- SCHWIND eye

news
Issue 2/2015
e
Save th
Ongoing drive for highest quality
Date
eting
ser Me pore
U
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HW
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16th SC 21-24, 2016, S
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Januar
Innovative diagnostic system, easier planning processes, wow effect
SCHWIND is constantly striving to
improve the quality standard of its
technologies. One of the latest
innovations is the new SCHWIND
PERAMIS diagnostic system – a multifunctional combination of topography
device and newest-generation aberrometer. The unique level of performance of the aberrometer is based
on a high-resolution, pyramidal wavefront sensor. With an unrivalled 45,000
measurement points, the SCHWIND
PERAMIS evaluates ocular wavefront aberrations. Together with a realtime measurement, this ensures a
ments. In addition, it is now also
pic, presbyopic patients, as only one
level of high-detail resolution and
possible to import diagnostic data au-
eye needs to be corrected for near
precision which is unmatched.
tomatically in aberration-free treat-
vision in these cases to allow opti-
ments. That means: No more manual
mal vision at all distances. And, last
Easy Planning
input, no risk of input errors and
but not least, the results of a recent
New features make planning with
time savings. PresbyMAX Monocular
TransPRK multicentre study with
the SCHWIND CAM software even
allows the user to achieve an even
the new SmartPulse Technology
easier. For example, in the “no touch”
higher potential patient volume.
confirm significantly faster recovery
TransPRK treatment employed by
Unlike in the other PresbyMAX
of visual acuity and better vision
many refractive surgeons, the epi-
types, the patient’s individual pupil
in the early postoperative phase –
thelial thickness can be individually
dynamics play only a minor role here
a real “wow effect” for the patients
adapted to suit the patient’s require-
– especially interesting for emmetro-
that you should not miss.
Topics
TransPRK as a premium treatment - OFTALMIKA Eye Clinic, Poland
First AMARIS 750S in Pakistan/AMARIS Symposium in Guangzhou 2-4
5
IOL calculation with the ray tracing method using SCHWIND SIRIUS 6-7
Dardenne Eye Clinic, Germany, markets LASIK with the AMARIS 1050RS 8-9
Turkish Eye Surgeons at SCHWIND/ The SCHWIND Sales team sets great store by fairness SCHWIND employee treated with TransPRK and SmartPulse Technology Issue 2/2015
10-11
12
Page 1 of 12
news
TransPRK as a premium treatment
OFTALMIKA Eye Clinic chooses AMARIS 750S for surface treatments
Step
by
step
for
continuous
advancement: That’s the motto at
OFTALMIKA when it comes to the
expansion of refractive surgery.
Based
in
between
Bydgoszcz,
Warsaw
half-way
and
Berlin,
OFTALMIKA is one of the leading
eye clinics in Poland and has been
successfully employing the SCHWIND
AMARIS 750S since 2011.
The clinic grew out of the private
practice run by Prof. Józef Kałużny.
It officially opened its doors in
Dr. Bartłomiej Kałużny performing laser surgery with the AMARIS 750S
April 2008, and there are currently
papers and is a reviewer for peer-
in charge of refractive surgery at
five members of the Kałużny family
reviewed
journals
OFTALMIKA. The clinic has focused
in the family-owned business. The
such as „Ophthalmology“, „Cornea“
exclusively on surface treatments
clinic is headed by Prof. Józef
and „Optometry and Vision Science“.
since its founding. Around 40 per-
professional
cent of these have been performed
Kałużny, whose two sons also work
there as ophthalmic consultants:
The SCHWIND AMARIS 750S has
as TransPRK and the remaining
Dr. Jakub Kałużny is responsible
been used at the OFTALMIKA Eye
60 percent as LASEK or alcohol-
for
surgery,
Clinic since June 2011. Its purchase
assisted PRK. TransPRK is used
whilst his wife, Dr. Lucyna Kałużna,
was partially financed by the EU
to correct myopia and compound
deals with dermatological prob-
as part of a funding programme
myopic astigmatism with a spheri-
lems. Dr. Bartłomiej Kałużny is
for new members of the European
cal equivalent of between -1.5 and
head of anterior segment surgery,
Union. The clinic has already per-
-9 dioptres. “I use the same optical
and his wife, Agnieszka Kałużna, is
formed 1,500 procedures using the
zone for all surface treatments,
Managing Director of OFTALMIKA.
SCHWIND laser and the numbers
posterior
segment
are growing ever faster. Dr. Kałużny
Dr. Bartłomiej Kałużny is also
estimates that around 450 treat-
Assistant Professor in the Depart-
ments will be performed in 2015.
ment of Ophthalmology at Nicolaus
Collegium
Together with his team, comprising
Medicum in Bydgoszcz, a post he
another ophthalmologist, two opto-
has held since 2009. He has already
metrists,
published more than 80 academic
administrative staff, Dr. Kałużny is
Copernicus
Page 2 of 12 University
two
nurses
and
two
Reception at OFTALMIKA
Issue 2/2015
Compared with Western Europe,
OFTALMIKA’s
prices
are
highly
competitive, at between 1,500 and
3,300 złoty (PLN) per eye, depending
on the laser technique used, which
corresponds to between €364 and
€800. A diagnostic examination for
both eyes and the first consultation
cost 250 złoty (approx. €60). Within
its treatment portfolio, the clinic
has positioned TransPRK as a
premium procedure and patients
consequently pay more.
The operating theatre
regardless of the technique. In
excellent service is the clinic’s
Dr.
higher astigmatism I tend to use
answer to a problematic pheno-
SCHWIND AMARIS for several rea-
an optical zone of at least 7.5 mm
menon
sons: “State-of-the-art technology,
whenever possible. In all surface
Coupon sites like Groupon sell
SCHWIND’s
treatments I use 0.02-0.01% mito-
a large number of treatments to
opinion of colleagues. In the end,
mycin C.”
laser surgery candidates at dis-
what helped me reach a final
count prices. The result is not only
decision
offering
a lower price level across the
represent
FemtoLASIK in May 2015. “The
market, but also lower quality of
there whenever you need them, are
safety of the treatment is the
treatment. Luckily, there is also a
responsible and flexible at the
decisive aspect for us. For this
growing patient segment for whom
same time. That’s a weak point of
reason, we only started using the
price is not as important as the
many
LASIK procedure when we acquired
quality of the treatment.
distributors operating in the refrac-
The
clinic
also
began
in
the
Polish
market.
Kałużny
decided
reputation
was
the
and
people
SCHWIND.
other
on
They
manufacturers
the
the
who
are
and
a femtosecond laser for creating
the flap,” said Dr. Kałużny.
The clinic’s retreatment rate is
extraordinarily low. Dr. Kałużny
admits that he can barely believe
it himself, but so far they have only
had to retreat a single patient. That
translates to a rate of 0.15%, which
is a clear indication of the quality
of the treatments provided. By the
way, its strict focus on quality and
Issue 2/2015
OFTALMIKA Eye Clinic
Page 3 of 12
news
tions at congresses alongside other
TransPRK
communication channels. “Never-
particularly helpful in patients with
theless, our expansion is primarily
irregular corneas. We have not
down to word of mouth, i.e. recom-
had a single technical problem
mendations
ophthalmologist
with the laser in the last four years,
colleagues and satisfied patients,”
but the most convincing argument
said Dr. Kałużny. In his opinion,
is by far the excellent results that
cooperation with responsible and
we achieve time and time again
reliable ophthalmologists is parti-
with each individual patient.”
by
Dr. Kałużny performing diagnostic examination
cularly important for building up
tive surgery market. In addition,
a reputation among colleagues and
I place great faith in family-owned
with patients.
treatment,
which
is
Contact:
OFTALMIKA Eye Clinic
companies.”
When talking about the AMARIS
Dr. Bartłomiej Kałuz�ny
The clinic’s services are marketed
750S, the first thing Dr. Kałużny
Fon: +48 52 370 20 02
on a website, via social media and
mentions is TransPRK: “One of the
Email: [email protected]
by means of academic presenta-
laser’s biggest advantages is the
ASCRS 2015: Best Paper of Session
Olivier Richoz, MD
Farhad Hafezi, MD
Shady Awwad, MD
On the occasion of the ASCRS 2015, the following
SCHWIND users were distinguished with the honor of
“Best Paper of Session“:
• Dr. Olivier Richoz and co-author Dr. Farhad Hafezi,
Switzerland, in the category “CORNEA Medications
and Medical Therapy” for the paper “Optimizing the
Antibacterial Efficacy of Photoactivated Chromophore
for Infectious Keratitis–CXL Treatment Parameters”.
• Dr. Shady Awwad, Lebanon, in the category “KERATOREFRACTIVE LASIK and PRK Outcomes” for the paper
“Single-Step Transepithelial PRK and PRK with AlcoholMediated Epithelial Removal: Comparative Study.”
Talk at the SCHWIND booth during ASCRS 2015. From left:
Samuel Arba Mosquera, Luis Páparo, MD, Tobias Ewering,
Jerome Vryghem, MD, and Jerry Tan, MD.
We express our congratulations!
Page 4 of 12 Issue 2/2015
First AMARIS 750S in Pakistan
On occasion of the inauguration of
gists from Pakistan came to listen
The seminar was conducted by
the first AMARIS 750S in Pakistan,
to comprehensive information about
Dr. Qasim Lateef Chaudhry, a re-
the Medicare Lahore Clinic held
AMARIS technology and clinical
nowned refractive surgeon in the
a very successful seminar at its
results, including a guest lecture
city and consultant ophthalmologist
facility. More than 100 ophthalmolo-
by Dr. Samer Malas.
at Medicare Lahore.
Qasim Lateef Chaudhry, MD, and his team perform a live Femto
LASIK surgery during the seminar
Ophthalmological Society of Pakistan, Lahore Branch – senior members on the occasion of the seminar with guest speaker
AMARIS Symposium in Guangzhou
On occasion of this year’s APAO,
than 90 doctors listened to pre-
from Beijing Tongren Eye Center.
the Chinese SCHWIND distributor
sentations by renowned refractive
Amongst others, topics as TransPRK,
MingWang held an AMARIS Refrac-
surgeons such as Professor Li Ying
customised treatments, PresbyMAX
tive Surgery Summit Symposium
from Peking Union Medical College
and
in Guangzhou on March 31st. More
Hospital and Professor Zhang Fengju
cussed.
More than 90 attendees at the AMARIS Refractive Surgery Summit
Symposium
Issue 2/2015
surgical
skills
were
dis-
Li Hayan, MD, created for his presentation two hearts as a symbol for
a successful partnership between the user and AMARIS technolgy
Page 5 of 12
news
IOL calculation with the ray tracing method using
the SCHWIND SIRIUS Scheimpflug Analyser
By Diego de Ortueta, MD, and Dipl.-Ing. Dennis von Rüden, Aurelios Eye Clinic,
Recklinghausen, Germany
■
Determining
the combined corneal
of 3rd and 4th generation formulae
refractive index also requires
for IOL calculation after refractive
knowledge of the posterior sur-
corneal surgery are based on the
face of the cornea or, to be more
lens position. In ray tracing, the
precise, the ratio between the geo-
lens position is referred to as pre-
metry of the anterior and posterior
calculated, hence PLP (predicted lens
surfaces. As keratometers and
position). In the calculation formu-
The term “ray tracing” refers to the
video keratoscopy only measure
lae, the so-called ELP (effective lens
tracking of light rays through an
the anterior surface of the cor-
position) should really be designated
optical system such as the human
nea, a standardized algorithm is
as the assumed lens position.
eye. The advantage it offers over
used to calculate the combined
all other IOL calculation methods is
refractive index based on the re-
The ELP is based on a “reverse cal-
that it does not require the use of
fractive index of the anterior sur-
culation” with the help of preopera-
a “general” eye model as the basis
face. As a result, a notional corneal
tive and postoperative information,
for the IOL calculation. Instead, the
refractive index is erroneously
such as the refraction or the cur-
patient’s biometric and topographic
incorporated into the calculation.
vature of the cornea. Missing or
Diego de Ortueta
Dennis von Rüden
data can be used to create a “per-
even erroneous data from external
sonalised” eye model. The integra-
Both IOL calculation using the ray
keratorefractive laser eye surgery
tion of the specific topographic data
tracing method and the majority
means that the IOL calculation em-
is particularly relevant, as measurement of the corneal refractive
index is the source of errors in the
conventional IOL calculation methods
for eyes which have previously
undergone keratorefractive surgery.
Possible reasons for this are:
■
Keratometer
data record just a
small, central section of the
anterior cornea and largely ignore
the altered asphericity of the cornea in keratorefractive myopia and
hyperopia correction.
Page 6 of 12 Measuring with the SCHWIND SIRIUS
Issue 2/2015
Summary of calculation data (Fig. 1)
IOL power and indices for image quality (Fig. 2)
ploying the formulae is not only time-
biometry (the axial length of the eye is
Point Spread Function). In addition
consuming, but also imprecise.
required) as well as knowledge of the
to the PSF, the Strehl ratio is also
exact parameters of the intraocular
calculated, i.e. the quotient of the
The advantages of an IOL calcula-
lens to be used. In our experience, it
maximum intensity of the PSF for
tion with the ray tracing method
is important to pay attention to the
the eye to be measured and the
using the SCHWIND SIRIUS diag-
following points when measuring:
maximum for the ideal, aberration-
nostics
The
■
Always
free eye. These indices allow you
Scheimpflug technique allows mea-
miosis
system
are
clear.
perform measurements in
to draw conclusions about the post-
surement of the depth of the ante-
■
Ensure
rior chamber, so the actual geo-
■
Check
metric, postoperative position of
offset
optimal centring
the plausibility of the pupil
(Fig. 2).
Conclusion:
the IOL (distance between posterior
corneal apex and anterior IOL apex)
The “Cataract Summary” button in the
can be calculated approximately. In
toolbar takes you to the ray tracing
addition, the patient’s topographic
calculation program. After checking
data for the anterior and posterior
the quality of the measurement and
surfaces of the cornea can also be
entering the biometric data and
integrated in the IOL calculation.
the IOL parameters, the IOL power
is suggested, based on the target
The prerequisite for the ray tracing
refraction (Fig. 1). Depending on the
calculation is a perfectly executed
selected IOL power, the predicted
measurement with the SCHWIND
distribution of the light intensity on
SIRIUS diagnostics system and the
the retina is then shown (PSF =
Issue 2/2015
operative optical image formation
We have integrated ray tracing
IOL calculation with the SCHWIND
SIRIUS diagnostic system for eyes
which have previously undergone
keratorefractive surgery in our
clinic because the results are
very satisfactory and considerable time savings are achieved
compared with other popular IOL
calculation methods.
Page 7 of 12
news
Sophisticated marketing strategy
Dardenne Eye Clinic in Germany markets LASIK with the AMARIS 1050RS
Since June 2015, Dardenne Eye
Clinic in Bonn, Germany, has been
using the SCHWIND AMARIS 1050RS
for LASIK treatments. The clinic has
developed a comprehensive marketing strategy with the aim of
boosting its patient volume.
The clinic, with its attractive combination of old and new architectural
styles, is a familiar feature of the
Bad Godesberg district of Bonn. Run
by Prof. Dr. Alireza Mirshahi and Dr.
Thomas Haupt, Dardenne Eye Clinic
is one of the major ophthalmology
centres in Germany, with around
Dardenne Eye Clinic
10,000 eye surgeries being per-
Continuing medical education is also
tracking is completely unrivalled,”
formed there every year. In addition
given particular importance in the
said Dr. Thomas Haupt. An impor-
to its main focus on cataract sur-
clinic.
tant part of the strategy is a transparent, easy-to-understand price
gery, the range of procedures performed also includes glaucoma and
Transparent fixed prices
retinal surgery as well as eyelid,
By
of
ding all the check-ups and any
corneal and refractive surgery. The
SCHWIND laser systems, the AMARIS
necessary corrections within the
clinic is ISO-certified and sets great
1050RS, Dardenne Eye Clinic has
first year of treatment. “We’re not
store by its sophisticated hygiene
now positioned itself in the pre-
working with loss leaders here,”
and quality concept, a key element
mium segment of refractive surgery
added Dr. Haupt.
of which is providing patients with
with the aim of establishing premi-
comprehensive advice and support.
um LASIK as a byword for quality
Alireza Mirshahi, MD,
Clinical Director
Page 8 of 12 Dr. Thomas Haupt,
Chief Operating Officer
purchasing
the
structure for LASIK surgery, inclu-
flagship
LASIK hotline
and reliability. “We
To catch the attention of potential
decided
the
LASIK candidates in the local area
world’s fastest and
around Bonn in particular, the clinic
safest excimer laser.
launched a carefully planned and
The repetition rate of
multifaceted advertising campaign
1,050 Hz is the fas-
to mark the inauguration of the
test currently avai-
AMARIS 1050RS. This includes a
lable, and in terms
LASIK hotline which is manned by
of safety the 7D eye
trained employees and promoted
on
Issue 2/2015
across all the planned communication channels, as well as a userfriendly microsite (www.brillenlos.
com) which provides information
about LASIK with helpful illustration
– including a notice about upcoming
information evenings. The clinic
also produced an information video,
which follows a LASIK patient
through the entire treatment process from preoperative examination
through to postoperative check-up.
The video is employed in various
ways: at the information evenings,
LASIK with SCHWIND AMARIS 1050RS
on the Internet and on social media,
flyer, which was placed in gyms and
professionals who refer patients is
and even in a cinema advert (in an
driving schools, for example.
particularly important to Dardenne
edited version), which runs at a
Eye Clinic. With this in mind, all
cinema in Bonn for six months. To
Target group campaign
referrers – mostly practising ophthal-
round off its communication, in
All this was complemented with
mologists who specialise in more
August the clinic placed a radio
direct dialogue. In a one-day pro-
conservative treatments – were sent
advert on the most popular local
motional campaign, hostesses in
a letter and an information brochure
private radio station, which ran for
green Dardenne polo tops intervie-
on the AMARIS 1050RS. In addition,
a period of six weeks, as well as a
wed passers-by in Bonn city centre
the clinic organised an information
range of adverts in local newspapers
about LASIK, and handed out flyers.
stand at a medical training work-
and on social networks plus a LASIK
Good cooperation with the medical
shop on OCT in June to publicise the
introduction of the new laser. A
campaign which is already bearing
fruit. After just a few months, the
clinic has already recorded a considerable increase in treatments
and a significantly larger number of
patients interested in LASIK.
Contact information:
Dardenne Eye Clinic
Dr. Thomas Haupt
Managing Director
Tel.: +49 (0) 228/8303-115
Impressions from the new LASIK video
Issue 2/2015
Email: [email protected]
Page 9 of 12
news
Turkish Eye Surgeons at SCHWIND
Leader Meeting from 28th to 31st
The agenda included a tour through
surgeons visited SCHWIND eye-tech-
of May 2015. During a side trip to
the production area, product presen-
solutions in Kleinostheim, Germany.
the “Haus der Optik” (House of
tations and demonstrations in the
The Turkish SCHWIND distributor,
Optics), the visitors became well
showroom. The resonance from the
VSY, selected the Rhine-Main region
acquainted with SCHWIND facilities
doctors regarding the multifaceted
around Frankfurt for its 8th Opinion
and technologies.
programme was very positive.
© Tobias Ewering
In May, a group of 40 Turkish eye
Page 10 of 12 Issue 2/2015
An excellent network
The SCHWIND Sales team sets great store by fairness
The family-owned company SCHWIND
eye-tech-solutions sells its laser
systems in more than 120 countries
around the world. SCHWIND itself
is directly responsible for sales
and distribution in the Baltic States,
Germany, France and Italy, and has
carefully selected distribution partners in the other countries.
The SCHWIND Sales team has a wide
range of duties, including supporting
and advising customers and potential users. The Sales department
functions as an “interface” between
SCHWIND and the customer, is the
first port of call for any requests
© Claudia Werner
and requirements, develops customised solutions and is always on
hand to answer any questions.
Best Practice
The department also guides and
The SCHWIND Sales team. From left to right: Christian Prinz, Alexander Schroeck, Vice President
Sales Michael Fichtner, Anja Segschneider and CEO Rolf Schwind,. Not pictured: Franck Penin.
supports the distributors in the
The Sales organisation within the
“A strong Sales operation in our
other countries. Centralised control
company is operated under the
very competitive industry is founded
lays the foundation for more trans-
overall supervision of CEO Rolf
on the high level of skills and
parent and cost-efficient global
Schwind, who is also active in the
market knowledge of our em-
sales and distribution activities,
Sales department himself. Together
ployees and partners. It is just
making
speedily
with the Vice President Sales,
as important for us that users
identify best practices adopted by
Michael Fichtner, and the country
and interested parties can put
individual distributors and recom-
managers Franck Penin, Christian
their trust in SCHWIND. Continuity,
mend them to others. Attending
Prinz, Alexander Schroeck and Anja
reliability, fairness and honesty
numerous national and internatio-
Segschneider, he is responsible for
are the guiding principles of how
nal ophthalmology congresses is
the world market. An additional four
we do business,” explained Rolf
also part of the department‘s remit
members of staff are also employed
Schwind.
area of responsibility.
in sales processing.
it
possible
Issue 2/2015
to
Page 11 of 12
“Great improvement in quality of life”
SCHWIND employee treated with TransPRK and SmartPulse
Nadine Dietrich, executive assistant
at SCHWIND, deals with the topic of
laser eye surgery every day. After
many years of wearing glasses and
contact lenses, the 36-year-old recently underwent laser treatment
with the SCHWIND AMARIS 1050RS
to correct her ametropia (-4.75 D in
the left eye and -5.00 D in the right
eye). The surgery was performed by
© Alexander Schroeck
Dr Diego de Ortueta, Head of the
Aurelios Eye Clinic in Recklinghausen, Germany. “For safety reasons,
a ‘no touch’ TransPRK was the only
procedure that was an option for
me, because the treatment does not
require a flap. In addition, I do sports
From left to right: Maria Widdermann, Dennis von Rüden, Nadine Dietrich and Dr Diego de
Ortueta, Aurelios Eye Clinic
regularly,” said Nadine Dietrich. The
next day, the epithelium had already
cut onions without crying any more.
availability of the new SmartPulse
healed over two thirds. After just
My husband will have to do that
technology also played a significant
three days, the foreign body sen-
from now on,” commented Nadine
role in her decision to undergo
sations had disappeared and she
Dietrich with a grin, before adding:
the surgery.
could see without any noticeable
“All in all, my new vision offers
limitations. After removal of the
me a much better quality of life. It’s
The treatment flew by for Nadine
bandage contact lens, visual acuity
a really amazing feeling to wake
Dietrich and was painless, from
on the fourth day was around 60
up every day and be able to see
insertion of the lid speculum to
percent. Six weeks after the treat-
clearly straight away. My eyes
the lasering itself. The laser beam
ment, her visual acuity was as good
aren’t dry and tired of an evening
felt like nothing more than a “gust
as it was with her glasses or con-
any more. I also don’t have to
of air” on her eye. The ablation –
tact lenses before the treatment.
plan for which activities I have to
including the epithelium – took just
take lenses, eyecare products or
38 seconds per eye. Directly after
Amazing feeling
glasses with me – whether it’s
the surgery, her visual acuity was
“The only disadvantage compared
for work, the family or sport. That
approximately 40 per cent. The
with contact lenses is that I can’t
saves me time and money!”
Imprint
SCHWIND eye-tech-solutions GmbH & Co. KG · Mainparkstrasse 6-10 · D-63801 Kleinostheim, Germany
fon: +49 (0) 60 27 – 5 08-0 · email: [email protected] · www.eye-tech-solutions.com
Page 12 of 12 Issue 2/2015