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ZEISS VisuMax Ideal platform for femtosecond laser solutions

With the VisuMax® femtosecond laser, ZEISS is shaping the world of refractive surgery. This ground-breaking laser system employs high-performance femtosecond laser technology and is characterized by its cutting precision, speed and gentle treatment technique. The ZEISS VisuMax is thus the ideal platform for therapeutic and refractive laser applications such as Lenticule Extraction with SMILE® from ZEISS and Femto-LASIK flap cuts.

  • Extensive range of femtosecond laser applications
  • Highly accurate outcomes thanks to reliable cutting precision
  • Experience driven

Extensive range of femtosecond laser applications

With its cutting precision, speed and gentle treatment approach, the ZEISS VisuMax is the ideal platform for cutting-edge corneal surgery applications – including Flaps, Keratoplasty, and Incisions for ICR and ZEISS SMILE.

In combination with the MEL® 90 excimer laser from ZEISS, furthermore, it addresses the wide-ranging needs of modern refractive surgical practices, such as PRK/LASEK and Femto-LASIK.

Learn more about VisuMax applications

Lenticule Extraction

With SMILE, the ZEISS VisuMax offers a game-changing option for laser vision correction that is redefining refractive surgery. During the procedure a lenticule is created inside the cornea. The lenticule is subsequently extracted through a small incision, thereby achieving the desired vision correction.

ZEISS SMILE is based on a minimally invasive procedure in which the majority of the upper corneal layers remain intact. This bears the potential for preserving biomechanical stability. Aside from the small incision, ZEISS SMILE also enables the lamellar incision to be as small as possible, only slightly exceeding the effective optical zone diameter of the desired refractive correction.

There is a potentially lower incidence of transient dry eye syndrome after SMILE compared to LASIK, as well as less nerve transection thanks to the smaller incision and lack of a flap.

Flap cutting

For treatments such as Femto-LASIK, the ZEISS VisuMax delivers highly precise flaps.

With the VisuMax, ZEISS gives every surgeon the opportunity to use their preferred flap configuration. It creates the possibility of widely adjustable flap diameter, thickness, hinge position and side cut angle. Thanks to the high cutting precision, the flap lift is easy to perform, facilitated by the high cutting speed and optimized parameter settings.

Tunnel incisions for ICR

The femtosecond laser technology of the ZEISS VisuMax is also ideally suited to create incisions in preparation for intracorneal ring (ICR) implantations. It provides the possibility of creating corneal tunnels quickly, precisely and with a high degree of flexibility. When defining tunnel parameters, it even performs inclined cutting geometries and full circle tunnels as well as tunnel segments of 90 to 270°. This allows the implantation requirements of various kinds of ring segments to be met.

Keratoplasty

With the Keratoplasty option, the ZEISS VisuMax covers corneal transplant procedures including lamellar and penetrating keratoplasty. It enables smooth lamellar and circular incisions for Penetrating Keratoplasty (PKP), Deep Anterior Lamellar Keratoplasty (DALK) and Descemet’s Stripping Endothelial Keratoplasty (DSEK). High-precision cutting quality and a rapid incision speed enable the efficient preparation of precision corneal grafts and recipient corneas.

The practical Keratoplasty adapter provides a robust and sterile work surface for preparing corneal grafts and the specially designed curved contact glass (type KP) prevents unnecessary compression of the corneal tissue.

Highly accurate outcomes thanks to reliable cutting precision

High-precision ZEISS optics integrated in the ZEISS VisuMax femtosecond laser provide an extremely focused laser beam. The result: minimum laser pulse energy at a high pulse frequency for accurate incisions – at precisely the desired depth of the cornea, with three-dimensional, curved incisions.

In addition to the ZEISS VisuMax's cutting precision, perfectly matched energy settings and spot spacings contribute to a sophisticated cutting system that results in a very smooth stromal bed surface. The autocentration function of the ZEISS VisuMax ensures centration of the treatment on the vertex. These VisuMax features make Lenticule Extraction with SMILE from ZEISS a predictable and stable procedure for moderate to high myopia, as documented by long-term follow-up.

Highly accurate outcomes thanks to reliable cutting precision

Anatomy-fitting contact glass

The ZEISS VisuMax femtosecond system individually measures each contact glass during a system test and auto-calibrates to ensure the exact laser spot positioning. Like the surface of the human cornea, ZEISS VisuMax contact glasses are curved. Available in three different sizes (S, M, L), they are optimally designed to fit the anatomy of the eye. As a result, the cornea largely retains its natural physiological shape. Artifacts are avoided in the cutting result, as is unnecessarily high IOP for the patient.

Experience driven

The cockpit design of the ZEISS VisuMax puts every control at the surgeon`s fingertips. It incorporates an easy-to-use, interactive touchscreen and intuitive software to assist the surgeon at every step of the procedure.

The system features integrated slit illumination for immediate checkup – without the patient needing to be moved. With a laser pulse frequency of 500 kHz, the ZEISS VisuMax permits short treatment times for more comfort for both the physician and the patient.

Another advantage is the fast and efficient workflow when combined with the ZEISS MEL 90 excimer laser, which features a data connection and pivoting patient support system.

Videos

  • SMILE with VisuMax

  • Femto-LASIK with VisuMax and MEL 90

Ready to unlock the full potential of your clinic?

ZEISS Corneal Refractive Workflow

The ZEISS VisuMax could be just the beginning: Take your workflow to a new level and learn how our products and applications add value beyond the mere sum of their parts.

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Specifications

ZEISS VisuMax

System components
Patient supporting system, including platform
Integrated uninterruptible power supply (UPS)
Surgical microscope with additional slit illumination
Video camera with integrated digital recording
Laser parameters
Wavelength 1043 nm
Pulse duration 220–580 fs
Laser pulse rate 500 kHz
Installation and set-up conditions

Weight

870 kg (including patient supporting system, platform, UPS)

Footprint standalone

L x W: 3.80 m x 4.40 m

Footprint MEL 90 with VisuMax 90°

L x W: 3.92 m x 3.94 m

Footprint MEL 90 with VisuMax 180°

L x W: 4.50 m x 3.79 m

Electrical connection

100–240 V, 50/60 Hz, max. 16 A
Separately fused circuit
Operating Conditions

Room temperature

18 to 25 °C

Atmospheric humidity

30 to 70 %

          

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