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Learn · Connect · Succeed

JCAHPO Regional Meetings

2017

1

Swept Source Biometry

Robert Emerson, COA

ASCRS May 8, 2017

Agenda

1

2

3

4

5

6

Product Details and Workflow

IOL Calculation and Formulas

Adding Surgeons and Importing Lens Constants

Troubleshooting

Callisto

Product Overview and Basic Technology

Agenda

1

2

3

4

5




Operational Troubleshooting


6 Callisto ZEISS IOLMaster® 500

• Partial Coherence Interferometry

• A-Scan Biometry

• A wealth of clinical experience

ZEISS IOLMaster® 700

• Swept Source OCT

• B-Scan Biometry

• Unsurpassed analytical potential

IOLMaster Product Line

ZEISS IOLMaster 700

SWEPT Source BiometryTM

Technology Differences Between IOLMaster 500 and the IOLMaster 700

ZEISS IOLMaster 500

Partial Coherence Interferometry

Moving

Mirror

LASER Beam

Infrared , 780 nm

Detector

2000 scans per second

Scans in 0°, 30°, 60°, 90°, 120°, 150°

Picture source: Carl Zeiss Meditec Media Database

Key Innovations

6


2

The ZEISS IOLMaster 700

Axial Length

Anterior Chamber Depth

Lens Thickness

Central Corneal Thickness

White-to-white

Keratometry

Reference Image for ZEISS Cataract Suite markerless

B-Scan Star pattern


SWEPT Source BiometryTM

Scan depth: 44 mm

Scan width: 6 mm

Fixation Check width: ~1 mm (on Retina)

Resolution in tissue: 22 µm

Speed: 2,000 scans/sec

Laser wavelength: 1050 nm

Standard Deviation of Repeatability

Central Cornel Thickness ±2 µm

Anterior Chamber depth ±11 µm

Lens Thickness ±12 µm

Axial Length Measurement ±8 µm

Keratometry (SE) ±0,09 dpt

ZEISS IOLMaster 700 – Key Specifications

See what you measure!!!

Product TechnologySwept Source Biometry


Agenda

1

2

3

4

5




Troubleshooting


6 Callisto

External Features and Power On

20.04.2017 11


Log on Screen

Administrator and Operator Password: 0000

4/20/2017 12

3

Has to be performed every

day

Chinrest automatically

opens and test eye pops

out after pressing Start

Operator captures

measurement values as

normal

Calibration check verifies:• Keratometry• OCT axial length

• White-to-White

• Optical axis

Calibration Check


20.04.2017 14

Calibration Check

20.04.2017 15

Entering New Patient

20.04.2017 16

Taking a Measurement

20.04.2017 17

Taking a Measurement


20.04.2017 18

Reviewing the Measurements


4

Successful MeasurementBorderline MeasurementMeasurement Failed

Product Details and WorkflowQuality Check & Plausibility Check

Measurement result can be accepted

Check green borders on OCT scan

Check spots of

keratometry (deformation)

Check patient’s fixation

Measurement data could be captured, calculated

result can deviate

compared to

Measure again and try to

get

If could not be

achieved you can

proceed

Check results (plausibility)

Check green borders on

OCT scan

Check spots of keratometry (deformation)

Check patient’s fixation

No measurement possible

Check error message

Repeat measurement

Check if eye is opened,

tear film was insufficient, patient was not fixating

Measurement 1

Measurement 2

20

Analyze- Quality CheckFixation Check – Foveal Pit

Measurement 1

Measurement 2

21

AnalyzeFixation Check – No Foveal Pit Visible

Measurement 1

Measurement 2

22

AnalyzeStandard Deviation Between Measurements

18 Point Telecentric

Keratometry (based on former

6 point model)

3 keratometry zones :• 2.5mm (IOLMaster 500),

• 1.5 & 3.5 for future

applications

Product Details and WorkflowKeratometry Measurement

20.04.2017 24

Product Details and WorkflowTelecentric Keratometry


5

Check if borders are set

correctly

3 consistent readings

needed if customer

exporting to Callisto

Eye/Cataract Suite

Product Details and WorkflowWhite to White Measurement


Used for markerless toric

IOL implants

Detected from limbal

blood vessels

Blood vessel registration

for ZEISS Cataract Suite

markerless

Product Details and WorkflowReference Image (Optional License)


Agenda

1

2

3

4

5




Troubleshooting


6 Callisto

Haigis Suite

Holladay 2

SRK/T

HofferQ

Multiformula

FormulasWhat Formulas come with the 700?

20.04.2017 29

IOL Calculation

Exclusively integrated on

the IOLMaster 700

Haigis Suite Haigis Formula for standard

IOL

Haigis L for IOL calculation

after LVC

Haigis T for Toric IOL calculation

FormulasHaigis Suite

6

FormulasHaigis Suite

20.04.2017 32

Multiformula

Agenda

1

2

3

4

5




Troubleshooting


6 Callisto

Adding a Surgeon

Adding a Surgeon

ULIB import is possible

100% backwards

compatible to IOLMaster

500

Lens ConstantsULIB Lens Constants

7

ULIB table can be

imported from USB-Stick System Settings

Advanced settings

Lens manager

Start ULIB import

Lens ConstantsULIB Lens Constants

20.04.2017 38

ULIB Download

Direct manual input of lens

with A-constant of

manufacturer possible

Toric lens input is also

possible

Lens ConstantsLens Manager and Lens Import

Agenda

1

2

3

4

5




Troubleshooting


6 Callisto

Troubleshooting – Centered Fixation Troubleshooting – Decentered Fixation

8

Troubleshooting

Ghosting happens if patientwas moving during scanning

Solution: Turn off EnhancedScan Display in the Advanced

Settings


Agenda

1

2

3

4

5




Troubleshooting


6 Callisto

Callisto

Page

45

Innovative system that utilizes biometry data from the clinic to improve

clinical workflow efficiency and surgical precision in the OR.


CALLISTO® eye matches the reference imagefor alignment to the patient’s eye and tracks the image

in real time. The target axis is displayed as an

overlay on the live image for markerless and precise1

toric IOL alignment. No intra-operative marking

of the cornea is necessary. Just skip it.

Imports patient data from FORUM

at the touch of a button

Assistance Functions for surgery

Provides full HD display and fully flexibleHD recording, including overlays

46

Callisto

Page 47

Notice the vessels surrounding the

cornea? Callisto maps these vessels

to lock on prior to procedure. Callisto

then knows where 0-180 is for the

assistance of toric placement.

Callisto


4/20/2017 48

Callisto


9

Summary of Benefits

Axial Length

Anterior Chamber Depth

Lens Thickness

Central Corneal Thickness

White-to-white

Keratometry

Reference Image for ZEISS Cataract Suite markerless

B-Scan Star pattern


Additional Resources

• Technical Support and Customer Service

– ZEISS Customer Care 1-800-341-6968

• Clinical Support

– Wolfgang Haigis PhD – University of Wuerzburg, Germany

• Websites

– www.elearning.zeiss.com

• IOLMaster Advanced Technology, version 5 training

– http:// cataract-community.zeiss.com • Papers, Articles, Support

– http://www.augenklinik.uni-wuerzburg.de/eulib/

• IOLMaster optimized lens constants for import to IOLMaster

• White Papers/Articles on IOLMaster Axial Length and Keratometry

– www.ascrs.org

• Prior refractive surgery calculator

IOLMaster 700 – Quick Guide

Please note: This document is a preliminary version and does not replace the user manual which is delivered together with the device. Final version is to be released soon.

WARNING - GENERAL HAZARDS

These quick instructions are intended as an overview. Instructions for the safe operation of the instrument are to be found in the user manual and online help.

Always perform measurements in the correct sequence! All device measurements must be performed before undertaking any measurements involving direct contact with the eye.

Calibration test

• Always check the calibration daily before carrying out measurements on patients!

• Tap the Start button to start the first of three calibration test steps. The test eye in the chin rest compartment will rise up automatically.

• Now carry out the measurements on the test eye. Follow the instructions on the screen. The overview shows the individual steps of the calibration test and their status

• If the Calibration test was passed, press the button ”next” and the application will be started.

• If the Calibration test was failed, repeat the calibration test by pressing the button “repeat”.

New Patient

• New patient data can be entered by tapping the Add button. The following information is required: Last name, first name, Gender (Gender drop-down box), Date of birth (Open the Date selection box and select the patient's day, month and year of birth. Confirm with OK.), and Refractive Surgery.

• It is important that the correct lens state and vitreous body state are selected as this cannot be changed after the measurement has been done. If changes are necessary, the measurement needs to be repeated.

• An existing patient dataset from the patient list on the left side of the screen can also be selected.

• Input field for entering a search string Parts of the patient name, ID or date of birth may be entered for the search.

• With the buttons “Analysis”, “IOL Calculation” and “Measurement” the according dialogs screens are opened.

Measurement Coarse alignment

Fine alignment

Fixation

• Coarse alignment: The measuring head is coarsely adjusted on the pupil center. Usually the measurement head is moved towards the eye from a position further away of the eye. The reflective pattern of the six LED test marks must be in the center of the cross hair and focused. A WTW image is captured here to detect the iris edge. Instruct the patient to look steadily at the fixation point in the center and ensure that the device head is aligned as accurately as possible.

• Fine Alignment : For fine adjustment, the reflective pattern from 18 LED test marks is focused by moving the measurement head closer to the eye. In addition to the live image, the vertical (right of the central live image) and horizontal (on the bottom of the central live image) OCT scan is represented. In each image, an adjustment area is proposed (shown in green). If the alignment is correct, a yellow dot is displayed within the green rectangle of the adjustment area in the horizontal and vertical OCT scan image. Measurement is triggered automatically or manually depending on the selection made earlier. In this measurement step also the reference image or sclera-image is captured. To capture a good sclera image, it is important that the patient opens his/her eyes wide, the lighting in the room is not too bright and the vessels in the patient's eye can be recognized (no sclera image is captured if vessels cannot be recognized). In the Measurement dialog area of Advanced settings you can enter the value of corneal astigmatism which determines a clinical indication. If this value is reached, a sclera image is automatically triggered.

• Fixation: The Fixation follows the same principle as the fine alignment. The difference is that only 6 LED test marks need to be focused.

• Measure other eye / repeat Measurement: You can repeat the current measurement (button “repeat measurement”) or measure the other eye after moving the measuring head to the other eye using the joystick. After finishing the measurement the Quality-Check is complete.

IOLMaster 700 – Quick Guide

Carl Zeiss Meditec

IOL.7405

IOLMaster 700 © Carl Zeiss Meditec AG, Jena

Änderungen vorbehalten

Quality-Check

Successful measurement: A green quality indicator shows a technically perfect measurement

Warning for uncertain measurement: A yellow quality indicator will signal to the user that he/she should verify the corresponding measurement marks thoroughly

Measurement failed: A red quality indicator means that no measurement results could be detected

The quality check helps to evaluate the quality of the measurement. From the application point of view, the user should check whether the measured values are correct and plausible. This can be done by using the analysis window. In addition the Fixation of the patient should be checked. Good fixation is shown by a depression in the center (right picture), the so-called foveal pit. If the foveal pit can be easily recognized, the patient fixated well during measurement. If it cannot be recognized (left picture), the patient has not correctly fixated. In this case, measurement should be repeated and the patient be instructed to fixate on the fixation light in the device. If the patient cannot fixate during several measurements the user should verify if there may be another problem with the patient which requires special examination.

Analysis

The following images are displayed in the analysis dialog separately for the right and left eye: - Biometry-Scan - Keratometry-Scan - WTW-Image - Sclera- Image - Fixation Check. They should be checked for artifacts in B-Scans, WTW and sclera images which are out of focus or deformed or missing spots in keratometry. The measurement values for the right eye are shown on the left side (OD) and the measurement values for the left eye on the right side (OS) of the screen. Measurement values should be checked thoroughly for plausibility. Warning messages should be read with caution.

IOL Calculation

• For each eye, the IOL calculation is done separately. For better orientation, the measurement data of the selected eye are displayed on a white background, the data of the other eye are greyed out. Additionally, the selected eye is shown in bold and green letters in the upper right corner of the display.

• Tap the measurement data area on the right or left side of the screen to alternate between the eye or use the

button . Beneath the measurement data, the lens state and refractive surgery history is shown for each eye.

• Tapping and select the calculation formulae to be applied.

• IOL calculation is started by tapping . To be able to print or export to FORUM, always an IOL calculation has to be done.

• By tapping Finish/ Print / Export (view can vary according to individual setting), reports will be printed / exported and the application will jump to the Patient Manager where other patients can be opened and / or additional measurements can be done.

• The measurement values can be edited by tapping the appropriate field. Edited values are marked with an *. If the IOL calculation window is closed, the entries will be canceled. When re-starting the IOL calculation, the measured values are displayed in these fields.

Shutdown

Tap the X (Close) button to open a menu with options for logging out the current user or switching the device off after finishing all measurements.

Please share your experience with the IOLMaster 700 with us!

• www.zeiss.com/cataract-community

• www.ocusoft.de/ulib/

http://www.zeiss.com/cataract-community

http://www.ocusoft.de/ulib/

200

mm

How to read printouts IOLMaster 700

Index

General Information......................IOL Power Calculation

a. Haigis Suite............................b. Multiformula.........................

Analysis Report..............................Biometry Data................................Reference Image............................

2

34567

Patient

Date of birth GenderPatient ID

Smith Carol1/20/1955 Female151769901

Doctor OperatorJohn Doe John Doe

IOLMaster 700 Version 1.14 Report dated 1/21/2015 5:08 PM created by Doe, John was printed. Page 1 of 7

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Date of calibration test: 1/19/2015 by: Surgeon Result: OKDate of measurement: 1/21/2015 n: 1.3375 CVD: 12.00 mmTarget refraction: plano Formula:

right leftAL: 22.30 mm (SD = 4 µm)

ACD: 2.99 mm (SD = 5 µm)LT: 3.96 mm (SD = 23 µm)

R: 7.76 mmR1: 7.83 mm @ 156ºR2: 7.69 mm @ 66º WTW: 11.9 mm

Δ D: -0.75 dpt @ 156º Visual acuity: ---SIA: +0.00 dpt @ 0º LVC: -Ref: ---LS: Phakic; VS: Vitreous body

AL: 22.19 mm (SD = 6 µm)ACD: 2.98 mm (SD = 7 µm)

LT: 3.94 mm (SD = 11 µm)R: 7.72 mm

R1: 7.81 mm @ 40ºR2: 7.63 mm @ 130º WTW: 11.9 mm


Comment

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.56-0.20

+0.52+0.87

A0: A1: A2:+0.978 +0.400 +0.100

IOL (D) Ref (D)+26.00+25.50

+24.50+24.00

-0.79-0.42

+0.32+0.69

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.47

+0.25+0.61

A0: A1: A2:+0.978 +0.400 +0.100

IOL (D) Ref (D)+26.00+25.50

+24.50+24.00

-0.70-0.33

+0.41+0.77

A0: A1: A2:+0.647 +0.400 +0.100

IOL IOL IOL Ref Ref Ref RefSE Cyl Axis SE Sph Cyl Axis

+25.00+24.50

+23.50+23.00

+0.75+0.75

+0.75+0.75

66º66º

66º66º

-0.62-0.24

+0.51+0.88

-0.54-0.16

+0.60+0.97

-0.17-0.17

-0.17-0.17

156º156º

156º156º

A0: A1: A2:+0.647 +0.400 +0.100


+25.50+25.00

+24.00+23.50

+1.50+1.50

+1.50+1.50

130º130º

130º130º

-0.93-0.54

+0.22+0.59

-0.86-0.48

+0.28+0.65

-0.13-0.13

-0.12-0.12

130º130º

130º130º

Space for Clinic Details

2How to read printoutsIOLMaster 700

General Information

Patient data

User data

Warning Messages of internal plausibility

checks

Comment entered by user in IOL Calculation Screen

Software Version

Calibration Check data

Measurement date

Patient





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LT: 3.94 mm (SD = 11 µm)R: 7.72 mm

R1: 7.81 mm @ 40ºR2: 7.63 mm @ 130º WTW: 11.9 mm


Comment

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.56-0.20

+0.52+0.87

A0: A1: A2:+0.978 +0.400 +0.100

IOL (D) Ref (D)+26.00+25.50

+24.50+24.00

-0.79-0.42

+0.32+0.69

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.47

+0.25+0.61

A0: A1: A2:+0.978 +0.400 +0.100

IOL (D) Ref (D)+26.00+25.50

+24.50+24.00

-0.70-0.33

+0.41+0.77

A0: A1: A2:+0.647 +0.400 +0.100


+25.00+24.50

+23.50+23.00

+0.75+0.75

+0.75+0.75

66º66º

66º66º

-0.62-0.24

+0.51+0.88

-0.54-0.16

+0.60+0.97

-0.17-0.17

-0.17-0.17

156º156º

156º156º

A0: A1: A2:+0.647 +0.400 +0.100


+25.50+25.00

+24.00+23.50

+1.50+1.50

+1.50+1.50

130º130º

130º130º

-0.93-0.54

+0.22+0.59

-0.86-0.48

+0.28+0.65

-0.13-0.13

-0.12-0.12

130º130º

130º130º

Patient





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LT: 3.94 mm (SD = 11 µm)R: 7.72 mm

R1: 7.81 mm @ 40ºR2: 7.63 mm @ 130º WTW: 11.9 mm


Comment

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.56-0.20

+0.52+0.87

A0: A1: A2:+0.978 +0.400 +0.100

IOL (D) Ref (D)+26.00+25.50

+24.50+24.00

-0.79-0.42

+0.32+0.69

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.47

+0.25+0.61

A0: A1: A2:+0.978 +0.400 +0.100

IOL (D) Ref (D)+26.00+25.50

+24.50+24.00

-0.70-0.33

+0.41+0.77

A0: A1: A2:+0.647 +0.400 +0.100


+25.00+24.50

+23.50+23.00

+0.75+0.75

+0.75+0.75

66º66º

66º66º

-0.62-0.24

+0.51+0.88

-0.54-0.16

+0.60+0.97

-0.17-0.17

-0.17-0.17

156º156º

156º156º

A0: A1: A2:+0.647 +0.400 +0.100


+25.50+25.00

+24.00+23.50

+1.50+1.50

+1.50+1.50

130º130º

130º130º

-0.93-0.54

+0.22+0.59

-0.86-0.48

+0.28+0.65

-0.13-0.13

-0.12-0.12

130º130º

130º130º

Patient


validierung christian6/4/1955 Female1513338687

Doctor OperatorDoctor Doctor Goeschwitzer Strasse 51-52

www.meditec.zeiss.de

IOLMaster 700 Version 1.50 Report dated 6/4/2015 09:42 created by Smith, John was printed. Page 1 of 4

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Date of calibration test: 6/3/2015 by: Doctor Result: OKDate of measurement: 6/4/2015 n: 1.3375 CVD: 12.00 mmFormula:

This IOL calculation contains values that were edited manually.

right left(!) Indicates an uncertain measurement value.(*) Indicates that this value has been edited manually.--- Indicates a measurement failure.


LT: 3.94 mm (SD = 14 µm)R: 7.80 mm (*)

R1: 7.91 mm @ 141ºR2: 7.70 mm @ 51º

Δ D: -1.19 D @ 141º WTW: 11.7 mm (!)Ref: --- VA: ---Target ref.: -0.50 D SIA: +0.00 D @ 0º

LS: Phakic; VS: Vitreous body;Ref. surgery: Untreated; LVC mode: -

AL: 21.21 mm (*)ACD: 3.01 mm (SD = 6 µm)

LT: 3.92 mm (SD = 12 µm)R: 7.75 mm

R1: 7.82 mm @ 38ºR2: 7.67 mm @ 128º

Δ D: -0.87 D @ 38º WTW: 11.8 mmRef: --- VA: ---Target ref.: -0.50 D SIA: +0.00 D @ 0º

LS: Phakic; VS: Vitreous body;Ref. surgery: Untreated; LVC mode: -

Comment

A0: A1: A2:+1.170 +0.400 +0.100

IOL (D) Ref (D)+27.50+27.00

+26.00+25.50

-1.36-0.98

-0.24+0.13

A0: A1: A2:+1.170 +0.400 +0.100

IOL (D) Ref (D)+31.50+31.00

+30.00+29.50

-1.17-0.79

-0.05+0.31

A0: A1: A2:+1.040 +0.400 +0.100


+27.25+26.75

+25.75+25.25

+1.50+1.50

+1.50+1.50

51º51º

51º51º

-1.43-1.04

-0.29+0.08

-1.40-1.01

-0.26+0.11

-0.06-0.06

-0.07-0.07

141º141º

141º141º

A0: A1: A2:+1.040 +0.400 +0.100

IOL IOL IOL Ref Ref Ref RefSE Cyl Axis SE Sph Cyl Axis--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---

--- ---


IOL Power Calculation – Haigis Suite

Target refraction

IOL power calculation formula

Refractive index

The Haigis Suite is a combination of four formulas: Haigis, Haigis-L for post LASIK cases, Haigis-T for toric IOL calculation, Haigis-TL for toric IOL calculation for post LASIK cases. Depending on the lenses selected (i.e. toric and or non-toric IOLS) Haigs and Haigis-T are applied. For toric IOLs, Haigis-T will be applied and for spheric IOLs Haigis will be used. Both toric and non-toric IOLs can be calculated at any time and simultaneously.

Composite Values: AL, ACD, LT with Standard Deviation (SD)

Spheric IOL

IOL constant(s) of relevant formula

Composite Value: K Flat, K Steep, Cylinder

IOL power caclulation results with recommendation

highlighted

IOL power caclulation results including add. values:

Spherical Equivalent (SE), Cylinder (Cyl), Axis, refraction

information for SE, Sphere (Sph), Cylinder and Axis with recommendation highlighted

Toric IOL

Manifest refraction

Eye status: Lens state (LS), Vitreous state (VS)

Corneal Vertex Distance in mm (CVD)

White-to-white measurement

Edited value, marked with an asterix

Surgically induced astigmatism

Corneal status: Laser Vision Correction (LVC)

Patient





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Date of calibration test: 1/19/2015 by: Surgeon Result: OKDate of measurement: 1/21/2015 n: 1.3375 CVD: 12.00 mmTarget refraction: plano IOL:




Δ D: -0.75 dpt @ 156º Visual acuity: ---SIA: --- LVC: ---Ref: ---LS: Phakic; VS: Vitreous body


LT: 3.94 mm (SD = 11 µm)R: 7.72 mm

R1: 7.81 mm @ 40ºR2: 7.63 mm @ 130º WTW: 11.9 mm


Comment

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.56-0.20

+0.52+0.87

pACD: +5.52

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.63-0.28

+0.41+0.75

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.47

+0.25+0.61

pACD: +5.52

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.55-0.20

+0.49+0.83

ACD: +5.549

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.59-0.24

+0.45+0.79

A-Const: 119.00

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.89-0.53

+0.18+0.52

ACD: +5.549

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.49

+0.21+0.55

A-Const: 119.00

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.79-0.43

+0.27+0.62

Patient





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LT: 3.94 mm (SD = 11 µm)R: 7.72 mm

R1: 7.81 mm @ 40ºR2: 7.63 mm @ 130º WTW: 11.9 mm


Comment

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.56-0.20

+0.52+0.87

pACD: +5.52

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.63-0.28

+0.41+0.75

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.47

+0.25+0.61

pACD: +5.52

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.55-0.20

+0.49+0.83

ACD: +5.549

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.59-0.24

+0.45+0.79

A-Const: 119.00

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.89-0.53

+0.18+0.52

ACD: +5.549

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.49

+0.21+0.55

A-Const: 119.00

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.79-0.43

+0.27+0.62

Patient





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LT: 3.94 mm (SD = 11 µm)R: 7.72 mm

R1: 7.81 mm @ 40ºR2: 7.63 mm @ 130º WTW: 11.9 mm


Comment

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.56-0.20

+0.52+0.87

pACD: +5.52

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.63-0.28

+0.41+0.75

A0: A1: A2:+1.309 +0.400 +0.100

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.47

+0.25+0.61

pACD: +5.52

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.55-0.20

+0.49+0.83

ACD: +5.549

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.59-0.24

+0.45+0.79

A-Const: 119.00

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.89-0.53

+0.18+0.52

ACD: +5.549

IOL (D) Ref (D)+27.00+26.50

+25.50+25.00

-0.84-0.49

+0.21+0.55

A-Const: 119.00

IOL (D) Ref (D)+26.50+26.00

+25.00+24.50

-0.79-0.43

+0.27+0.62


IOL Power Calculation – Multiformula

Name of the IOL power calculation formula

IOL constant(s) of relevant formula respectively

Selected IOL

IOL power calculation formula

White-to-white measurement

Corneal status: Laser Vision Correction (LVC)

Surgically induced astigmatism

Manifest refraction


Target refraction

Refractive index

Composite Value: K Flat, K Steep, Cylinder

Composite Values: AL, ACD, LT with Standard Deviation

(SD)


IOL power caclulation results with recommendation

highlighted

Comparing up to four different IOL power calculation formulae for one IOL Model.

Patient





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Date of calibration test: 1/19/2015 by: Surgeon Result: OKDate of measurement: 1/21/2015

right

(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)

(SD = 3 µm) WTW: 11.9 mm Ix: +0.4 mm Iy: +0.2 mmP: 4.7 mm Px: +0.4 mm Py: +0.2 mm

Comment

Patient





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right

(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)


Comment

Patient





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right

(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)


Comment


Analysis Report

Enhanced or single B-Scan image in 0° (birds view of

horizontal scan)


(SD)

Composite value: Central Corneal Thickness with

Standard Deviation

First of 15 keratometry raw images

White-to-white image Enhanced or single fixation check image ~ 1mm horizontal retina scan

White-to-white & pupil diameter

Offsets corneal vertex to Iris center (lx, ly) and pupil center (Px, Py) in X and Y

direction

Composite K, Flat Meridian, Steep Meridian, Cylinder

Patient





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right

(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)


Comment

Patient





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right left

LS: Phakic; VS: Vitreous body LS: Phakic; VS: Vitreous body

(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

(SD = 6 µm)(SD = 7 µm)(SD = 11 µm)

AL ACD LT22.30 mm22.30 mm22.30 mm22.29 mm22.30 mm22.30 mm

2.99 mm2.99 mm2.99 mm2.99 mm2.98 mm2.99 mm

3.97 mm4.00 mm3.95 mm3.96 mm3.96 mm3.96 mm


2.98 mm2.99 mm2.99 mm2.98 mm2.99 mm2.98 mm

3.95 mm3.94 mm3.93 mm3.94 mm3.93 mm3.95 mm

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)

R: 7.75 mm SE: 43.52 dptΔ D: -0.67 dpt @ 155ºR: 7.76 mm SE: 43.50 dptΔ D: -0.75 dpt @ 155ºR: 7.77 mm SE: 43.46 dptΔ D: -0.82 dpt @ 158º

(SD = 3 µm)(SD = 5 µm)(SD = 5 µm)


(SD = 3 µm)542 µm 543 µm 542 µm540 µm 542 µm 543 µm


WTW: 11.9 mm Ix: +0.4 mm Iy: +0.2 mmP: 4.7 mm Px: +0.4 mm Py: +0.2 mm

WTW: 11.9 mm Ix: -0.5 mm Iy: +0.2 mmP: 4.8 mm Px: -0.5 mm Py: +0.1 mm

Comment

Patient





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right left


(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

(SD = 6 µm)(SD = 7 µm)(SD = 11 µm)


2.99 mm2.99 mm2.99 mm2.99 mm2.98 mm2.99 mm

3.97 mm4.00 mm3.95 mm3.96 mm3.96 mm3.96 mm


2.98 mm2.99 mm2.99 mm2.98 mm2.99 mm2.98 mm

3.95 mm3.94 mm3.93 mm3.94 mm3.93 mm3.95 mm

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)


(SD = 3 µm)(SD = 5 µm)(SD = 5 µm)






Comment

Patient





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right left


(SD = 4 µm)(SD = 5 µm)(SD = 23 µm)

(SD = 6 µm)(SD = 7 µm)(SD = 11 µm)


2.99 mm2.99 mm2.99 mm2.99 mm2.98 mm2.99 mm

3.97 mm4.00 mm3.95 mm3.96 mm3.96 mm3.96 mm


2.98 mm2.99 mm2.99 mm2.98 mm2.99 mm2.98 mm

3.95 mm3.94 mm3.93 mm3.94 mm3.93 mm3.95 mm

n: 1.3375(SD = 6 µm)(SD = 13 µm)(SD = 3 µm)


(SD = 3 µm)(SD = 5 µm)(SD = 5 µm)






Comment


Biometry Data

Eye status

Refractive Index

Composite valueCentral Corneal Thickness

with Standard Deviation


(SD)

Average Values: AL, ACD, LT of 3 scans each in 6

meridians

Composite K, Flat Meridian,Steep Meridian, Cylinder

Single value

White-to-white diameter (WTW), Pupil diameter (P)

3 Average Ks of 5 single measurements each

Status Reference Image:“Image Stored” or “No image”

Offsets corneal vertex to Iris center (lx, ly) and pupil center (Px, Py) in X and Y

direction

Patient





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Date of calibration test: 1/19/2015 by: Surgeon Result: OKDate of measurement: 1/21/2015 n: 1.3375 CVD: 12.00 mm

rightAL: 22.30 mm (SD = 4 µm)


Visual acuity: ---LS: Phakic; VS: Vitreous body

R: 7.76 mmR1: 7.83 mm @ 156ºR2: 7.69 mm @ 66º

Δ D: -0.75 dpt @ 156ºWTW: 11.9 mm

Ref: ---

Comment

Patient





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R: 7.76 mmR1: 7.83 mm @ 156ºR2: 7.69 mm @ 66º

Δ D: -0.75 dpt @ 156ºWTW: 11.9 mm

Ref: ---

Comment

Patient





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R: 7.76 mmR1: 7.83 mm @ 156ºR2: 7.69 mm @ 66º

Δ D: -0.75 dpt @ 156ºWTW: 11.9 mm

Ref: ---

Comment


Reference Image

Refractive index


Composite Values AL, ACD, LT with Standard Deviation

(SD)Composite K, Flat / Steep

Meridian, Cylinder


White-to-white diameter & manifest refraction

Reference Image for markerless toric IOL alignment including

limbus diameter & steep keratometry axis overlay

Carl Zeiss Meditec AGGoeschwitzer Strasse 51–5207745 JenaGermanywww.zeiss.com/iolmaster700

EN_3

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