OPH the RECORD Published by Ophtec BV /// ESCRS Edition 2015 /// #11
In this issue: 4 Precizon Toric IOL
Interview with Prof. George Beiko
6 Effects of ArtiLens 10 History of on the AC ArtiLens in Korea
Paolo Soleri, Ph.D.
Dr Woonbong Jwa
13 Barcelona Hot Spots
by Maite del Pozo
www.ophtec.com
™
Download Iris brochure Gaudi Chimneys at Casa Mila, Barcelona
Events & Congresses 2015 / 2016 23-26 September
Seville
Spain
SEO
1-4 October
Berlin
Germany
DOG
16 October
Groningen
The Netherlands
Artisan Aphakia training
24 October
Madrid
Spain
Artisan training course (young surgeons)
31 October
Madrid
Spain
Artisan training course
6-8 November
Ilsan Kintex
Korea
KOS
13-14 November
Berlin
Germany
Artisan Artiflex training Germany
14-17 November
Las Vegas
USA
AAO
25-27 November
Brussels
Belgium
OB
4-6 February
Elche
Spain
Faco Elche
5-9 February
Guadalajara
Mexico
WOC
26-28 February
Athens
Greece
W-ESCRS
9-13 March
Sun City
South Africa
OSSA
25-29 March
Taipei
Taiwan
APAO
6-8 April
Maastricht
The Netherlands
NOG
6-10 May
New Orleans
USA
ASCRS
7-10 May
Paris
France
SFO
? May
Marcia
Spain
SECOIR
9-11 June
Nuremberg
Germany
DOC
10-14 September
Copenhagen
Denmark
ESCRS
Welcome to Barcelona
Content
A new year, a new ESCRS, a new edition of our magazine!
4. Precizon Toric IOL eagerly awaiting approval in Canada
In this 2015 issue we have an interview with Dr Woonbong Jwa, from Korea, who has implanted more than a thousand Artiflex lenses since his first in 2006. He tells us why he likes this lens and shares his experiences. Furthermore, we have an interview with Prof. George Beiko from Canada who is eagerly awaiting Canadian approval of the Precizon Toric IOL. He recently used the lens in patients through a ‘compassionate use’ procedure. Read this story and come and listen to Prof. Beiko in our booth. He is one of this year’s Ophtec booth speakers. Don’t miss it: Sunday September 6th, 13:20. Also in this issue, an interview with Ophtec’s Paolo Soleri, Ph.D. He focuses on alterations in the fluid dynamics in the anterior chamber as a result of Phakic ArtiLens implantation. Paolo did a study on this subject, together with three researchers from the University of Genoa and the Imperial College London. Prof. Rodolfo Repetto, from Genoa, will talk about this subject in our booth. This is another interesting talk we’d like to invite you to: Sunday September 6th, 11:40. You can find these interviews, a booth speaker time schedule and more in this year’s ESCRS OphTheRecord magazine! Enjoy it and have a good and inspiring congress!
Prof. George Beiko
6. Alterations in the fluid
dynamics in the anterior chamber as a result of phakic ArtiLens implantation
Paolo Soleri, Ph.D.
8. Experts & Tapas 10. History of Artisan & Artiflex
in Korea
Dr Woonbong Jwa
13. Barcelona Hot Spots
by Maite del Pozo
14. First surgerywith TrueGuide®
in Europe
16. Experts & Tapas Time Table
OPHTEC ESCRS team
Colofon OphTheRecord is published by Ophtec BV Interviews: Mingo Moo, Ophtec Korea Marij Thiecke; Concept & Copy, Haren Editor: r.den.besten@ophtec.com Artwork: info@mennoschreuder.nl Print: Scholma Druk, Bedum Cover photo: Rambla de Mar at night, Barcelona All rights reserved. © Ophtec BV 2015 PO Box 398 | 9700 AJ | Groningen | The Netherlands T: +31 50 525 1944 | F: +31 50 525 4386 www.ophtec.com
OPH//THE//RECORD 3
Precizon Toric IOL eagerly awaiting Canadian approval Successful compassionate procedure in 3 patients By: Marij Thiecke
EXPERTS & TAPAS Prof. Beiko will be speaking at OPHTEC’s booth speakers event at the ESCRS in Barcelona;
Sunday September 6 13:20 ‘Precizon Toric’
Video: Precizon Toric
4 OPH//THE//RECORD
Meet Prof. George Beiko, a well known name in ophthalmology. Since April, Prof. Beiko has inserted the Ophtec Precizon Toric IOL in 3 medically challenged patients through a compassionate use procedure. With the Precizon, the solution for misalignment is in the lens. Beiko: ‘We’re now 3 months post-op and, seen from a solely ophthalmic point of view, my patients are doing fine. I think of the Precizon as a forgiving lens - a worthy addition to Ophtec’s already exciting spectrum of highly customizable products.’
elegantly, and permanently. Moreover, I find it important to challenge my brain. So when I met and observed Arthur Lim, my medical fate was sealed. And yes, I love it when patients under my care - often with complex medical histories open their eyes after surgery and find out that their eyesight has improved.’
Clear solutions Beiko elaborates: ‘A promising outcome of a practical procedure based on sound research, is what makes me tick professionally - I like occupying myself with cases I can fix. This explains my career: psychiatry was an initial career goal when I was in medical school - but many conditions can’t be fixed. They linger on and on. With neurology, also on my initial list, the amount of work needed for marginal improvements, as well as the many challenges that simply could not and still cannot be addressed, made me skip this option as well. I wanted to solve problems effectively,
Acrobatics Beiko: ‘My estimate is that around a third of my patients will benefit from the Precizon once the approval process has been completed. It is an adaption of an already successful product, so I don’t expect any problems. A compassionate procedure was a logical step to take for the patients I saw in April - waiting for a year with this simple solution in sight was not an option because these patients are, medically speaking, living a worst case scenario on a daily basis. Improved vision would make a big difference one problem solved. For us, the catch was in the logistics around the clinical process.
Misalignment The Precizon so far has lived up to its expectations when it comes to visual acuity, refraction, residual astigmatism and toric misalignment. George Beiko: ‘The Precizon is easy to insert. It isn’t hard to imagine Prof. Beiko enthusiastically Even to physicians who might feel apprehensive engaging in a ‘compassionate use’ procedure about the amount of detail involved, the idea that to bring visual relief to medically challenged the lens is more tolerant of misalignment because patients. Beiko: ‘In my practice in St. Catharines of its unique transitional conic surface, should (near Niagara Falls], I perform around 800 cataract be reassuring. So: the Precizon offers an elegant procedures each year - including a large number solution for both patient and ophthalmologist: of last resort, complicated cases. As an assistant problems due to misalignment are less of a worry. clinical professor of ophthalmology at McMaster This fact will, I believe, lead to a significantly University, I aim to keep my mind at full speed more content patient population. In eyesight, and to challenge, check and reflect on things I helping your patients in the best possible way take for granted.’ should be any ophthalmologists’ standard.’
A wheel chair bound patient due to severe obesity, another patient with paralysis due to a stroke, and a third patient with major cervical (neck) disc degeneration due to Klippel - Feil Syndrom - these are only a few of the challenges we would have to work around. In a nutshell: my patients couldn’t move, so we would have to. And we did. So, the problem was not in the lens but in our team’s first steps in acrobatics.’
‘I aim to keep my mind at full speed and to challenge, check and reflect on things I take for granted’ Admiration Beiko continues: ‘Of course, at the base of a seemingly simple procedure often lies a combination of a world of hard work, a pile of relentless thought processes, numerous disappointments, a succession of happy coincidences, and an outside world that is often harsh and forbidding, not to mention highly susceptible to financial rewards induced by slick marketing concepts. Of course, earning a living is important. Nevertheless, I discovered that I identify with the approach I saw and admired in Dr. Worst, from the day I met him in 1998 when I started an Artisan study. With uncompromising dedication, he set about to innovate ophthalmic surgical procedures.
His ways were often looked upon with a frown - to say the least. For instance, he used steel sutures - with no negative side effect for his patients as steel, at a certain point, will not increase tension in the wound, leading to less astigmatism and visual havoc. So yes, I have been using Ophtec products in my practice for a long time.’ Individual approach Beiko finishes: ‘We need more of the Ophtec mindset in ophthalmology. The Precizon Toric is a lens that is going to help a large patient group - it is another of the innovative solutions from the people at Ophtec who are known for their custom lenses. My point being that medicine shouldn’t be just about the creation of bulk solutions. Especially with eyesight, innovation towards more and more customizable products and treatments should be at the core of every self-respecting medical device company. For instance, in trauma cases an individual approach is essential as flares, glass shards, knives and other objects you don’t want associated with any part of the human body, don’t enter the eye guided by some prefixed plan. The solution, therefore, can never be prefixed. If more professionals would consider enthusiastically creating both smart generic products - i.e. the Artisan Lens - and solutions for patient groups that don’t attract much attention in statistics, I would applaud that trend. Today, unfortunately, considerable financial resources that could be allocated to research or custom treatments go to shallow, unscholarly advertisements for procedures or products that are unproven at best, seen from an academic viewpoint. Criticism of material produced in support of their products by large commercial concerns seems to be avoided by many of my colleagues; they seem to have forgotten that our responsibility is to our patients. It may not be the popular stance to take, but it is the one which we signed up for when we became the custodians of our patients care.’
Transitional Conic Toric IOL P PROVEN STABILITY P 2.2 mm MICRO INCISION P TRANSITIONAL CONIC TORIC SURFACE (patent pending); P MORE TOLERANT OF MISALIGNMENT
OPH//THE//RECORD 5
Focus on:
Alterations in the fluid dynamics in the anterior chamber as a result of phakic ArtiLens implantation Paolo Soleri, Ph.D. interviewed Ophtec’s development leader Paolo Soleri, together with three researchers from the University of Genoa in Italy and the Imperial College London, did a study on the effects on the aqueous humour flow in the anterior chamber after an iris-fixated phakic ArtiLens implantation. Their conclusion is that alterations in the fluid dynamics are unlikely to be the cause of medical complications associated with it.
Paolo Soleri
EXPERTS & TAPAS Prof. Rodolfo Repetto from Italy will be speaking about this subject at OPHTEC’s booth speakers event at the ESCRS in Barcelona;
What was the aim of your study? Iris-fixated ArtiLenses have been implanted in the eye for more than 25 years. We have learned a lot about the postoperative consequences of this type of surgery. However what do we know about the influence of an iris-fixated lens on the aqueous humour flow in the eye? Can we actually test whether the changes in this flow are responsible for clinical complications? With our study we addressed these questions for the first time, focussing on the possible variations of the intraocular pressure as well as on the wall shear stresses on the cornea and the iris.
Are there any other studies on this subject available? As far as we know there is only one paper in the literature by Niazi and co-workers (2012), dedicated to numerical studies of the aqueous humour flow in an eye where an ArtiLens has been implanted. In this work the authors proposed a numerical model to study the aqueous flow induced by temperature differences between the front and the back parts of the anterior chamber. In our paper we adopted a more comprehensive and twofold approach. First of all, we tested four mechanisms responsible for the aqueous flow: production-drainage, difference in temperature, miosis and saccades of the eye. Secondly, we approached the problem by means of computational fluid dynamics as well as analytical calculation. The groups at the University of Genoa and the Imperial College London took care of the first and second approach, respectively.
Sunday September 6 11:40 ‘Phakic Iris-Fixated Intraocular Lens Placement in the Anterior Chamber: Effects on Aqueous Flow’
Study publication May 2015, IOVS Section of the anterior chamber of the eye with an ArtiLens in place. The colour coding shows the pressure distribution due to the production-drainage of the aqueous humour. Blue represents low pressure and red represents high pressure.
6 OPH//THE//RECORD
VacuFix™
‘If a phakic ArtiLens is properly placed, sufficient flow is always allowed between the posterior and the anterior chamber’
Vacuum enclavation for perfect positioning and centration of all ARTISAN® / ARTIFLEX® (toric)(P)IOLs
How did you test aqueous flow in an eye with a phakic ArtiLens? Can you describe what you did? First of all we defined our domain: we created a realistic model for the anterior chamber of the eye, based on the ISO guidelines. We used this domain to run baseline simulations without any ArtiLens. Secondly, we added a phakic ArtiLens to the model and tested different flow mechanisms, one at a time. The presence of an iridectomy was also simulated and investigated. We proceeded in parallel numerically and analytically and this allowed us to verify the reliability of our results in process. In the IOVS paper we focussed on the numerical results. In the meantime we are preparing new papers dedicated to the analytical calculations as well as to the role of the iridectomy.
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These are numerical results. Why do you think it is reliable? As measurements of aqueous humour flow in vivo are not available at present we cannot directly validate our conclusions. However, I am fully confident that our results can be trusted. As I said, we proceeded computationally and analytically and the results from both approaches are consistent. Moreover, given that the flow is not disturbed by turbulence, we have one more reason to believe that these results are realistic. What are the conclusions of your study? The results are truly exciting and show that if a phakic ArtiLens is properly placed, sufficient flow is always allowed between the posterior and the anterior chamber of the eye. Moreover, despite the changes in the geometry of the flow, a phakic ArtiLens does not have any negative effect on intraocular pressure and wall shear stresses on the cornea and the iris. Does the outcome mean that we don’t have to use an iridectomy in phakic ArtiLens surgery anymore? No, not at all. With our research we showed that in normal conditions the aqueous humour flow in the eye is preserved. Moreover, both the intraocular pressure and the wall shear stresses on the cornea and on the iris are not altered in such a way to constitute a possible clinical problem. Nevertheless in our study we do not account for possible surgical complications or to the effect of natural ageing etc. We do not intend to suggest a new clinical procedure. An iridectomy is an appropriate safety valve for any phakic ArtiLens implantation and we will keep recommending it.
// One
System Fixates All
P Cataract Surgery ARTISAN® Aphakia IOL
P Refractive Surgery
ARTISAN® Myopia, Hyperopia & Toric PIOL;
ARTIFLEX® Myopia & Toric PIOL
OPH//THE//RECORD 7
Ar tiLens Exper ts & Tapas In the OPHTEC booth (G03)
We invite you to come and hear your peers speak on ArtiLens and taste our TAPAS, in the Ophtec booth (G03) during the ESCRS in Barcelona
Saturday September 5
10:40 - 10:55 Dr Tiago Monteir o, Portugal Artiflex IOL: Biometric criteria for safe implantation and perfect refracti ve results
13:40 - 13:55
Prof. José Luis Güell, Spain Long term Unilateral Artisan/Artifle x implantation
Sunday September 6 10:20 - 10:35 Dr Anas Anbari, Syria Posterior fixated Artisan in Ectopia Lentis and endothelial cells loss 11:40 - 11:55 Prof. Rodolfo Rep etto, Ph.D. Italy Phakic Iris-Fixated Intraocular Lens Placement in the Anterior Chamber: Effects on Aqueous Flow 13:00 - 13:15 Prof. Michael O’K eefe, Ireland Explantation of Artisan/Artiflex 14:00 - 14:15 Prof. Gré Luyten, The Netherlands Phacoemulsification and Artisan lens explantation in one treatment
Monday September 7
10:20 - 10:35 Dr Roberto Fern ández Buenaga, Spain Iris claw phakic lenses implantatio n: Refractive outcomes and safety during the surg eon learning curve 10:40 - 10:55
ArtiLens
11:00 - 11:15
Artiflex
Dr Sung Yong Kang, Korea
Dr Sergio Kwitko, Brazil
o T n o z i Prec & s t r e p x E
11:40 - 11:55 Dr Emilo Pedrott i, Italy Artiflex Toric
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8 OPH//THE//RECORD
Artisan Aphakia, Ring
Ject & Trauma
Exper ts & Tapas In the OPHTEC boot
h (G03)
Sunday September 6 10:40 - 10:55 Dr Klio Becker, Germany Artisan Aphakia - Retro pupillary Fixation
We invite you to come and hear your peers speak on the Artisan Aphakia, RingJect and Trauma and taste our TAPAS, in the Ophtec booth (G03) during the ESCRS in Barcelona
11:00 - 11:15 Prof. Joh n Kanellopoulos, Gr eece Artisan aphakia calcu lation 11:20 - 11:35 Prof. Su nil Shah, UK
RingJect
12:40 - 12:55 Dr Gonz alo Mu単oz, Spain
Pinhole iris-fixated int raocular lens for Dysphotopsia and Photo phobia 13:40 - 13:55 Dr Cesar e Forlini, Italy Treatment of post traum atic Aniridia and beyond
or ic Tapas
Monday September
7
11:20 - 11:35 Dr Ramo n C. Ghanem, Brazil Solving challenging cas es with Aphakic Artisa
n
12:00 - 12:15 Dr Jo達o Paulo Macedo, Portu gal Trauma surgery
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12:00 - 12:15 Pr
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OPH//THE//RECORD 9
History of Artisan & Artiflex in Korea Dr Woonbong Jwa from the EYENCE Eye Clinic in Gangnam, Seoul Refractive correction with phakic intraocular lenses has more than 12 years of history in Korea. In 1986 the concept of the first iris fixated phakic IOL has been developed by Professor Jan Worst and Ophtec BV. It was based on an original design of an iris-fixated Aphakia IOL which has been used since 1978. Later on Staar developed the ICL as an alternative to Professor Worst method. These two technologies are the leading phakic IOLs today.
By: Mingo Moo
‘the patient shed tears of joy after receiving this Artiflex’
10 OPH//THE//RECORD
In Korea Dr Woonbong Jwa from the EYENCE Eye Clinic in Gangnam, Seoul is one of the best known surgeons for phakic IOL implantation and a leading teacher of new techniques and methods. Dr Jwa’s first case of a phakic IOL implantation with the ICL took place in 1997, and many years later in 2006 he implanted his first Artiflex PIOL, followed by an Artiflex Toric for the correction of astigmatism in 2010. His first implantation of an Artiflex lens was really interesting. The patient had been suffering from side effects of an ICL which he had implanted earlier.
Dr Jwa told me that he will never forget this patient who had suffered from high IOP with severe pain from ICL implantation. He suggested to the patient to remove the ICL, and then implant an Artiflex PIOL - even though he was not sure of the postoperative result. He found himself satisfied with the enclavation, the unique iris fixation method that allows long-term and safe stability. The patient was also satisfied with the result: 20/20 UCVA just 30 minutes after the surgery. He remembers that the patient shed tears of joy after receiving this Artiflex. Since this amazing first case of the Artiflex PIOL, he has operated more than thousand cases and remained free from side effects as cataract. The follow-up of the patients shows a long term health of the eyes, although there have been some complications. Many patients have high myopia and a cylinder so they will not be completely free from some form of complication. It is important to make those patients understand preoperatively that they will have a higher possibility of specific complications than patients without high myopia and a cylinder. Dr Jwa is well known and respected for correcting a remaining cylinder by controlling the corneal incision size instead of the traditional and higher risk methods of LASIK or LASEK for non toric surgery. Dr Jwa has taught his technique at domestic congresses and this is now used by many Korean surgeons. His protocol for correcting a cylinder with incision size is as follows: When a cylinder is 0.75D, 1.00D, 1.25D, 1.50D, 1.75D, 2.00D, 2.25D - the corresponding incision size should be respectively: 3.5 mm, 3.75 mm, 4.0 mm, 4.25 mm, 4.5 mm, 4.75 mm and 5.00 mm without suturing the corneal incision. However, he suggests implanting the toric version of the phakic lens for patients who have a cylinder of more than 2.5D or a keratoconus cornea.
The name of the Eye Clinic ‘EYENCE’ stands for EYE plus SCIENCE and it comes from Dr Jwa’s belief that it is important to take care of patients accurately and scientifically.
When you visit his eye clinic you feel as if you are encircled by corneal endothelial cells. The medical treatment and diagnostic rooms are neatly delicate and uniform and give the impression of orderly composed endothelial cells. The operating room is also under perfect control of strict regulation of temperature, humidity and hygiene. It is the general philosophy in this clinic that the strict management of operating room techniques is 80% of the reason for achieving such great postoperative results and 20% is determined by the surgical technique. There has been no case of endophthalmitis because of this strict attention to critical methods. Dr Jwa was well known as an active ICL user in the early 2000s. However, he switched to Artiflex PIOLs due to the ICL issue of inconvenient lens size and higher cataract formation in young patients. Even though the skill needed for surgery of the ICL is relatively easy compared to the skill needed at first for Artisan and Artiflex PIOL implantation ít is in the patient’s best interest to overcome the learning curve. Long term safety of the patients is after all the primary motivation to make the total transition to Artiflex and Artisan PIOLs. With over 8 years of personal follow-up data from the EYENCE Eye clinic, and over 25 years of global data, the Artiflex and Artisan PIOLs have proven to give a perfectly normal result in terms of endothelial cells health. These great outcomes are related to the surgeon’s skill as well. Dr Jwa teaches and speaks about his surgical technique of pre-operative analysis of the patient’s biometrics and shares his videos and postoperative data with his peers in Korea. He continues his focus on Artiflex techniques, and is looking forward to use the new product line for Presbyopia from Ophtec to help his patients remove both their glasses for distance vision and reading glasses. There is a growing and unmet need to achieve this special technology.
Images of the EYENCE Eye Clinic in Seoul
Dr Jwa was awarded the Honor of Merit from Ophtec.
OPH//THE//RECORD 11
OPHTEC | Cataract Surgery
RingJect
™
Preloaded Capsular Tension Ring in a single use injector Key Opinion Leaders from around the world routinely use Capsular Tension Rings (CTRs) with all premium IOLs; guaranteeing bag and IOL stability, centration and reduced PCO
Prof. J.L. Alió, Spain:
Prof. C.K Joo, Korea:
“I routinely use CTRs in my premium IOL, cataract and
“CTRs have been shown to inhibit posterior capsule opacification,
lens surgery. The reasons for this are 4: More stable
IOL; less induction of aberrations; a second chance for
the patient - to explant the IOL and subs is feasible with a CTR even after 2 or 3 years; delayed posterior capsule opacity.”
Prof. S. Shah, UK:
“I use CTRs routinely for my premium IOL patients as I
believe this ensures good centration and prevents late
may play a role in the stability and positioning of multifocal IOLs,
and may prevent IOL rotation caused by capsular bag contraction,
thus providing good centration. The more complex the optics, the greater the
need for perfect IOL positioning and centration, which the use of a CTR may help achieve. And some studies show that CTRs can help achieve a postoperative refraction close the planned refraction without the need to augment the
planned postoperative refraction. This supports the hypothesis that the CTR plays a role in stabilizing the IOL and improving outcomes.”
movement from capsule contraction. In the rare occurrence that the lens needs to be explanted, it also facilitates surgery as the bag opens up very easily.”
>> Prof Shah will be speaking about the RingJect at our booth on Sunday September 6th at 11:20
Dr E. Mertens, Belgium:
“I use CTRs with all of my Premium IOLs’. I have tried different types of CTR, but my favorite one is the
OPHTEC CTR, which is easy to implant and gives the
best results.”
Dr F. Wiley, USA:
“I use OPHTEC CTRs regularly on my premium lens cases, CTRs allow for short and long term rotational stability for toric IOLs,
and positional stability for presbyopic IOLs. Furthermore CTRs give extra
assurance in the rare instance a toric IOL has to be adjusted or presbyopic IOL needs to be exchanged. For these reasons, I have never regretted a prophylactic placement of a CTR.”
Barcelona Hot Spots By: Maite del Pozo
Ophtec Spain’s Sales Manager Maite del Pozo lives and works in Barcelona. She shares with you the best touristic spots, not discovered by mass tourism yet.
The best city views of Barcelona Where? The TB Bar, belonging to the Gran Hotel La Florida, has an incredible Terrace where you can enjoy live music during the summer nights and you can see the best city sunsets having a delicious cocktail or Spanish wine.
The coolest restaurants • El Nacional: Inside this establishment, there are 4 culinary areas and 4 specialized bars to choose from and that will be the new meeting point of the city. The choice is yours. • El Boca Grande: This restaurant is Barcelona’s sophistication magnet. Good service combined with high quality food, made with excellent ingredients, since it has the freshest fish and seafood in town. This restaurant has a cocktail bar called ‘Boca Chica’. It’s a relaxed and informal place for the coolest people in Barcelona. There is a secret in the washrooms… A DJ usually plays music there every thursday and saturday.
Magic Night on the Dragon´s roof top
The most fashion Shopping area in Barcelona Where? In Born Quarter, called ‘Bohemian Quarter’, you can find shops of young designers as well as brand shops. Shopping at Born Quarter means having a special experience because of all the different cultural elements: There are galleries, shops, activities, terraces, architecture and restaurants. All close to the beach. I would recommend to visit a typical tavern to eat ‘Tapas’. Address: Carrer de Montcada, 22, 08003 Barcelona (closed on mondays). You must taste: • Sparkling white wine (their specialty), • Stuffed peppers, • Cheeses, • Anchovies, • And Iberian products like: Jamón (ham), chorizo, salchicho... These are very tasty high-quality, organic products, produced from a special and unique Spanish breed of pigs. I recommend to eat Iberian Products with sliced bread with smeared tomatoes, salt and olive oil. That’s how we do it in Catalonia.
This most unique nighttime atmosphere combines art, live music, drinks and the tasting of delicious food to make it a night to remember. Casa Batlló, the masterpiece by Antoni Gaudí, invites you to visit a monument that is much more than a building; it is an artistic legend. Hidden behind the exceptional modernist facade, which mirrors a calm sea, a whole world of surprises and refined architectural details is waiting. Casa Batlló, the definitive must-see benchmark of modernism, invites you to take a look inside.
Go for a walk through La Barceloneta The Barceloneta is a triangular spit of land that cuts into the sea. On one side, boats in the old harbor, or Barcelona’s Port Vell and sandy beaches on the other side. The neighborhood, with its narrow, rectilinear streets, was built on a military grid structure to provide accommodation for the former inhabitants of La Ribera who had lost their homes due to the construction of the citadel. The houses were low-rise and small in scale so as not to obstruct views of the city. On the sand and inside the neighborhood, rows of restaurants and bars combine with the traditional images of locals sitting in their chairs in the street and narrow balconies displaying clothes drying in the sun.
OPH//THE//RECORD 13
First surgery with TrueGuide , surgical guidance software, in Europe ®
From left to right: Carmelo, IMO; Maite del Pozo, Ophtec; Rafa Martín, IMO; Yvonne Hernández, Ophtec; Prof. J.L. Güell, IMO; Erik-Jan Worst, Ophtec; Mónica, IMO; Chadd Scarlett, TrueVision.
The company TrueVision (US) was founded on the core belief that the future of microsurgery will be digital rather than optical. In creating the first and only Digital Microscope Platform on the market, TrueVision has addressed unmet surgeon needs such as:
surgery with TrueGuide’s ‘personalized to the patient and specific to the surgeon’ approach, provides real-time predicted outcomes and peace of mind for the surgeon.
• Improved ergonomics (71% of micro surgeons suffer back or neck problems by age 55), • Better surgical collaboration in the operating theatre, • Integration of other digital technologies into one location (Femto-second lasers, phaco, abberometry, electronic medical records etc.), • Patient information and data flow into one easy access location in the operating theatre, • Smart applications to guide surgeons and improve patient outcomes (increased demand for better outcomes especially with refractive cataract procedures). TrueVision pioneered surgical guidance applications in ophthalmology with TrueGuide Computer-Guided Surgery. TrueGuide is an intelligent surgical planning and precision surgical guidance tool wrapped into one smart application. TrueGuide combines surgeon specific parameters in a configurable planning application, with accurate pre-operative data from the Cassini to generate a custom surgical plan for the patient. The information is automatically sent into the TrueVision Surgical System and ready for the surgeon upon arrival at the theatre. TrueGuide navigates the surgeon Above: The first surgery using TrueGuide in Europe took place at IMO, through the procedure with easy to use templates for incision, Barcelona last July. Prof. J.L. Güell, who implanted a Precizon Toric, is capsulorhexis and toric/multifocal guidance. Custom cataract impressed by the TrueGuide guidance software.
14 OPH//THE//RECORD
Premium Treatment: Transitional Conic Toric IOL
Starts with Premium Diagnostics: Corneal Shape Analyzer
Corneal Marking System
Experts & Tapas
Speakers in the Ophtec booth during the ESCRS Time Schedule booth G03 Saturday September 5 10:20 - 10:35
10:40 - 10:55
11:00 - 11:15
11:20 - 11:35
11:40 - 11:55
12:00 - 12:15
Sunday September 6
Dr Eunice Guerra, Portugal
Dr Anas Anbari, Syria
Dr Roberto Fernández Buenaga, Spain
Visual Performance and Stability of a Monofocal Toric IOL Precizon by Ophtec
Posterior fixated Artisan in Ectopia Lentis and endothelial cells loss
Iris claw phakic lenses implantation: Refractive outcomes and safety during the surgeon learning curve
Dr Tiago Monteiro, Portugal
Dr Klio Becker, Germany
Dr Sung Yong Kang, Korea
Artiflex IOL: Biometric criteria for safe implantation and perfect refractive results
Artisan Aphakia Retropupillary Fixation
ArtiLens
Dr Joao Paulo Cunha, Portugal
Prof. John Kanellopoulos, Greece
Dr Sergio Kwitko, Brazil
Evaluation of a Precizon Toric Intraocular lens. Stability and Aberrometry.
Artisan aphakia calculation
Artiflex
Dr Tiago Ferreira, Portugal
Prof. Sunil Shah, UK
Dr Ramon C. Ghanem, Brazil
How to improve results with the Precizon Toric by evaluating astigmatism with a new color-LED topographer
RingJect
Solving challenging cases with Aphakic Artisan
Prof. Filomena Ribeiro, Portugal
Prof. Rodolfo Repetto, Ph.D. Italy
Dr Emilo Pedrotti, Italy
Cassini and astigmatism
Phakic Iris-Fixated Intraocular Lens Placement in the Anterior Chamber: Effects on Aqueous Flow
Artiflex Toric
Dr Emilio Segovia, Spain
Prof. Mike Holzer, Germany
Dr João Paulo Macedo, Portugal
12 months experience with the Precizon Toric
Diagnostic and Surgical Specifications for Toric IOL Implantation and Experiences with the Precizon Toric IOL
Trauma surgery
Dr Ramón Ruiz Mesa, Spain
Dr Gonzalo Muñoz, Spain
Cassini and relevance of posterior corneal surface
Pinhole iris-fixated intraocular lens for Dysphotopsia and Photophobia
Dr Jorge Cazal, Spain
Prof. Michael O’Keefe, Ireland
Precizon Toric
Explantation of Artisan/Artiflex
Prof. Tae-Im Kim, Korea
Prof. George Beiko, Canada
Korean experience of Precizon Toric IOL
Precizon Toric
Prof. José Luis Güell, Spain
Dr Cesare Forlini, Italy
Long term Unilateral Artisan/Artiflex implantation
Treatment of post traumatic Aniridia and beyond
12:20 - 12:35 12:40 - 12:55
13:00 - 13:15
13:20 - 13:35
13:40 - 13:55
Monday September 7
14:00 - 14:15
www.ophtec.com
Prof. Gré Luyten, The Netherlands Phacoemulsification and Artisan lens explantation in one treatment