Surgeons describe the inner workings of OptiMedica’s Catalys femtosecond laser and discuss its role in cataract surgery. Indications. Femtosecond surgery involved either the Catalys precision laser system (Abbott Medical Systems) or the LenSx laser system (Alcon). Your doctor may suggest removing your cataract using a laser-assisted approach in certain situations. Each company's trainers will provide thorough advice on how to perform the femtosecond laser portions of the surgery. 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. It could take 10 or 15 years to know whether such effects are clinically significant. However, techniques and best practces are still evolving. 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. A look at the various ways to stiffen the cornea and the results they’re producing. Most patients can take up their normal activities within a few days. 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.). Edited By: David Turbert. The precision of this innovative technique has … Advantages of Femtosecond Cataract Surgery. 4 Feb 2019 Slim, strong protection Catalyst Waterproof Case. I believe the Catalys GUI is more intuitive and easier to navigate because the screens are simpler and more user friendly. LensAR The LensAR Laser System (LensAR, Inc.) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. Refractive Outcomes in the Three Surgery Groups. Imaging of the ocular structures is performed with OCT for both the Catalys and LenSx devices. 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. LenSx The LenSx system (Alcon) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. Although it’s common belief that lasers have been used in cataract surgery for years, this is not true. Victus System Source: Bausch + Lomb . 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. Table 2. 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. The OptiMedica Catalys (Santa Clara, Calif.) and the Technolas Customlens (St. Louis) are not yet available in the United States. Molokai Office Molokai Community Health Center, 30 Oki Place, Hale #5 Kaunakakai, HI 96748 Phone: 808-553-3227 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. This is an outpatient procedure and has a quick recovery time. Previous studies have shown less epithelial cell loss after laser surgery, he said, but lasers have only been in use for about 4 years. AMO’s Catalys Precision Laser System. You've successfully added to your alerts. LenSx Laser Source: Alcon . Presented April 18, 2015. The LenSx laser is used on cataract patients with low amounts of astigmatism. Please use this form to submit your questions or comments on how to make this article more useful to clinicians. 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 laser will then create the circular opening in the lens capsule for accessing and removing the cataract. 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. There are 4 femtosecond laser cataract surgery platforms currently available: Catalys, LenSx, LensAR (LensAR Inc.), and Victus. Click the topic below to receive emails when new articles are available. 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. 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. Laird Harrison is a freelance writer for Medscape. Two studies were conducted in an ophthalmology group practice, at Launceton Eye Hospital, Tasmania, Australia, using the OptiMedica Catalys laser. That could be beneficial down the road," said Dr Davidson. Dr Donaldson concluded that it is still not clear whether femtosecond laser-assisted surgery is better than conventional surgery for cataracts. LensAR. Patients interested in achieving good distance vision without glasses must address any pre-existing astigmatism. 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 Are you planning to have cataract surgery? This includes the LenSx (Alcon), the Catalys (Optimedica), the LensAR (LensAR Inc.), and the Victus (Technolas/Bausch & Lomb). 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. Because this technology allows for laser precision during these steps, the LenSx laser may contribute to improved surgical outcomes. The laser incisions are more adjustable and are performed more quickly with the Catalys than with the LenSx. 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 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 new excimer from Alcon/WaveLight has features to enhance connectivity and decrease procedure times. American Society of Cataract and Refractive Surgery (ASCRS) 2015 Symposium. "It's great to see studies" comparing the two approaches, said session panelist Richard Davidson, MD, from the University of Colorado in Aurora. Ziemer Femto LDV Z8 und Alcon LenSx in der Femtosekundenlaser assistierten Kataraktchirurgie – ein Vergleich zweier Lasersysteme (K) May 2017 DOI: 10.3205/17doc039 Advantages of Femtosecond Cataract Surgery. Dr. Rivera has experience using two different femtosecond lasers. As of this writing, the first four platforms are FDA and CE approved; the Z8 is CE approved and is currently pending FDA approval. 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. 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 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. Lensx , Catalys, Lensar and Victus are FDA approved. 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. Aug. 28, 2019 Which one is right for you? 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. Please enter a Recipient Address and/or check the Send me a copy checkbox. 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. "Approximately 80% of LASIK procedures in the U.S. are done with a femtosecond laser," he said. In my experience, planning tr… close in time to market with the Catalys Precision Laser System. In the past, before this option became available, the … This technique allows for accurate, gentle incisions for cataract removal. To comment please, Comments on Medscape are moderated and should be professional in tone and on topic. Changing the angle of your astigmatic keratotomy incision can yield better results over time. 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. KS: There are about 10-14 units out there so far. 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. The Road To Laser-Assisted Surgery. Please confirm that you would like to log out of Medscape. The look and feel of the Catalys is akin to the Mac, while the LenSx is more similar to a PC. However, these short-term studies do not give a complete picture. They are traditional cataract surgery and laser-assisted cataract surgery. Planning and customizing the treatment is performed on the GUI. Since these are computers, the analogy that seems most relevant is to the operating systems we are all familiar with (Mac and PC). You must declare any conflicts of interest related to your comments and responses. Retinal specialists unpack the data and discuss how it can be applied in the clinic. Cataract Surgery with Catalys Femtosecond Laser Catalys Femtosecond Laser – Newer Technology. 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. All material on this website is protected by copyright, Copyright © 1994-2021 by WebMD LLC. Your doctor may suggest removing your cataract using a laser-assisted approach in certain situations. Pseudoexfoliation and Cataract Surgery 2020, Laser Cataract: Better Outcomes May Follow, Avoiding Unhappiness After Cataract Surgery. Although it’s common belief that lasers have been used in cataract surgery for years, this is not true. The LensAR Laser System (LensAR, Inc.) is approved for corneal incisions, capsulotomies and lens (cataract) fragmentation. How does the OptiMedica Catalys ® Laser System and the LenSx ® Laser System work?. The two systems studied are the Catalys™ Precision Laser System (OptiMedica, CA, USA) and the LenSx® Laser System (Alcon Laboratories, Inc., Fort Worth, TX). 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 LensAR Laser System (Winter Park, Fla.) was approved by the FDA in March for anterior capsulotomy and lens fragmentation. Rx Only. The laser may be useful when correcting for astigmatism, aligning an astigmatism-correcting intraocular lens, or softening a dense cataract. If you log out, you will be required to enter your username and password the next time you visit. Ming Wang, MD, uses a “phaco-less” removal of lens fragments after having pre-chopped them with the LenSx femtosecond laser. Table 1. The CATALYS TM Precision Laser System is indicated for use in patients undergoing cataract surgery for removal of the crystalline lens. Please see our. This includes the LenSx (Alcon), the Catalys (Optimedica), the LensAR (LensAR Inc.), and the Victus (Technolas/Bausch & Lomb). However, several studies have found little difference in visual acuity or complications between conventional and femtosecond laser-assisted surgery. Reproduction in whole or in part without permission is prohibited. For example, the time to complete the capsulotomy is approximately 1.5 seconds with the Catalys vs. 5 seconds for the LenSx. Feb 2019 Slim, strong protection catalyst Waterproof Case vs. HitCase Splash: Which should you buy whether femtosecond surgery. Thorough advice on how to perform the femtosecond laser portions of the surgery weeks to year. 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