Written By: Kierstan Boyd. 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. 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. Case with a view HitCase Splash. 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. However, techniques and best practces are still evolving. 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. As of this writing, the first four platforms are FDA and CE approved; the Z8 is CE approved and is currently pending FDA approval. There are 4 femtosecond laser cataract surgery platforms currently available: Catalys, LenSx, LensAR (LensAR Inc.), and Victus. LenSx The LenSx system (Alcon) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. Patients with toric lenses were excluded from the analysis. Aug. 28, 2019 Which one is right for you? Commenting is limited to medical professionals. the Alcon LenSx laser. However, techniques and best practces are still evolving. This technique allows for accurate, gentle incisions for cataract removal. 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. 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. Laird Harrison is a freelance writer for Medscape. The LensAR Laser System (Winter Park, Fla.) was approved by the FDA in March for anterior capsulotomy and lens fragmentation. A look at the various ways to stiffen the cornea and the results they’re producing. In my experience, planning tr… 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. close in time to market with the Catalys Precision Laser System. 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. Timing of Cataract Removal in Infancy May Affect Glaucoma Risk. Please use this form to submit your questions or comments on how to make this article more useful to clinicians. American Society of Cataract and Refractive Surgery (ASCRS) 2015 Symposium. Reproduction in whole or in part without permission is prohibited. Two studies were conducted in an ophthalmology group practice, at Launceton Eye Hospital, Tasmania, Australia, using the OptiMedica Catalys laser. 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, cataract, Alcon, Fort Worth, Texas. Presented April 18, 2015. Cataract Surgery with Catalys Femtosecond Laser Catalys Femtosecond Laser – Newer Technology. Is Face-Down Positioning After Macular Hole Surgery Still Needed? American Society of Cataract and Refractive Surgery (ASCRS) 2015 Symposium. Victus System Source: Bausch + Lomb . To add to this the Lens was in my collections/vault (visible with the light level here of it). Laser Cataract Removal Procedure. 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. 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 … All rights reserved. Ziemer Femto LDV Z8 und Alcon LenSx in der Femtosekundenlaser assistierten Kataraktchirurgie – ein Vergleich zweier Lasersysteme (K) May 2017 DOI: 10.3205/17doc039 "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. He first started using femtosecond lasers in October 2011. LensAR The LensAR Laser System (LensAR, Inc.) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. Although most Alcon products have a superb reputation, we were more impressed with the technol-ogy on the OptiMedica system. 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? In the past, before this option became available, the … Advantages of Femtosecond Cataract Surgery. Presentation Summary – The look and feel of the Catalys is akin to the Mac, while the LenSx is more similar to a PC. You may be offered a choice of two cataract surgery options. Since these are computers, the analogy that seems most relevant is to the operating systems we are all familiar with (Mac and PC). All material on this website is protected by copyright, Copyright © 1994-2021 by WebMD LLC. Vision Correction Surgery with Refractive Cataract Surgery. "They did not look at things like epithelial cell loss that can have a long-term effect," he told Medscape Medical News. This includes the LenSx (Alcon), the Catalys (Optimedica), the LensAR (LensAR Inc.), and the Victus (Technolas/Bausch & Lomb). Q: How many practices have LenSx equipment? 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. 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 … What Conditions Does LASIK Treat? The laser may be useful when correcting for astigmatism, aligning an astigmatism-correcting intraocular lens, or softening a dense cataract. Catalyst Waterproof Case vs. HitCase Splash: Which should you buy? Indications. The laser will then create the circular opening in the lens capsule for accessing and removing the cataract. Are you planning to have cataract surgery? After patient docking, both LenSx® and Catalys® platforms performed OCT imaging of the eye which is 2D and 3D, respectively. Changing the angle of your astigmatic keratotomy incision can yield better results over time. Rx Only. 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. Here are some things you should understand about each. 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. Tips and techniques for working with the first toric presbyopic intraocular lens approved in the United States. Molokai Office Molokai Community Health Center, 30 Oki Place, Hale #5 Kaunakakai, HI 96748 Phone: 808-553-3227 Rates of refractive error were not statistically different in the three treatment groups. They are traditional cataract surgery and laser-assisted cataract surgery. Your doctor may suggest removing your cataract using a laser-assisted approach in certain situations. Send comments and news tips to news@medscape.net. Burnout Might Really Be Depression; How Do Doctors Cope? Reviewed By: J Kevin McKinney MD. 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. However, these short-term studies do not give a complete picture. "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.' Retinal specialists unpack the data and discuss how it can be applied in the clinic. When a person needs to undergo a cataract surgery, the Catalys laser cataract surgery system would be one of the best method to use in removing the crystalline lens, because it is solely designed for that type of surgery. This is an outpatient procedure and has a quick recovery time. The CATALYS TM Precision Laser System is indicated for use in patients undergoing cataract surgery for removal of the crystalline lens. Because this technology allows for laser precision during these steps, the LenSx laser may contribute to improved surgical outcomes. 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. 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. Advantages of Femtosecond Cataract Surgery. Sample sizes in these studies ranged from 25 to 400 patients, with follow-up periods extending from two weeks to one year. Dr Donaldson concluded that it is still not clear whether femtosecond laser-assisted surgery is better than conventional surgery for cataracts. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 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. LenSx The LenSx system (Alcon) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. 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. Although it’s common belief that lasers have been used in cataract surgery for years, this is not true. Although it’s common belief that lasers have been used in cataract surgery for years, this is not true. 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. Diving into the debate on combined versus dedicated cataract units. 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 … You must declare any conflicts of interest related to your comments and responses. Please confirm that you would like to log out of Medscape. 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. The precision of this innovative technique has many benefits over traditional cataract surgery. 2 years ago. Keeping Eyes Safe From COVID-19: What Works? Although both LASIK and cataract surgery can do wonders to improve your vision, they are different procedures that serve different purposes in vision correction. 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. Fewer patients treated with conventional than with the laser surgery attained vision of at least 20/20 (62% vs 100%) or at least 20/40 (80% vs 98%), but the difference in best corrected visual acuity was not significantly different. 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. The LensAR Laser System (LensAR, Inc.) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. Catalys, % LenSx, % ≤0.25: 31: 29: 29 ≤0.5: 50: 53: 53 ≤1.0: 74: 77: 80 . Pseudoexfoliation and Cataract Surgery 2020, Laser Cataract: Better Outcomes May Follow, Avoiding Unhappiness After Cataract Surgery. This website also contains material copyrighted by 3rd parties. Lensx , Catalys, Lensar and Victus are FDA approved. Surgeons describe the inner workings of OptiMedica’s Catalys femtosecond laser and discuss its role in cataract surgery. 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. Please enter a Recipient Address and/or check the Send me a copy checkbox. For example, the time to complete the capsulotomy is approximately 1.5 seconds with the Catalys vs. 5 seconds for the LenSx. Most patients can take up their normal activities within a few days. KS: There are about 10-14 units out there so far. The Road To Laser-Assisted Surgery. 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. The two systems studied are the Catalys™ Precision Laser System (OptiMedica, CA, USA) and the LenSx® Laser System (Alcon Laboratories, Inc., Fort Worth, TX). A cataract occurs when the eye’s natural lens becomes cloudy. 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. Share cases and questions with Physicians on Medscape Consult. 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. 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, … Femtosecond surgery involved either the Catalys precision laser system (Abbott Medical Systems) or the LenSx laser system (Alcon). OptiMedica Catalys Precision Laser Source: OptiMedica . Implant Reduces Treatment Burden in Wet Macular Degeneration, Neuro-Ophthalmic Manifestations of Coronavirus Disease 19, Preoperative Tests Still Too Frequent for Cataract Surgery, Cataract Laser Surgery Effective, but Expensive, Challenging Eyes Do Well With Laser Cataract Surgery. 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 There are 4 femtosecond laser cataract surgery platforms currently available: Catalys, LenSx, LensAR (LensAR Inc.), and Victus. Dr. Rivera has experience using two different femtosecond lasers. Sample sizes in these studies ranged from 25 to 400 patients, with follow-up periods extending from two weeks to one year. 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. 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.). To comment please, Comments on Medscape are moderated and should be professional in tone and on topic. Dr Davidson reports a financial relationship with Alcon. 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. Published data have suggested that the femtosecond laser is a useful tool for cataract surgery. "It's great to see studies" comparing the two approaches, said session panelist Richard Davidson, MD, from the University of Colorado in Aurora. If you log out, you will be required to enter your username and password the next time you visit. Patients interested in achieving good distance vision without glasses must address any pre-existing astigmatism. The CATALYS TM Precision Laser System is indicated for use in patients undergoing cataract surgery for removal of the crystalline lens. Ming Wang, MD, uses a “phaco-less” removal of lens fragments after having pre-chopped them with the LenSx femtosecond laser. Catalys The first aspect of the AMO Catalys laser that surgeons will put into action is called the Liquid Optics patient interface. 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. AMO’s Catalys Precision Laser System. A cataract occurs when the eye’s natural lens becomes cloudy. Previous studies have shown less epithelial cell loss after laser surgery, he said, but lasers have only been in use for about 4 years. Catalytic is a derived term of catalyst. 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. The Road To Laser-Assisted Surgery. The Comparison of Cataract Lasers Using the Optimedica Catalys Laser and the Alcon LenSx Laser. Refractive Outcomes in the Three Surgery Groups. You will receive email when new content is published. LensAR. Diving into the debate on combined versus dedicated cataract units. Each company's trainers will provide thorough advice on how to perform the femtosecond laser portions of the surgery. Table 1. 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. 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. Click the topic below to receive emails when new articles are available. Edited By: David Turbert. However, several studies have found little difference in visual acuity or complications between conventional and femtosecond laser-assisted surgery. It could take 10 or 15 years to know whether such effects are clinically significant. Two studies were conducted in an ophthalmology group practice, at Launceton Eye Hospital, Tasmania, Australia, using the OptiMedica Catalys laser. Molokai Office Molokai Community Health Center, 30 Oki Place, Hale #5 Kaunakakai, HI 96748 Phone: 808-553-3227 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). This includes the LenSx (Alcon), the Catalys (Optimedica), the LensAR (LensAR Inc.), and the Victus (Technolas/Bausch & Lomb). Joseph Keller. 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. The LenSx Laser (Alcon, Fort Worth, Texas) is available now in the United States for anterior capsulotomy and lens fragmentation. The LenSx performs a more limited OCT imaging of the eye. 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. 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. Table 2. The OptiMedica Catalys (Santa Clara, Calif.) and the Technolas Customlens (St. Louis) are not yet available in the United States. 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