive systemlandscape from planning to therapy* MEL 90, CRS-Master and PRESBYOND are not approved for sale in the United States.12

MEL 90MEL 90 outcomes forexcellent treatmentsMEL 90 connectivity withthe ZEISS refractive system landscapeProven ZEISS opticsthat provide brilliant visual controlActive eye trackerfor high treatment safety andvery stable resultsMEL 90 time for an intra-operativespeed of up to 1.3 seconds per DMEL 90 accuracy with thehighly precise Triple-A ablationprofileMEL 90 intelligencefor energy-optimized, tissuesaving ablationsMEL 90 power with the uniqueFLEXIQUENCE switch functionMEL 90 atmosphere withCCA for optimal atmosphericconditions during treatmentComfortable patient supportingsystem for an improved patienttreatment experience and stablepositioningEasy access and exchangeof compressed air filter

MEL 90 flexibility for variabletouch screen positioningIntegrated clipboard (optional) for patient documentationdirectly at the systemMEL 90 teamwork with the optionalassistant workstationModern user interface for intuitive guidanceOptional touch screen or keyboardoperationHD video port for high-resolutionvideosNeat, tidy and safe cable routing

PRESBYONDThe method enables clear sight at allLaser Blended Visiondistances – near, far, even intermediate –The MEL 90 is also a first-rate platformand for a wide range of indicationsfor treating presbyopic patients. Withfrom -8.0 to 2.0 D. Emmetropic asthe optional PRESBYOND Laserwell as astigmatic presbyopic patientsBlended Vision module, ZEISS offers an(up to 2.0 cyl) can also be treated.advanced and true binocular lasercorrection option.Laser Blended Vision LASIK performedwith PRESBYOND is tolerated by aPRESBYOND Laser Blended VisionThe next level in eye carehigher number of patients thanCustomized. All distances. Immediate.excellenceconventional mono-vision – up to 97%1PRESBYOND Laser Blended Vision is anas compared to only 59–67%2. In manyindividualized treatment approach incases, patients can read without glasseswhich pre-operative sphericalthe very same day.aberrations are used to calculate theablation profile. The functional age ofthe eye can also be used for thecalculation. This results in an increase inthe depth of field of each individual eye,creating a customized fusion of the twoimages for near and distance vision –the so-called “Blend Zone.”1 Reinstein DZ, Couch DG, Archer TJ. LASIK for Hyperopic Astigmatism and Presbyopia UsingMicro-monovision With the Carl Zeiss Meditec MEL 80. J Refract Surg. 2009;25(1):37-58.2Evans BJ. Monovision: a review. Ophthalmic Physiol Opt. 2007;27(5):417-439.13