Eyeworld

103 EW REFRACTIVE September 2017 Contact information Schumer: schumer@revisioneyes.com Tooma: tom.tooma@nvisioncenters.com more popular in the future. "It's not for every surgeon and every facility, but I think we'll see femto in the future have the capability of being a cataract workstation, meaning that you're not going to have to move the patient," he said. Dr. Schumer goes one step further and takes the oculars off of the microscope and mounts a 3-D visual camera in the oculars' place. "I do all of my procedures heads up in 3-D. I'm looking at a 60-inch flat panel in front of me, and I'm doing all of my surgical procedures on the side scope of the Victus heads up in 3-D. This has huge advantages for me. I had some neck issues from being hunched over a microscope all day long, and now I'm ergonom- ically correct; my back's straight, my neck's straight, and I'm looking up. There's no more neck pain for me at the end of a surgery," he said. Ziemer Tom Tooma, MD, Newport Beach, California, said that the Ziemer laser flap maker creates the smoothest flap of any of the available laser plat- forms, and he has tried them all. "I have performed thousands of LASIK procedures without one case of diffuse lamellar keratitis (DLK). The interface is very user friendly, and all of the parameters of the flap are extremely precise. The standard deviation of flap thickness that is created is the lowest of any laser that I've used," he said. This laser is mobile, and Dr. Tooma likes being able to use it in more than one location. "Some of our lasers are used in more than one clinic. All you need to do is put it on a van and transport it to anoth- er center. Within minutes, you're up and running. There is no need for additional steps, calibration, or anything. The laser is robust and lends itself to being easily mobilized without any modifications and with- out any special transporting equip- ment," he said. "A unique feature of the Z8 laser is its versatility. It may be used for LASIK flaps, intracorneal ring segments, intrastromal pock- ets for corneal inlays, lamellar and penetrating keratoplasty, as well as femtosecond cataract surgery. It is the combination of the lowest pulse energy and highest pulse repetition rate of any femtosecond laser, along with the high numeric aperture and short focal length, that results in minimal side effects and excellent clinical results," he said. EW Editors' note: Drs. Schumer and Tooma have no financial interests related to their comments. predictability than microkeratomes, part 2

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