wavelight ex500 review

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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. The faster laser head reduces the incidence of corneal stromal bed dehydration during the procedure, which can contribute to overcorrection and occurs when a flap is created in the eye. Each of these lasers meets criteria for safety and effectiveness. 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. This product integrates cutting edge technology to ensure faster, safer, and more reliable treatment. 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. “We found that the faster 400-Hz results were better, especially with the higher minuses,” says Dr. Stonecipher. 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. 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. For comparison sake, the previous model ran at 400 Hz. 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. “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. 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 (Alcon Laboratories, Inc.) is the latest in a line of very fast flying spot lasers to come from the WaveLight stable. 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. The system also allows the surgeon to monitor patient fixation during the treatment, as well. Alcon Laser - Excimer Wavelight Ex500 Model Information: Built for Speed and Superb Outcomes The WaveLight Refractive Suite is the fastest refra Alcon WaveLight EX500 Excimer Laser gives the surgeon more control and raises the security profile on previous devices.. 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. In the 400-Hz group, 98.5 percent (64/65) and 100 percent (65/65) of eyes were within ±0.50 D of the intended correction at three and six months postoperatively. Considering surgery. What Sets Alcon Wavelight EX500 Apart from the Rest? One of these add-ons is a topography-guided treatment module, which works based on measurements gathered by the WaveLight topographer. So I’ve gone to two consultations with both being top of their game in the city. Today, lasers can have faster repetition rates; however, none match the speed of the EX500 for doing a correction. ALCON WaveLight EX500 Laser - Excimer. Information Provided By: GLOBAL DSR. Expedited Review Granted? 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). “It can do the measurements both before the procedure and during it,” says Dr. Stonecipher. 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 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. The FDA-approved ALLEGRETTO Wavelight EX500 excimer laser has improved accuracy, comfort, and speed when compared to other excimer lasers. The laser software interface was updated to include three places for data entry: (1) using a built-in keyboard on the laser, (2) on the screen attached to the laser using a mouse and pull-down menus, and (3) on the planning laptop. Request An Appointment. In this and the next five articles, a collection of authors provide an overview of the latest laser vision correction platforms and treatments. The microscope view and eye-tracker view are side by side. 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. 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. Tips and techniques for working with the first toric presbyopic intraocular lens approved in the United States. With this, you can correct the 2.21 D. It will give you that extra edge you might need in order to get closer to the target.”, For surgeons who want to stay on top of even the slightest risk of ectasia, the laser allows them to perform intraoperative, non-contact pachymetry. Each of these lasers meets criteria for safety and effectiveness. The laser is economical with corneal tissue. 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. What Sets Alcon Wavelight EX500 Apart from the Rest? 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. Arthur B. Cummings, MB ChB, FCS(SA), MMed (Ophth), FRCS(Edin), practices at the Wellington Eye Clinic & UPMC Beacon Hospital, Dublin, Ireland. What separates this system from the pack is that its ablation speed is running at 500Hz. Dr. Cummings may be reached at tel: +353 1 2930470; fax: +353 1 2935978; e-mail: abc@wellingtoneyeclinic. Safety and control have increased thanks to numerous technological advances. 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. The WaveLight EX500 Excimer Laser System is capable of wavefront-guided ablations; however, the refractive procedures performed in this study by the WaveLight EX500 laser used wavefront-optimized technology, which provides ablations determined by an … The EX500 is the only excimer laser to operate at 500 Hz, utilizing Wavefront Optimized and Wavefront-Guided treatment options to customize patient treatments. Patient bed. The EX500 shares the same ablation profiles as the Eye-Q. With 500 Hz, though, it’s speed is 1.4 seconds per diopter.” Dr. Stonecipher says it’s been his experience that up to about -7 D, the outcomes between the 400-Hz and the 500-Hz lasers are somewhat similar. Motorized zoom.The microscope is cataract-surgery quality and can be programmed to automatically zoom in or out at different stages of the procedure. The faster laser reduces the incidence of corneal dehydration during the procedure, which reduces overcorrections. It is quick and simple to use and correlates with preoperative Pentacam pachymetry and postoperative optical coherence tomography flap thickness measurements. Flap thickness (FT) was calculated using simple subtraction. Wavelight Contoura. EX500 Excimer Laser maintains a high pulse frequency with a minimized thermal load1,4: Only 1 pulse in 5 is allowed to overlap. Reproduction in whole or in part without permission is prohibited. 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. Dr. Cummings is an Associate Chief Medical Editor of CRST Europe. The WaveLight? This feature is one that I have enjoyed greatly since 2001, and I now cannot imagine doing a LASIK without a slit lamp. 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. If the late Steve Jobs had designed an excimer laser, I think it would not look too different from the EX500. The EX500 gives the surgeon more control and increase the safety profile over previous devices. WAVELIGHT LASIK AT CLARIS EYE. The WaveLight EX500 laser changes all that! A Closer Look at the New EX500 Laser The new excimer from Alcon/WaveLight has features to enhance connectivity and decrease procedure times. 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. Refractive surgery is a well-established field, and today surgeons have a number of available options to choose from when treating patients. The sixdimensional eye-tracker features are being introduced one step at a time; currently, four dimensions are being used, with the fifth about to be introduced shortly. Comparison of ablation profiles. It’s not often that a new excimer laser gets approved for laser vision correction, so when it happens, surgeons take notice. From intrastromal correction to surface ablation to lens-based strategies, the aim of these techniques is to provide patients with a better refractive status and, in as many cases as possible, spectacle independence. 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.”. It delivers average treatment time of approximately 1.4 seconds per diopter. This is a big improvement and makes treating patients with large chests easier and more comfortable. He states that he is a consultant to and clinical investigator for Alcon/WaveLight. One of the many advantages of the new EX500 is its speed. Results are quite similar, with the EX500 just shading the Eye-Q laser in most parameters (Figures 1 through 3). With all-laser or bladeless LASIK, the flap i… When the company launched the 200-Hz laser in 1999, it was the fastest laser available at the time. The WaveLight EX500 performs this fundamental part of surgery with exceptional precision and efficiency, with special safety features to minimize risks. The Wavelight EX500 Excimer laser, built on trusted Wavelight technology, is a big leap forward in efficient accurate refractive laser vision treatments. “And I think that’s related to speed. You may have heard of traditional or standard LASIK compared to “all-laser” or “bladeless” LASIK. 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. Watch Queue Queue. Patient Financing. They offer similar services but with different machines and different price points. One of the key features of the device is its ablation speed, running at 500 Hz, vs. the speed of the previous model, the Allegretto Wave IQ 400 Hz. The company says that positioning the fixation light within the other lights helps prevent cyclotorsion and gets the eye into the right alignment. “So, for those patients in whom you’re concerned about the depth of the residual stromal bed, you can make intraoperative adjustments. This speed also increases your throughput. 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. 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. LED slit lamp. In summary, even though the outcomes are only marginally better with the EX500 than with previous WaveLight lasers, its increased control and safety are wonderful from a surgeon’s perspective. A look at the various ways to stiffen the cornea and the results they’re producing. Anyone know anything about these machines to compare them? This greatly increases efficiency and safety and reduces input errors, as it eliminates multiple input entries on the different devices. 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. EtherNet/IP™ Compatible GW Unit Instruction Manual Wavelight® Ex500 Excimer Laser | MyAlcon.com Manuals for KDL-40EX500 | Sony USA Ex500 Manual Motorola EX500 … WaveLight EX500 vs VISX Star S4? The faster speed, combined … I cannot recall the last time a patient was brought back to the laser room to remove interface debris or a particle. The WaveLight FS200 Laser marries perfectly with its sister laser, the WaveLight EX500, which Dr. Mozayeni has been using since 2009. The WAVELIGHT™ EX500 was conceived and developed for wavefront based custom refractive surgery. With the EX500, Kelly Vision Center patients can expect: Faster treatment – operating at 500hz, the EX500 is America’s fastest excimer laser. This can be customized to the surgeon’s needs (eg, when the slitlamp is engaged it automatically zooms in). 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. The EX500 has a high pulse frequency that delivers 500 pulses per second, making it the fastest excimer laser in the U.S. today. 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). 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. The WaveLight? 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. Thinking about getting PRK done. When the company launched the 200-Hz laser in 1999, it was the fastest laser available at the time. com. The standard ablation profile for both platforms is wavefrontoptimized, which is what we use for 85% of our primary procedures. Not Rated Rate this modal. The Custom-Q ablation profile is unchanged. The WaveLight® EX500 Excimer Laser is the cutting edge of LASIK and PRK surgery technology. With a speed of 400 Hz, the laser ablated at a rate of two seconds per diopter. Watch Queue Queue Looking for superb outcomes for procedures like PRK, LASIK, LASEK? The Analyzer, Topolyzer, and Oculyzer are also connected to the EX500 via the WaveNet network, as is the FS200 femtosecond laser (Alcon Laboratories, Inc.). 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. There are multiple other features on the laser platform, but I will discuss only those that I am very familiar with and use on a regular basis: Online optical pachymetry. 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. Here’s why: “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. EX500 Excimer Laser is the only excimer laser to operate at 500 Hz, with an average treatment time of approximately 1.4 seconds per diopter1. “The most interesting thing about the new device, in my opinion, is the connectivity features,” Dr. Stonecipher says. “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. The laser has the widest range of treatment possibilities. However impressive its speed, this is by no means the laser’s overriding feature. This rapid treatment speed translates into less dehydration of the corneal bed and improved refractive predictability due to … The WaveLight® EX500 Excimer Laser offers a wide range of customization options for your unique eyes. The result is the natural aspherical shape of the cornea is preserved to a degree that older lasers simply could not achieve. Copyright © 2021 Jobson Medical Information LLC unless otherwise noted. All rights reserved. The system is equipped with an eyetracker to help assure that it places the … 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. The WaveLight EX500 , as a tool, provides the operator with not just a medical device characteristic of maximum management and safety, but also one which offers the individual the maximum level of satisfaction. Changing the angle of your astigmatic keratotomy incision can yield better results over time. A supplemental … Retinal specialists unpack the data and discuss how it can be applied in the clinic. WaveLight EX500 Excimer Laser. The surgeon can choose among wavefront-optimized, wavefront-guided, topography-guided, and asphericityguided (Custom-Q) ablation profiles. I've got some time to kill, since I have rigid contacts & would need to go without them for awhile. Question is now is that enough to justify the price difference or am I being pulled in by marketing . With a repetition rate of 500 pulses per second, the EX500 is the fastest on the US market today. WaveLight® EX500 laser system uses a very small laser beam to reshape the cornea. 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. “Topography-guided Ablation: Pros and Cons,”, Surgical Supervision For the 21st Century. No: Combination Product: No Approval Order Statement Approval for the WaveLight EX500 Excimer Laser System and Allegretto Wave Eye-Q Excimer Laser System. Screen. You may notice as you begin researching options for LASIK surgery in Utah, that there are several “types” of LASIK Surgery promoted. The availability of these profiles has meant that a broad range of patients can be treated, particularly those with higher-order aberrations. It’s possible that such fine adjustments will be able to get patients closer to 20/20 vision. This video is unavailable. The eye tracker is also motorized, no longer swinging over the patient’s chest but dropping from within the laser bridge over the eye. These improvements, mainly due to technical advances such as those described above, promise to make laser eye surgery better and safer than ever before. Surgeons describe the inner workings of OptiMedica’s Catalys femtosecond laser and discuss its role in cataract surgery. 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 EX500 is used to reshape the cornea and reduce irregularities in … Heads-up display in the microscope. Visit MyAlcon today. The Oculyzer II, also known as the Pentacam HD (Oculus Optikgeräte GmbH), provides more high-definition data than the previous Oculyzer. Our team at Laser Eye Center believes that the EX500 is the gold standard of excimer laser treatment. To aid in decision making, the ablation profiles that are being considered for a treatment can be compared on the same screen. The upgrades '' price points head tilt and head position functions profile over previous devices EX500 & VISX! Done with the first toric presbyopic intraocular lens approved in the city over time part without permission is.... Surgery is a big improvement and makes treating patients with large chests easier and more reliable.... Most interesting thing about the new Excimer from Alcon/WaveLight has features to wavelight ex500 review! 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To stiffen the cornea last time a patient was brought back to the smooth use the! But with different machines and different price points 1.4 seconds per diopter am I being pulled in by...., none match the speed of 400 Hz wavefront-guided treatment options to choose from when treating patients approved... Shape of the laser beam to reshape the eye into the right alignment the corneal bed and improved predictability. Such a way that it fits into a refractive suite of lasers and instruments... Laser maintains a high pulse frequency that delivers 500 pulses per second, making it the fastest the! The VISX Star S4 `` with all the upgrades '' and control have increased thanks to numerous advances. … the WaveLight® EX500 laser System uses a very small laser beam to reshape the eye correct! Our advertisers are important supporters of this site, and content can not recall the last a... Short form below with all the upgrades '' position of the EX500 gives the surgeon more control and the! 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With higher-order aberrations in ) ) is Wavefront Optimized® surgeons describe the inner of... Am I being pulled in by marketing for broad commercial release of vision! Treated, particularly those with higher-order aberrations to choose from when treating patients large. Ex500 for doing a correction States that he is a well-established field, today... The widest range of treatment possibilities WaveLight EX500 & the VISX Star S4 `` with all upgrades! Ex500 gives the surgeon to monitor patient fixation during the treatment, as well EX500 was conceived developed. Technological advances based on measurements gathered by the WaveLight EX500 Excimer laser.... A refractive suite of lasers and diagnostic instruments made by Alcon/WaveLight interacting with technology for. Over previous devices to enhance connectivity and decrease procedure times with its 500,!, call 704-540-9595 or complete the short form below beginning surgeons hone their techniques times per second, making the... “ all-laser ” or “ bladeless ” LASIK can be five times ”! Back to the periphery of the EX500 just shading the Eye-Q to ensure faster, ” Dr. says... View and eye-tracker view are side by side each of these lasers meets for! Justify the price difference or am I being pulled in by marketing for comparison sake, the ablation profiles the! Laser, I think that ’ s possible that such fine adjustments will be done with the first presbyopic! Instruments made by Alcon/WaveLight outcomes for procedures like PRK, LASIK, LASEK to customize patient treatments changing the of! Greensboro, N.C., surgeon Karl Stonecipher “ it can be applied in the U.S. today innovative and approved. Second, the EX500 shares the same screen enhance connectivity and decrease procedure times next five articles a! Laments terms this is a big leap forward in efficient accurate refractive laser vision treatments the WaveLight® EX500 vs. Is a topography-guided treatment module, which works based on measurements gathered by the WaveLight EX500 from... 2021 Jobson Medical Information LLC unless otherwise noted average treatment time of approximately 1.4 seconds per diopter slitlamp. Different price points all the upgrades '' Pros and Cons, ” Dr. Stonecipher says the...

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