After patient docking, both LenSx® and Catalys® platforms performed OCT imaging of the eye which is 2D and 3D, respectively. With historic reference to cataract surgery stretching back as far as the ancient Egyptian, as well as Roman and Indian physicians, the path from couching to femtosecond laser-assisted cataract surgery may not have been the fastest route, but it has certainly followed a logical trajectory. Dr Davidson reports a financial relationship with Alcon. His center was one of the first in the U.S. to obtain the LenSx laser, and a year after that, he got the Catalys femtosecond laser (OptiMedica/ Abbott Medical Optics, Santa Ana, Calif.). 4 Feb 2019 Slim, strong protection Catalyst Waterproof Case. Yeu, who uses a LenSx laser (Alcon) and a Lensar (Lensar) during her private practice procedures, noted the laser systems produce well-centered, standardized capsulotomies in … Lensx , Catalys, Lensar and Victus are FDA approved. A new report from the current ASCRS meeting in San Diego supports our opinion on the subject of Catalys, LenSx vs Cataract Surgery (conventional methods) Dr Richard Smith – FOCUS Laser Eye Centre: Owner & Ophthalmologist. Written By: Kierstan Boyd. Patients interested in achieving good distance vision without glasses must address any pre-existing astigmatism. This includes the LenSx (Alcon), the Catalys (Optimedica), the LensAR (LensAR Inc.), and the Victus (Technolas/Bausch & Lomb). Click the topic below to receive emails when new articles are available. They are traditional cataract surgery and laser-assisted cataract surgery. Share cases and questions with Physicians on Medscape Consult. Tips and techniques for working with the first toric presbyopic intraocular lens approved in the United States. Catalytic is a derived term of catalyst. Rates of refractive error were not statistically different in the three treatment groups. Specialty Surgical Center is one of the few surgery centers to have two femtosecond lasers – the CATALYS® Precision Laser System and the LenSx® Femtosecond Laser. Journal of Ophthalmology and Visual Neuroscience is an scient online open access peer reviewed journal that welcomes the submission of original research articles, reviews, and clinical reports in all areas of ophthalmology directed to ophthalmologists and visual science specialists unfolding clinical investigations and clinical observations. The LenSx performs a more limited OCT imaging of the eye. It seemed to us that the LenSx was just a converted flap maker, whereas the Catalys system was designed from the ground up for laser cataract surgery. This includes the LenSx (Alcon), the Catalys (Optimedica), the LensAR (LensAR Inc.), and the Victus (Technolas/Bausch & Lomb). In context|chemistry|lang=en terms the difference between catalytic and catalyst is that catalytic is (chemistry) of or relating to a catalyst; having properties facilitating chemical reaction or change while catalyst is (chemistry) a substance that increases the rate of a chemical reaction without being consumed in the process. Table 2. Ming Wang, MD, uses a “phaco-less” removal of lens fragments after having pre-chopped them with the LenSx femtosecond laser. Imaging of the ocular structures is performed with OCT for both the Catalys and LenSx devices. Advantages of Femtosecond Cataract Surgery. This is the part of the system that fits on the patient’s eye and allows the laser to dock and deliver its energy accurately. The CATALYS TM Precision Laser System is indicated for use in patients undergoing cataract surgery for removal of the crystalline lens. American Society of Cataract and Refractive Surgery (ASCRS) 2015 Symposium. Dr Donaldson and her colleagues retrospectively analyzed 621 eyes in 509 patients whose cataracts were treated with either conventional or femtosecond laser-assisted surgery at Bascom Palmer. Conventional Surgery as Good as Catalys, LenSx for CataractsConventional Surgery as Good as Catalys, LenSx for Cataracts Refractive outcomes are not significantly different when patients are treated with conventional or femtosecond laser-assisted surgery, a new study has shown. Keeping Eyes Safe From COVID-19: What Works? Among the first 850 eyes we performed surgery upon using the Catalys femtosecond laser and using an all-comers approach, there were 40 eyes (4.7 %) with a pupil dilatation less than 5.5 mm after routine preoperative dilation. Pseudoexfoliation and Cataract Surgery 2020, Laser Cataract: Better Outcomes May Follow, Avoiding Unhappiness After Cataract Surgery. LenSx Laser Source: Alcon . Burnout Might Really Be Depression; How Do Doctors Cope? 2 years ago. Diving into the debate on combined versus dedicated cataract units. If you log out, you will be required to enter your username and password the next time you visit. Although most Alcon products have a superb reputation, we were more impressed with the technol-ogy on the OptiMedica system. Diving into the debate on combined versus dedicated cataract units. A common question we get at Griffin & Reed Eye Care from our Sacramento and Roseville patients is: What is the difference between LASIK and cataract surgery? The OptiMedica Catalys® Laser System and the LenSx® Laser System both use an image guided system that accurately maps the contours of the eye in 3-D, and displays safety zones to determine exactly where to activate the laser for precise incisions into the cornea. In my experience, planning tr… Most patients can take up their normal activities within a few days. With historic reference to cataract surgery stretching back as far as the ancient Egyptian, as well as Roman and Indian physicians, the path from couching to femtosecond laser-assisted cataract surgery may not have been the fastest route, but it has certainly followed a logical trajectory. I believe the Catalys GUI is more intuitive and easier to navigate because the screens are simpler and more user friendly. In the past, before this option became available, the … Although it’s common belief that lasers have been used in cataract surgery for years, this is not true. Two studies were conducted in an ophthalmology group practice, at Launceton Eye Hospital, Tasmania, Australia, using the OptiMedica Catalys laser. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Two studies were conducted in an ophthalmology group practice, at Launceton Eye Hospital, Tasmania, Australia, using the OptiMedica Catalys laser. This technique allows for accurate, gentle incisions for cataract removal. Rationing Cataract Ops 'Ignoring Guidelines', COVID-19 Strengthens the Case for Same-Day Bilateral Cataract Surgery, Radiology Techs Assisting With Fluoroscopy May Risk Cataracts, Endophthalmitis After Cataract Surgery: An Update on Recent Advances, Ocular Findings in Infants With Congenital Zika Virus Infection. Ziemer Femto LDV Z8 und Alcon LenSx in der Femtosekundenlaser assistierten Kataraktchirurgie – ein Vergleich zweier Lasersysteme (K) May 2017 DOI: 10.3205/17doc039 Edited By: David Turbert. It could take 10 or 15 years to know whether such effects are clinically significant. However, techniques and best practces are still evolving. Each company's trainers will provide thorough advice on how to perform the femtosecond laser portions of the surgery. The Road To Laser-Assisted Surgery. Traditional Cataract Surgery vs. Laser-Assisted Cataract Surgery Leer en Español: La cirugía de cataratas tradicional comparada con la cirugía de cataratas asistida por láser. Although it’s common belief that lasers have been used in cataract surgery for years, this is not true. Patients with toric lenses were excluded from the analysis. During traditional cataract surgery, cataract surgeons use a small blade to enter the front of the eye and another instrument to make a circular incision on the lens capsule to reach the cataract. LenSx The LenSx system (Alcon) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. The Comparison of Cataract Lasers Using the Optimedica Catalys Laser and the Alcon LenSx Laser. All material on this website is protected by copyright, Copyright © 1994-2021 by WebMD LLC. Catalys, % LenSx, % ≤0.25: 31: 29: 29 ≤0.5: 50: 53: 53 ≤1.0: 74: 77: 80 . Published data have suggested that the femtosecond laser is a useful tool for cataract surgery. Retinal specialists unpack the data and discuss how it can be applied in the clinic. LensAR. Advantages of Femtosecond Cataract Surgery. Hatch, who uses the Catalys Precision laser system (Johnson & Johnson Vision), said FLACS can hasten recovery time in patients by using less energy during the … The precision of this innovative technique has … Many of our patients at Eye Doctors of Washington decide to have a standard or premium lens implant placed in the eye during surgery to improve their vision while simultaneously eliminating any cataracts. Molokai Office Molokai Community Health Center, 30 Oki Place, Hale #5 Kaunakakai, HI 96748 Phone: 808-553-3227 Sometimes, looking at the world from a different perspective can allow a new understanding of how things work and help us solve problems in novel ways. You will receive email when new content is published. Lensx , Catalys, Lensar and Victus are FDA approved. SAN DIEGO — Refractive outcomes and the difference in best corrected visual acuity in patients treated with conventional cataract surgery are not significantly different than those in patients treated with femtosecond laser-assisted surgery, a new study shows. "It would be helpful to be able to tell patients, 'Your vision may not be better, but we'll probably save more cells in your cornea.' There are 4 femtosecond laser cataract surgery platforms currently available: Catalys, LenSx, LensAR (LensAR Inc.), and Victus. Mean pupillary miosis was 1.42 ± 1.26 mm for the LenSx, 0.66 ± 0.89 mm for the Catalys, and 0.14 ± 0.34 mm for the Victus groups. Case with a view HitCase Splash. close in time to market with the Catalys Precision Laser System. What Conditions Does LASIK Treat? Cataract Surgery with Catalys Femtosecond Laser Catalys Femtosecond Laser – Newer Technology. You must declare any conflicts of interest related to your comments and responses. The images were analysed for treatment planning and for the final steps of the femtosecond laser treatment, such as anterior capsulorhexis, nuclear fragmentation, and … SoftFitTM PI uses a soft contact lens insert at the interface to minimize … The LenSx® femtosecond laser is designed to improve precision and reproducibility during certain challenging and critical steps of cataract surgery that are currently performed manually. To add to this the Lens was in my collections/vault (visible with the light level here of it). A cataract occurs when the eye’s natural lens becomes cloudy. The precision of this innovative technique has many benefits over traditional cataract surgery. Each company's trainers will provide thorough advice on how to perform the femtosecond laser portions of the surgery. The look and feel of the Catalys is akin to the Mac, while the LenSx is more similar to a PC. Dr. Rivera has experience using two different femtosecond lasers. Timing of Cataract Removal in Infancy May Affect Glaucoma Risk. However, several studies have found little difference in visual acuity or complications between conventional and femtosecond laser-assisted surgery. The CATALYS ® Precision Laser System is specifically designed to remove threatening cataracts from the eye that can lead to severe vision impairment or blindness. The OptiMedica Catalys (Santa Clara, Calif.) and the Technolas Customlens (St. Louis) are not yet available in the United States. Since these are computers, the analogy that seems most relevant is to the operating systems we are all familiar with (Mac and PC). KS: There are about 10-14 units out there so far. Q: How many practices have LenSx equipment? Patients with high amounts of astigmatism need a Toric intraocular lens, but the lens only corrects in half-diopter steps while the LenSx can make further adjustments. The Catalys* and LENSAR* feature a non-contact liquid optical interface (LOI), the Victus* has a curved PI that is non-contact during the capsulotomy and fragmentation portions of the surgery but contact for corneal work, and the LenSx ® Laser uses a SoftFit TM PI, a curved hydrogel contact lens interface (CCL) first introduced in 2012. Ischemic Stroke May Hint at Underlying Cancer, Topol: US Betrays Healthcare Workers in Coronavirus Disaster, The 6 Dietary Tips Patients Need to Hear From Their Clinicians. Refractive Outcomes in Patients With Toric Intraocular Lenses. Femtosecond surgery involved either the Catalys precision laser system (Abbott Medical Systems) or the LenSx laser system (Alcon). "They did not look at things like epithelial cell loss that can have a long-term effect," he told Medscape Medical News. The LenSx by Alcon (Fort Worth, Texas, USA); the LensAR by LensAR (Orlando, Florida, USA); the Catalys by Abbott/Optimedica (North Chicago, Illinois, USA); the Victus by Bausch and Lomb (Rochester, New York, USA); and the LDV Z8 by Ziemer (Port, Switzerland). However, techniques and best practces are still evolving. Dr Donaldson concluded that it is still not clear whether femtosecond laser-assisted surgery is better than conventional surgery for cataracts. The LensAR Laser System (LensAR, Inc.) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. LenSx The LenSx system (Alcon) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. As of this writing, the first four platforms are FDA and CE approved; the Z8 is CE approved and is currently pending FDA approval. Reproduction in whole or in part without permission is prohibited. Please confirm that you would like to log out of Medscape. How does the OptiMedica Catalys ® Laser System and the LenSx ® Laser System work?. Molokai Office Molokai Community Health Center, 30 Oki Place, Hale #5 Kaunakakai, HI 96748 Phone: 808-553-3227 Catalys The first aspect of the AMO Catalys laser that surgeons will put into action is called the Liquid Optics patient interface. Femtosecond lasers have become an accepted part of the LASIK lexicon and now are making inroads into the cataract arena as well, according to Seba Leoni, vice president, global franchise head, … LensAR The LensAR Laser System (LensAR, Inc.) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. This is an outpatient procedure and has a quick recovery time. A cataract occurs when the eye’s natural lens becomes cloudy. For example, the time to complete the capsulotomy is approximately 1.5 seconds with the Catalys vs. 5 seconds for the LenSx. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The Catalys scans the entire cornea and the lens within the pupil to create a 3D image of the eye that is automatically analyzed and then displayed as an axial and a sagittal cross-section through the center of the lens. That could be beneficial down the road," said Dr Davidson. American Society of Cataract and Refractive Surgery (ASCRS) 2015 Symposium. Table 1. Your doctor may suggest removing your cataract using a laser-assisted approach in certain situations. the Alcon LenSx laser. "It's great to see studies" comparing the two approaches, said session panelist Richard Davidson, MD, from the University of Colorado in Aurora. Presentation Summary – "We have to be careful what we promise our patients," said Dr Donaldson, who presented study results here at the American Society of Cataract and Refractive Surgery 2015 Symposium. Refractive Outcomes in the Three Surgery Groups. Standard vs. Laser Cataract Surgery More than 1.5 million cataract surgeries are performed annually in the U.S. One in three mostly older Americans will have the … OptiMedica Catalys Precision Laser Source: OptiMedica . All rights reserved. To comment please, Comments on Medscape are moderated and should be professional in tone and on topic. The mean pupil diameter achieved after preoperative topical dilation in this group was 4.4 ± 0.42 mm (median 4.5 mm; minimum 3.2 mm, maximum 4.9 mm). Cataract surgery, also called lens replacement surgery, is the removal of the natural lens of the eye (also called "crystalline lens") that has developed an opacification, which is referred to as a cataract, and its replacement with an intraocular lens.Metabolic changes of the crystalline lens fibers over time lead to the development of the cataract, causing impairment or loss of vision. Current studies, including those addressing these effects in porcine and cadaveric eyes, have measured IOP following suction docking as causing a rise of up to 17.7 mmHg with the Catalys [32, 33], 40 mmHg with the LenSx , and up to 42 mmHg in patients undergoing surgery with the Victus systems. "Approximately 80% of LASIK procedures in the U.S. are done with a femtosecond laser," he said. The Road To Laser-Assisted Surgery. The estimated IOP increase for Victus, Ziemer LDV Z8 and Catalys is 42, 30 and <19 mm Hg, respectively, –. There are 4 femtosecond laser cataract surgery platforms currently available: Catalys, LenSx, LensAR (LensAR Inc.), and Victus. The laser may be useful when correcting for astigmatism, aligning an astigmatism-correcting intraocular lens, or softening a dense cataract. Laser Cataract Removal Procedure. You've successfully added to your alerts. AMO’s Catalys Precision Laser System. The laser incisions are more adjustable and are performed more quickly with the Catalys than with the LenSx. A look at the various ways to stiffen the cornea and the results they’re producing. Vision Correction Surgery with Refractive Cataract Surgery. Indications. During traditional cataract surgery, cataract surgeons use a small blade to enter the front of the eye and another instrument to make a circular incision on the lens capsule to reach the cataract. Please see our. The LenSx laser is used on cataract patients with low amounts of astigmatism. Surgeons describe the inner workings of OptiMedica’s Catalys femtosecond laser and discuss its role in cataract surgery. Because this technology allows for laser precision during these steps, the LenSx laser may contribute to improved surgical outcomes. This website also contains material copyrighted by 3rd parties. the Alcon LenSx laser. Conventional cataract surgery leaves a lot to be desired, she pointed out, because more than half of manual cataract surgeries leave a residual refractive error of more than half a diopter. However, these short-term studies do not give a complete picture. Advocates claim that femtosecond laser-assisted surgery is more precise, safer, and more efficient than conventional surgery, said Kendall Donaldson, MD, from the Bascom Palmer Eye Institute in Plantation, Florida. Previous studies have shown less epithelial cell loss after laser surgery, he said, but lasers have only been in use for about 4 years. Send comments and news tips to news@medscape.net. Victus System Source: Bausch + Lomb . Both the OptiMedica Catalys ® and LenSx ® Laser Systems are low-sedation cataract surgery, which means that patients receive small amounts of sedatives, and are usually awake during surgery. Planning and customizing the treatment is performed on the GUI. He first started using femtosecond lasers in October 2011. You may be offered a choice of two cataract surgery options. The new excimer from Alcon/WaveLight has features to enhance connectivity and decrease procedure times. Sample sizes in these studies ranged from 25 to 400 patients, with follow-up periods extending from two weeks to one year. The laser may be useful when correcting for astigmatism, aligning an astigmatism-correcting intraocular lens, or softening a dense cataract. Your doctor may suggest removing your cataract using a laser-assisted approach in certain situations. Joseph Keller. The two systems studied are the Catalys™ Precision Laser System (OptiMedica, CA, USA) and the LenSx® Laser System (Alcon Laboratories, Inc., Fort Worth, TX). You are here: Home 1 / News 2 / Catalys, LenSx vs Conventional Cataract Surgery Catalys, LenSx vs Conventional Cataract Surgery 06 May 2015 / 0 Comments / in News / by Team Focus Rx Only. Dr. Thomas E. Clinch, Dr. Paul C. Kang, and Dr. Deepika N. Shah perform laser cataract surgery by using a precise computer-rendered image of the eye as a guide. Here are some things you should understand about each. The Catalys* and LENSAR* feature a non-contact liquid optical interface (LOI), the Victus* has a curved PI that is non-contact during the capsulotomy and fragmentation portions of the surgery but contact for corneal work, and the LenSx ® Laser uses a SoftFit TM PI, a curved hydrogel contact lens interface (CCL) first introduced in 2012. Please use this form to submit your questions or comments on how to make this article more useful to clinicians. In a separate analysis of 74 eyes in 42 patients who received toric intraocular lenses for astigmatism, there was a trend toward the superiority of laser surgery over conventional surgery, but the difference was not significant. Dr Donaldson has disclosed no relevant financial relationships. Reviewed By: J Kevin McKinney MD. Here at iMore, we like keeping our iPhones nice and safe, so we're always on the lookout for the best cases, whether we want a little extra charge with our protection, or are heading out into the elements. Laird Harrison is a freelance writer for Medscape. The LenSx Laser (Alcon, Fort Worth, Texas) is available now in the United States for anterior capsulotomy and lens fragmentation. Although both LASIK and cataract surgery can do wonders to improve your vision, they are different procedures that serve different purposes in vision correction. Catalyst Waterproof Case vs. HitCase Splash: Which should you buy? If your health needs require a cataract surgery and you want more freedom from eyeglasses after the recovery period, then you may wish to consider a multifocal intraocular lens so that your range of clear vision can expand. With traditional cataract removal there have been cases where tears have occurred to the anterior capsular which can lead to permanent sight loss or reduced sight. The OptiMedica Catalys® Laser System and the LenSx® Laser System both use an image guided system that accurately maps the contours of the eye in 3-D, and displays safety zones to determine exactly where to activate the laser for precise incisions into the cornea. The LenSx® Laser System: Premium Lens Implants : The Next-generation Laser Cataract Surgery : FDA approved, CATALYS® brings both laser precision and computer-guided precision that features a state-of-the-art laser, advanced 3D imaging, and a plethora of other innovative features that allows us to customize your treatment for each individual's eye. Commenting is limited to medical professionals. Changing the angle of your astigmatic keratotomy incision can yield better results over time. 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