NEWSDEDICATED TO EXCELLENCE IN OPHTHALMOLOGY

26 Plaza Drive, Westmont, IL 60559 USAPhone: 630-986-8032 • Fax: 630-986-0065Customer Service: 1-800-628-2879www.asico.com • E-mail: info@asico.com

F A L L 2 0 1 2

Electronic Toric Marker: The World’s Only Interactive Toric Marker

How Small Can You Go? Micro Incision Capsulorrhexis Forceps

Electronic Toric Marker: The World’s Only Interactive Toric Marker

Can you see the dif ference?

180 degreesHorizontal

Perfect Horizontal & -3 degrees off

-3 degreesMisal ignment

. . . .The Electronic Tor ic Marker CAN!With patients paying a premium for Toric lenses, achieving the optimal outcome is critical. For every 1 degree that a Toric lens is misaligned, a lens looses 3% of its corrective effect. The electronic Toric marker is SENSITIVE TO 0.2° and uses the sense of sight and sound to confirm a perfect horizontal axis.

The result: The best possible Outcome for your patients. Read More on Page 2

Thin Kraff– Utrata AE-4503RH

2.2mm 1.8mm 1.6mm 0.6mm

AkahoshiAE-4344R

Akahoshi IIAE-4347

Ikeda 23GAE-4385S

DALK & DSEAK Innovations for a Safe and Efficent

Transplant

Prechoppers for Mechanical, Ultrachoppers, and Femto

Cataract techniques

Femtosecond Cataract Instruments for an easy

transition

The world widest selection of Toric Markers for all Toric

marking techniques

See page 6See page 3 See page 3 See page 4

Patent Pending

Fall2012 NL.indd 1 10/12/2012 1:34:52 PM

Electronic Toric Marker

Electronic Toric Marker: The World’s Only Interactive Toric Marker

Percentage loss of corrective effect due to misalignment of toric IOL

Studies have shown that on an average a Toric mark is off by about 5°. With every 1° of misalignment leading to a 3% loss of corrective effect, this would mean on average misalignment causes a 15% loss in corrective effect.

• Sensitivity can be adjusted to 5 levels, ranging from 0.2 to 1 degree

• Interactive sight and sound indicators ensures the proper axis, without

ever having to shift focus from the patient eye

• Easily removable for sterilization

• Marker and gauge

built into one, allowing

to make the axis marks

directly in one step

• 12.5mm outer diameter

• Markings at 0° and 180°

to act as Pre-operative

reference marks

As Seen in: Outpatient Surgery Magazine, CRST,

Eyeworld, Opthalmology Management, and Eurotimes.

46 CataraCt & refraCtive Surgery today july 2012

CataraCt and refraCtive Surgery innovative SurgiCal inStrumentS

I give my patients the option of having a toric IOL implanted during cataract surgery. As opposed to con-ventional IOLs, toric IOLs correct preexisting corneal astigmatism during cataract surgery. Achieving the best

result with a toric IOL requires properly marking the axis on which the toric IOL should be implanted, which can be determined with toric IOL web-based calculators. For every 1º that the axis is misaligned, a toric lens loses 3% of its corrective effect.1 I could not achieve an accurate marking with conventional toric IOL markers, because I was unable to confirm that I was holding the instrument perfectly horizontally. In addition, I found it difficult with bubble and pendulum markers to simultaneously focus on the marker and the patient’s eye. I therefore worked with ASICO LLC to design an electronic toric marker that uses my senses of sight and hearing to help me easily and accurately pinpoint the horizontal axis and stay focused on my patient.

SENSORY FEEDBACKThe marker, which is an electronic

leveling device, uses green, orange, and red light-emitting diode lights and a beeping sound to indicate the degree to which the marker is aligned on the horizontal axis (Figure). A red light and fast beep indicate that the marker is severely tilted, an orange light and slow beep mean that the marker is slightly tilted, and a green light with no beep signals that the marker is perfectly horizontal.

Two models are available. The first is a one-step axial marker that completes all of the markings in a single step. The surgeon simply turns the dial to the desired

eyetube.net

eyetube.net/?v=hefet

electronic leveling device for implantation of a toric iolThe senses of sight and hearing indicate where the surgeon should mark the horizontal axis.

BY TAKAYuKi AKAhOShi, MD

Figure. The electronic toric marker.

“i could not achieve an accurate marking with conventional toric

iol markers, because i was unable to confirm that i was holding the

instrument perfectly horizontally.”

eyetube.net

(Continued on page 48)

“I could not achieve an accurate marking with conventional toric IOL markers, because I was unable to confirm that I was holding the instrument perfectly horizontal. This toric marker uses Sight and Sound to confirm my horizontal axis.”

Takayuki Akahoshi, MDJAPAN

Nienke Visser, MDNETHERLANDS

AE-2930One Step

AE-2929Pre op

“The manual marking method yielded a mean alignment error of about 5°.”

“The ‘Electronic Toric Marker’ is one of Dr. Akahoshi’s best ideas. It has made marking the astigmatic axis so much easier and more acurate, giving the surgeon more confidence.”

ideal for all eyes, including those

with small orbits

• 5.0mm non marking optic zone for

maximum visbility

Electronic Device

Electronic Toric Markers in the NewsElectronic Toric Markers

2

Marcelo Frietas, MDBRAZIL

NEWSDEDICATED TO EXCELLENCE IN OPHTHALMOLOGY

26 Plaza Drive, Westmont, IL 60559 USAPhone: 630-986-8032 • Fax: 630-986-0065Customer Service: 1-800-628-2879www.asico.com • E-mail: info@asico.com

F A L L 2 0 1 2

Electronic Toric Marker: The World’s Only Interactive Toric Marker

Ikeda 23GAE-4385S

Percentage loss of corrective effect due to misalignment of Toric IOL

Degrees of misalignment1°0.2°

0%

5%

10%

15%

20%

25%

30%

35%

2° 3° 4° 5° 10°

Outpatient Surgery Magazine

Opthalmology Management

Eyeworld

EurotimesCataract & Refractive Surgery Today

Patent Pending

Fall2012 NL.indd 2 10/12/2012 1:35:32 PM

World of Prechopping

AE-2326: Slade Femtosecond Spatula• Designed with a flat tip• Used to open the main and side port

incisions made by the Femtosecond laser

AE-1033: Slade-Murdoch Speculum• Self locking speculum in which the blade conform to the curvature of the femtosecond laser

AE-2331: Lane Femtosecond Spatula• Specially designed double ended instrument for opening femtosecond created primary, secondary, and accurate incisions in cataract surgery.

A New Era In Cataract Surgery : Femtosecond Instrumentation

AE-2326

AE-4190: Akahoshi Combo II Prechopper• Can work within a 2.0mm incision without

stretching it. • Sharp edge initiates incision and rounded

blunt edge helps in safe division of nucleus at posterior capsule.

• Used for nuclei grades 1-2.

• Once the femto laser cracks the nucleus, this nucleus splitter features a completely blunt and polished tip to safely complete the separation while protecting the posterior capsule.

AE-4192, Akahoshi Universal II Prechopper• Works within a 2.0mm incision• Features a sharp tip and edge to prechop hard nuclei

grades 2 and 4 using the counter prechop technique, which is complemented by the Akahoshi ball sustainer (AE-2530)

AE-4190

AE-4295

AE-2553

“For Many Years, I experimented with other brands, until I adopted the ASICO Combo II Prechopper. It has something really unique, a sharp tip and blunt edge. It allows me to make the intial penetration with the sharp area, turn the prechopper to the blunt area, and complete the fracture with no fear.”

“This new femtosecond technology needs some new instrumentation. For opening the corneal wound, I use the slade spatula. It is really thin, but not sharp, so it is easy to enter the anterior chamber without extending the wound.”

“As the nucleus becomes harder, I recommend the use of a prechopper with better penetration such as the universal prechopper with the use of the supporting instrument for counter pressure.”

“The Ultrachopper is designed for division of hard nuclei grades 2.5 and up. These instruments complement the technique and allow a friendly and easy division of the nucleus.”

Wilson Takashi Hida, MDBRAZIL

Luis Escaf, MDCOLOMBIA

Eduardo Viteri, MDECUADOR

Zoltan Nagy, MDHungary

With multiple prechopping techniques now available on the market, including mechanical prechopping, femtosecond prechopping, and Ultrachopping, prechopping has become a widely accepted technique amongst

many surgeons. ASICO is pleased to offer prechopping designs for all prechopping techniques.

Mechanical Prechoppers for Soft and Hard Nuclei

Ultrachopper®

Femto Prechopping

AE-4192

Escaf Prechopper

Ultrachopper® is a registered trademark of Alcon Laboratories

AE-2551

AE-2552

Akahoshi Universal Nucleus Splitter AE-4289

AE-2331

3

AE-2331

AE-1033

AE-2530

AE-2331

Fall2012 NL.indd 3 10/12/2012 1:36:19 PM

Toric for All Techniques

AE-1594N, Graether Degree GaugeAE-2798N, Graether Half Circle Axis Marker

• Four extensions on Graether Toric Gauge can be inked and used to make 0, 90,180 and 270 degree reference marks

• Marking points on the Graether Toric Marker are 6.0mm apart to serve as an ideal ccc guide.

AE-2799T, Neuhann One Step Toric Marker

• 12.5mm Outer Diameter Suitable for all eyes, including small orbits

• 5.0mm non marking optic zone for visibility of cornea

• Bubble level sensitive to 0.5° to ensure correct horizontal axis

AE-2791TBL, Nuijts-Lane Pre-op Toric Reference Marker

• Marking points at 0, 90, and 180 degrees for pre op reference marking.

• Bubble level sensitive to 0.5 degrees confirms horizontal axis

• Marking points on both sides allow marker to be used temporally on either eye.

AE-1594N

AE-2798N

“We developed the air bubble technique to allow for fast, reliable, and accurate Toric marking. I now have very nice and precise results, and am within an accuracy of five de-grees”

“I find this marker superior because there is maximal visibility of the limbus.”

Tobias Neuhann, MDGERMANY

Rudy Nuijts, MDNETHERLANDS

Graether all in One Toric and Capsulorrhexis Marking System

Essential Technology Toric System

Intra Op Marking for One and Two Hand Techniques

Advanced Technology Toric System

Two Hand Techniques One Hand TechniquesAE-2740N, Nuijts-Solomon Toric Axis Marker• 5.0mm non marking optic zone allow maximum visibility of the cornea.

AE-1595, Ron Yeoh Gauge• 12.0mm OD and 14.0mm ID make this gauge the thinnest on the market, and provides maxi-mum visibility.

AE-2794N, Intra-Op Toric Axis Marker II • Cutouts at 0 and 180 degrees allow for easy placement of the marker in relation to the preoperative marks.

AE-2848N, Modi Low Profile Intra-Op Toric Axis Marker• 12.5mm outer diameter compatible for all eyes, and is ideal for patients with small orbits

AE-2740NAE-2848NAE-2794N

AE-1595

John Graether, MDUSA

4

0 5 10 15 20 25 30 35 40 45 50

Intra Op Corneal Marks are POORLY visible

Intra Op Corneal Marks are WELL visible

Total Count of Cases

Clinical Performance of AE-2799T - Neuhann Toric Marker

Study is courtesy of Dr. Tobias Neuhann, MD, Munich, Germany

Fall2012 NL.indd 4 10/12/2012 1:36:33 PM

Complications Management

Cortex Management I/A

AE-4907, Chee Subluxated IOL Grasping Forceps 21G

• Specially designed atraumatic forceps have sandblasted gripping surfaces to allow the surgeon to reach and grip and hold the IOL optic or haptic as needed.

AE-2210, Chee Suture Retrieving Hook

• Designed for simpler, safer suture retrieval of 9 or 10/0 prolene suture from the anterior chamber before externalizing and tying the knot.

AE-5437, Shimowake Nucleus/ IOL Scissor, Serrated

• Tips are specially designed to cut an acrylic/ silicone lens and nucleus. These tips are serrated for better grip. Tips also feature a rounded ball for added safety, designed to prevent any potential tears on the capsule or iris.

AE7-0029, ASICO Cleaning I/A Handle

• The World’s First I/A Handpiece to completely disassemble for a thorough cleaning. • Compatable with all popular phaco consules and phaco sleeves.

“Retrieving subluxated implant from the vitreous cavity can be difficult. Current micrograsper forceps are not ideal for gripping the optic or haptic. This specially designed atrau-matic forceps has gently sand-blasted gripping surfaces that allow the surgeon to reach and hold on to the IOL haptic as needed.”

“One of the issues when you’re looking at TASS is a way to clean out the instruments adequately, so it’s im-perative to come up with a way to adequately clean those. And one of the ways you can do that is to try to make a handpiece that will come apart so it’ll allow adequate cleaning of the components to be done.”

Soon Phaik Chee, MD Associate ProfessorSINGAPORE

Nick Mamalis, MDUSA

AE-4907

AE-2210

AE-5437

• 0.3 X 0.2mm oval port allow for twice the aspiration compared to convention I/A tips

• 0.7mm diameter allow for maximum irrigation compared to conventional 1mm I/A tips

Skinny I/A Tips

AE7-3050 AE7-3051 AE7-3052

• The only I/A t ips on the market that can perform a complete cortical cleaning using only rotation of the tip. The result, less incision stretching!

• 1.1mm ball shaped tip with port at 45 degree angle also allows to approach the cortex directly at 90°

Ball I/A Tips

AE7-3060 AE7-3061 AE7-3062

5

Fall2012 NL.indd 5 10/12/2012 1:36:43 PM

BR518-12

26 Plaza DriveWestmont, Illinois 60559

U.S.A

First ClassUS Postage

PA I DDowners Grove, IL

Permit # 163

Corneal

26 Plaza DriveWestmont, Illinois 60559

U.S.A

FIRST-CLASS MAILUS Postage

PA I DDowners Grove, IL

Permit # 163

Tired of waiting? Pre-order today and avoid long linesCall 1-630-986-8032 or Email info@asico.com for more

MICRO COAXIAL CATARACT

FEMTOSECOND CATARACT

CORNEAL PROCEDURE

ULTRACHOPPER

TASS MANAGEMENT

COMPLICATIONS MANAGEMENTNew: ASICO Educational Video Series

Visit ASICO atBooth #3300/3205

youtube.com/ASICOLLCAvailable on...

Scan to Watch

6

AE-5666Tan DALK Scissors Left

Safty PlantformSafty PlantformAE5667

Tan DALK Scissors Right

AE-7803, Tan DALK Cannula 27g

AE-2549, Tan Marginal Dissector

AE-2335, Kobayashi-Busin DSAEK Glide

• Protects the endolthelium when it is held inside the wound and also when inserting the donor into the 5.0mm wound, because the tissue is not compressed as it passes

Featuring: Dr. Takayuki Akahoshi, Dr. Celso Takashi Nakano, Dr. Wilson Takashi Hida and Dr. Eduardo Viteri

Featuring: Dr. Soon Phaik Chee and Dr. Alan Crandall

Featuring: Dr. Zoltan Nagy and Dr. Stephen Slade

Featuring: Dr. Nick Mamalis

Featuring: Dr. Luis Escaf

Featuring: Dr. Donald Tan

AE-4226, Tan DSAEK Forceps

• Jaws are specially designed so that only the tips meet, minimizing contact with the stroma, and eliminating contact with the epithelium.

“The most important thing in DALK is to get the big bubble. The concept should be to get your needle as close to the Descemects as possible without perforating. This will allow a big bubble formation almost every time.”“My Blunt Cannula (AE-7803) allows me to tunnel just beneath the stroma, and get within about 150 microns with minimal risk of perforating the Descemets.”“The DALK Scissors (AE-5666/5667) are quite unique. The inferior blade now has a blunt, horizontal (safety) platform, so that you can put the scissor on the Descemet’s, to hold it down as you cut the stroma above. This means it is now a lot safer to cut the stroma without perforating.”“We use the marginal dissector (AE-2549), which is blunt tipped, to free away any remaining remnant stromal fibers so that you can cut the disuse with the scissors.”

Donald Tan, MDProfessorSINGAPORE

ALC

ON

Fall2012 NL.indd 6 10/12/2012 1:37:39 PM