Eyeworld

EW REFRACTIVE 102 September 2017 by Michelle Stephenson EyeWorld Contributing Writer two different machines with two different maintenance agreements and the overhead and space require- ments that go with that, I could accomplish all of these things with one laser," he said. Dr. Schumer purchased the tenth Victus femtosecond laser sold in the U.S. "We were early in the curve, and we went through some issues. Initially, the flaps weren't great, so there was a lot of tweaking done by the engineers. They have now gotten it to a point where I have complete confidence and lack of stress when I'm doing a proce- dure. I used to have a lot more stress when creating flaps with mechanical microkeratomes," he said. He noted that one unique feature of the Victus is that it comes with a Zeiss side scope. "They put it on there so that when you place the suction ring, you have a micro- scope to view that process. I use that scope to do all of my surgeries. I'm unique in that I do all of my surgical procedures in the femto/Victus bed. Most cataract surgeons do the femtosecond portion, and then they move the patient to a microscope. I swing the bed out to the side scope. It is a beautiful side scope with a red reflex. It has everything I need to do my cataract surgeries," he explained. Dr. Schumer thinks that a cataract workstation will become Texas), IntraLase (Johnson & John- son Vision, Santa Ana, California), and VisuMax (Carl Zeiss Meditec, Jena, Germany). This month, we fo- cus on the Victus femtosecond laser (Bausch + Lomb, Bridgewater, New Jersey) and the Ziemer femtosecond laser (Ziemer Ophthalmic Systems, Port, Switzerland). Victus D. James Schumer, MD, Columbus, Ohio, was attracted to the Victus platform because of its versatility. "It was the first platform available in the United States that could create flaps and corneal incisions and could also perform astigma- tism treatment and a capsulorhexis and lens fragmentation. It fit my practice's needs. Instead of having The second in this series highlights two femtosecond lasers available today F emtosecond lasers have revolutionized LASIK by providing better vision, more predictable flaps, and less increase in IOP. Traditional LASIK with a micro- keratome-created flap is extremely safe; however, in cases with com- plications, the microkeratome is frequently the cause. Femtosecond lasers offer a blade-free approach to corneal flap creation that is safer and more predictable. In the July 2017 issue of Eye- World, we highlighted the Wave- Light FS200 (Alcon, Fort Worth, Femtosecond corneal laser platforms: Offering better vision and better flap M any refractive surgeons, including me in 2001, found it intuitive and easy to transition from blade to femtosecond laser created flaps. What hasn't been easy for a lot of laser flap LASIK surgeons is the decision of which laser platform is best for their refractive surgery practice. With platforms that will do much more than create a flap, this decision has become even more complex. We have been reviewing the various systems available, and in this issue, D. James Schumer, MD, shares his experience with the Victus femtosecond laser, and Tom Tooma, MD, shares his experience with the Ziemer femtosecond system. It helps a practice looking for a new laser system to understand what other surgeons like about a particular system and what the unique characteristics of that system are. Some systems will do other procedures in addition to creating a flap such as create channels of intracorneal ring segments, perform small incision lenticule extraction (SMILE), and perform cataract surgery incisions, capsulotomy, and lens softening. Other characteristics to address include microscope quality, the footprint that is ideal for your center, where it fits best (a refractive center or cataract ASC), mobility if that is your desire, and parame- ters such as energy output and speed. Thank you to these two experts for taking the time to share their expertise. Vance Thompson, MD, Refractive editor Refractive editor's corner of the world Dr. Schumer performs surgery using the Victus laser. Source: D. James Schumer, MD Download our App, EyeWorldAR Apple or Android Open EyeWorldAR App, and Touch "Start Scanning" Look for EWAR Codes, Point the Camera to Scan the Code Watch Static Content Turn into Live Video on Your Mobile Device Adding a New Visual Dimension to EyeWorld Adding a New Visual Dimension to Your World! This is just the beginning ... Download the app now and watch for new EWAR applications! P U S H I N G B E Y O N D L I M I T A T I O N S ! Scan the EWAR code below with the EWAR app and click "Register to Win!" We will be giving away 2 iPhone 7s in a monthly drawing, September — December • Surgical photos turn into live videos • Speaker videos enhance stories • Equipment or products transform into a new dimension • Ads become interactive • Watch for EWAR at trade shows and in the mail and in the mail • Patient/clinical education

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