CONFERENCE HIGHLIGHTS ESCRS 2019 Coverage
Latest Technology Trends in Cataract Surgery by Hazlin Hassan
All the latest cutting-edge technologies in cataract surgery – from imaging, measuring and lenses – were revealed at a symposium called “Mastering Your Cataract Surgery Workflow with Next Level Technology” during the 37th Congress of the European Society of Cataract and Refractive Surgeons (ESCRS 2019).
Automated Measurements & Centralized Data Storage Dr. Peter Stalmans, MD, PhD, from the Department of Ophthalmology Uzleuven, Belgium, shared how high-tech tools have helped the University Hospitals Uzleuven in managing its 500,000 patients a year. The hospital has over 1,900 beds and 9,000 employees. Its Department of Ophthalmology alone has 10 full-time staff members, 26 consultants, 25 residents and 300 personnel. It handles 10,000 procedures annually, including 1,000 vitreoretinal surgeries. Some 40% of these are combined with lens surgery using intraocular lenses (IOLs), whether spheric, toric, trifocal or extended depth of focus (EDOF). “Clearly, there is a need for perfection in patient data management,” said Dr. Stalmans. This includes taking accurate measurements, which is the first step in ensuring accurate IOL calculations. He pointed out that automated measurements can avoid operator-
induced errors, while centralized data storage means that all data is accessible within the same software. “The system is hassle-free as it involves as few steps as possible to do tasks such as order IOLs,” he said. A centralized data overview allows all the data to be available on the same screen, and an integrated visualization during surgery provides an augmented reality to guide the surgeon. Within the Zeiss ‘ecosystem’, the IOLMaster 700, which uses swept-source optical coherence tomography (SS-OCT) technology, provides a full-length OCT image for fewer refractive surprises. Meanwhile, the Cirrus OCT, with its spectral domain-OCT based imaging, allows clinicians to scan patients fast, with increased efficiency and improved imaging detail. The Artevo 800 digital microscope provides depth of field, reduced light intensity requirements and real color impression for increased certainty, as well as access to patient data remotely on the cloud through the Zeiss Cataract Suite.
Don't be late to the party: Digital surgery has arrived.
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“The IOLMaster 700 takes accurate SS-OCT based measurements, even in cases of detached retina,” shared Dr. Stalmans. In short, with a centralized data storage and online calculator, surgeons can look forward to a mistake-free and hassle-free experience. The advanced Zeiss technologies provide integrated visualization during surgery, and integrated intraoperative OCT for corneal and retinal surgeries.
Digital Surgery: Higher Accuracy and Reduced Staff Time According to Professor Wolfgang J. Mayer, MD, PhD, head of University Eye Laser Center, University Eye Hospital Munich, Germany, “digital surgery allows surgeons to build a secure data trail from biometry to surgery”. From the IOLMaster, the gold standard in optical biometry, to the OPMI LUMERA with the innovative CALLISTO eye OR management system, these technologies enable surgeons to perform complex procedures with greater confidence to achieve optimal patient outcomes. The Callisto eye, with its high level of precision, assists cataract surgeons in the precise alignment of IOLs and is an integral part of the Zeiss Cataract Suite. Prof. Mayer shared that the Zeiss FORUM software has been implemented at University Eye Hospital Munich, Germany since 2011. The FORUM Eye Care Data Management system allows doctors access to diagnostic patient data which is available through central storage. The system boosts workflow efficiency and supports doctors in clinical assessments. To sum up, there is improved networking of diagnostics with the OR unit. OCT-based biometry and individual lens calculation are done using one platform. The surgical assistance system
