miophthalmology products

Miochol-E

Miochol-E (acetylcholine chloride 20mg/2 mL) is used to obtain complete miosis of the iris in seconds after placement of an intraocular lens (IOL) in cataract surgery, and in penetrating keratoplasty, iridectomy, and other anterior segment surgery where rapid miosis may be required.

Miochol-E is free from natural latex.

Contact: Bausch and Lomb (AUS) 1800 251 150

Always review product information before prescribing these medications. Product information is available on request from Bausch and Lomb.

HOYA Vivinex IOLs

The Vivinex intraocular lens (IOL) family includes XY1 and XC1 aspheric and XY1A toric IOLs, preloaded on the proven iSert injector.

More than nine million preloaded HOYA IOLs implanted worldwide testify to HOYA’s excellent delivery consistency. HOYA states that Vivinex toric lenses have shown outstanding stability postoperatively, with clinical studies showing no lenses rotated by more than five degrees after six months.

The glistening-free hydrophobic acrylic material and proprietary aspheric optic design add up to improved image quality with Vivinex.

Contact: Designs for Vision (AUS) 02 9509 8100

Visionix VX650

TThe Visionix VX650 is an all-in-one solution that can comprehensively assess both anterior and posterior segments, saving space and improving patient flow in the practice by reducing overall patient movement.

The Visionix VX650 integrates multiple functions including corneal aberrometry, retro-illumination, topography, pachymetry, autorefraction, non-contact tonometry, Scheimpflug imaging, placido rings, Shack-Hartmann wavefront analysis, and fundus photography. With accurate and reproducible results, even moderately trained users can use this device to detect all major pathologies of both the anterior and posterior segments, including cataract.

Impressively, the Visionix VX650 can be operated entirely remotely by a licensed clinician from anywhere, enabling improved accessibility to eye care for all patients.

Replacing several devices and with a reasonably sized footprint, the Visionix VX650 creates more space in the consulting room and provides an overall improved examination experience.

Contact: Opticare (AUS) 1800 251 852

RayPro from Rayner

RayPro from Rayner is the only data-driven, patient reported
outcomes platform, designed to provide long-term, real-time patient-reported insights for ophthalmology. Free for users of Rayner intraocular lenses (IOLs), RayPro is not exclusive to Rayner IOLs – all IOL makes and models can be uploaded and analysed.

RayPro uses the clinically validated Cat-PROM5 questionnaire to deliver real-world insights on spectacle independence, dysphotopsia, and outcome satisfaction. Quantifiable, actionable, and insightful patient-reported feedback, collected over three-years, is provided. Additionally, it provides surgeons with customised podium-level data on-demand by comparing real-world performance of different IOLs.

RayPro automatically sends patients six short questionnaires at specific times over three years post-surgery. With the ability to feature your individual surgery branding, you can offer a personalised communication strategy, adding value to customer service and continued support throughout your patients’ post-operative journeys.

Contact: Rayner (AUS) 02 9044 1221

1stQ AddOn

Cataract and refractive lens exchange patients are educated and have high expectations. There are several situations where a 1stQ AddOn secondary supplementary sulcus ‘piggyback’ lens may be required to achieve the best outcome. The 1stQ AddOn lenses (Medicontur Group) have very high rotational stability in the sulcus due to the non-torque four-point fixation design. These lenses are available in monofocal, monofocal toric, trifocal, trifocal toric, and high add magnifier options. They allow precise correction of residual spherical and astigmatic refractive errors via the 0.25D spherical-equivalent steps and up to 11.0D cylinder powers.

Trifocal upgrades are a nice option for pseudophakic patients and safe reversibility of trifocality is available via the planned dual lens procedure.

Contact: SurgiVision (AUS) 1300 995 132 or (NZ) 02 8999 3323

Vision Australia: Help With Glare

After cataract surgery, patients may experience glare and sensitivity to light. Fitover sunglasses are designed to slip over prescription eyewear as a functional and fashionable solution.

Since 1993, Jonathan Paul has been a leading brand for this popular eyewear category, with designs made specifically for the intense Australian sun. These stylish fitover sunglasses have polarised lenses, which help reduce glare and provide 100% UVA protection.

With non-mirrored lenses, these fitovers are available in a variety of designs from Vision Australia’s Vision Store.

Visit: shop.visionaustralia.org

NW500 Robotic Colour Fundus Camera

The NW500 is a new robotic colour fundus camera that delivers excellent image quality in well-lit conditions, even in patients with media opacities. With innovative slit scan illumination and a rolling shutter mechanism, it helps overcome one of the known causes of poorly graded images by effectively imaging smaller pupils, from 2.00mm. A 12-megapixel sensor delivers quality colour fundus images for clear review and analysis. The NW500 contributes to a streamlined workflow and enhanced patient experience by acquiring retinal images in a well-lit setting without the need to dilate patients.

Visit: topconhealthcare.com.au

ZEISS Cataract Workflow

Supporting optimised pre-operative planning for cataract procedures is an integral element of the ZEISS Cataract Workflow.

Starting with a state-of-the-art solution for the anterior eye segment, the ZEISS Atlas 500 offers corneal topography with tear film integrity assessment and integrates seamlessly into the ZEISS medical ecosystem.

Next the IOL Master 700 optical biometer provides precise measurement and visualisation to support clinical decision making. With no changes in workflow, the IOLMaster 700 measures central topography, and combines unique telecentric keratometry measurement of the anterior corneal surface with measurement of the posterior corneal surface to calculate total keratometry.

With biometry and corneal topography data acquired, EQ Workplace software further streamlines the procedural workflow. EQ Workplace enables single-click data transfer and auto-population of data. Access biometry and diagnostic data remotely and calculate and select intraocular lenses, anytime, anywhere.

Contact: ZEISS Account Manager

Clareon PanOptix by Alcon

Alcon’s Clareon PanOptix is the global leader in trifocal intraocular lenses (IOLs), and with more than 2.2 million implants worldwide,1 there are plenty of reasons for its success. Clareon PanOptix offers a leading presbyopia correcting IOL for cataract patients seeking a full range of vision after surgery. Nine out of 10 Clareon PanOptix patients did not require spectacles at any distance following surgery.2

A low glistening IOL with a smooth optic, Clareon PanOptix delivers among the
lowest levels of surface haze, providing patients with clarity and stability.*3-7
Patients can achieve exceptional vision at every meaningful distance.

PanOptix is the world’s favourite trifocal IOL, with a patient satisfaction rate of 99.2%.8-11 Additionally, 98.4% of Clareon PanOptix patients would recommend the lens to a friend.**12

Contact: Alcon Account Manager

*Glistening free is defined as Miyata grade 0 or <25mv/mm2. **Response to the following question on IOLSAT questionnaire at six-months post-op: “Given your vision today, would you recommend the lenses you had implanted to your family or friends?” Based on data for AcrySocf IQ PanOptix Trifocal IOL.

References
1. Alcon data on file, 2022.
 2. ZHU - Rate of complete spectacle independence with a trifocal intraocular lens (v1.0) – 91.6% of PanOptix patients reported never requiring spectacles for any distance (p.1) Nineteen unique clinical studies were identified. Based on a meta-analysis of 13 studies (N = 513 patients), the complete spectacle independence.
 3. Alcon data on file. TDOC-0057291.
 4. Stanojcic N., OʼBrart D., Hull C., et al., Visual and refractive outcomes and glistenings occurrence after implantation of two hydrophobic acrylic aspheric monofocal IOLs. J Cataract Refract Surg. 2020;46(7):986-99.
 5. Oshika T., Fujita Y., Inamura M., Miyata K., Mid-term and long-term clinical assessments of a new one-piece hydrophobic acrylic IOL with hydroxyethyl methacrylate. J Cataract Refract Surg. 2020;46(5):682-687. DOI:10.1097/j.crs.0000000000000142.
6. Maxwell A., Suryakumar R., Long-term effectiveness, and safety of a three-piece acrylic hydrophobic intraocular lens modified with hydroxyethyl-methacrylate: an open-label, three-year follow-up study. Clin Ophthalmol. 2018;12:2031-2037. Published 2018 Oct 11. DOI:10.2147/OPTH.S175060.
 7. Society Annual Meeting. 2008;52(19):1614-1617. DOI.10.1177/154193120805201965.
 8. Böhm M., Petermann K., Hemkeppler E., Kohnen T., Defocus curves of four presbyopia-correcting IOL designs: Diffractive panfocal, diffractive trifocal, segmental refractive, and extended depth of focus. J Cataract Refract Surg. 2019;45(11):1625-1636. Doi:10.1016/j.jcrs.2019.07.014.
9. Kohnen T., Herzog M., Hemkeppler E., et al., Visual performance of a quadrifocal (trifocal) intraocular lens following removal of the crystalline lens. AM J Ophthalmol. 2017;184:52-62. DOIi:
10.1016/j. ajo.2017.09.0916. 10. Clareon PanOptix, Directions for use, 08/2021; www.ifu.alcon.com.
 11. Modi et al., Visual and patient-reported outcomes of a diffractive trifocal intraocular lens compared with those of a monofocal intraocular lens. 2020 Sep 28;S0161-6420(20)30677-1.
 12. Clareon PanOptix Claims Matrix - Global-IMG (v1.0).

CSO Cataract Suite

The CSO cataract suite combines both the highly sought-after Osiris aberrometer and the Sirius+ topographer/tomographer into a single system.

This unique pairing of both the placido disk topography/Sheimpflug tomography and the real-time, high-precision aberrometer offers clinicians/surgeons the ability to scan up to 45,000 points with a speed of 33 images per second during objective measurements and when planning premium, monofocal, and toric intraocular lenses (IOLs).

The suite goes beyond intraocular lens (IOL) modules. It also offers pre- and post-operative tear film assessments, infrared images of meibography and non-invasive tear film break-up analysis. Additionally, it includes densitometer, keratoconus, glaucoma detection, dynamic pupilography, intrastromal rings planning, IOL calculation, IOL centration (mono, multi, and extended depth of field lenses), aberration analysis, anterior chamber depth, corneal surface elevations, pachymetry, Zernike wavefront, and real-time aberration analysis.

The CSO Phoenix software combines both devices into a unified user repository with DICOM compatibility.

Contact: excellent@eyetek.com.au

Heidelberg Anterion

Anterion uses the power of high-resolution swept-source optical coherence tomography (OCT) images to provide the most important anterior segment examinations and measurements in one modular, upgradeable platform.

The result: A single workflow-efficient solution that brings together corneal topography and tomography, biometry measurements, and IOL calculations to transform the day-to-day routines in cataract and refractive surgery, as well as cornea and glaucoma diagnostics.

Anterion delivers high-quality images and comprehensive measurements while minimising the time needed to perform multiple anterior segment examinations. The acquisition time is fast with no need to move the patient.

At the same time, visual confirmation of all measurements with high-resolution swept-source OCT images provides diagnostic confidence. Manage multiple diagnostic images with the flexibility and power of the HEYEX 2 image management
and device integration platform.

Visit: HeidelbergEngineering.com

Optos: Now with More Image Modalities

To further assist eye care professionals in disease detection, management, and treatment planning, Optos has added a blue laser to the standard image generated by red/green lasers. This enables the creation of a single composite red/green/blue
(RGB) optomap image, making it possible to now collect four individual image types with a single capture.

Visualising multiple image modalities at the same time increases the information available. Having access to more information should empower healthcare professionals to make more informed decisions, positioning them to diagnose pathology with greater clarity.

Optos devices produce multi-modality images which can include: colour red/green
(rg); colour red/green/blue (rgb); red-free (sensory); red (choroidal); autofluorescence (af); fluorescein angiography (fa); indocyanine green angiography (icg) and optical coherence tomography (central and optomap-guided).

Visit: Optos.com