- SCHWIND eye

news Issue 2/2015

e Save th

Ongoing drive for highest quality

Date

eting ser Me pore U D N I HW inga 16th SC 21-24, 2016, S y Januar

Innovative diagnostic system, easier planning processes, wow effect SCHWIND is constantly striving to improve the quality standard of its technologies. One of the latest innovations is the new SCHWIND PERAMIS diagnostic system – a multifunctional combination of topography device and newest-generation aberrometer. The unique level of performance of the aberrometer is based on a high-resolution, pyramidal wavefront sensor. With an unrivalled 45,000 measurement points, the SCHWIND PERAMIS evaluates ocular wavefront aberrations. Together with a realtime measurement, this ensures a

ments. In addition, it is now also

pic, presbyopic patients, as only one

level of high-detail resolution and

possible to import diagnostic data au-

eye needs to be corrected for near

precision which is unmatched.

tomatically in aberration-free treat-

vision in these cases to allow opti-

ments. That means: No more manual

mal vision at all distances. And, last

Easy Planning

input, no risk of input errors and

but not least, the results of a recent

New features make planning with

time savings. PresbyMAX Monocular

TransPRK multicentre study with

the SCHWIND CAM software even

allows the user to achieve an even

the new SmartPulse Technology

easier. For example, in the “no touch”

higher potential patient volume.

confirm significantly faster recovery

TransPRK treatment employed by

Unlike in the other PresbyMAX

of visual acuity and better vision

many refractive surgeons, the epi-

types, the patient’s individual pupil

in the early postoperative phase –

thelial thickness can be individually

dynamics play only a minor role here

a real “wow effect” for the patients

adapted to suit the patient’s require-

– especially interesting for emmetro-

that you should not miss.

Topics TransPRK as a premium treatment - OFTALMIKA Eye Clinic, Poland  First AMARIS 750S in Pakistan/AMARIS Symposium in Guangzhou 

2-4 5

IOL calculation with the ray tracing method using SCHWIND SIRIUS 

6-7

Dardenne Eye Clinic, Germany, markets LASIK with the AMARIS 1050RS 

8-9

Turkish Eye Surgeons at SCHWIND/ The SCHWIND Sales team sets great store by fairness  SCHWIND employee treated with TransPRK and SmartPulse Technology  Issue 2/2015 

10-11 12 Page 1 of 12

news TransPRK as a premium treatment OFTALMIKA Eye Clinic chooses AMARIS 750S for surface treatments Step

by

step

for

continuous

advancement: That’s the motto at OFTALMIKA when it comes to the expansion of refractive surgery. Based

in

between

Bydgoszcz, Warsaw

half-way

and

Berlin,

OFTALMIKA is one of the leading eye clinics in Poland and has been successfully employing the SCHWIND AMARIS 750S since 2011. The clinic grew out of the private practice run by Prof. Józef Kałuz˙ny. It officially opened its doors in

Dr. Bartłomiej Kałuz˙ny performing laser surgery with the AMARIS 750S

April 2008, and there are currently

papers and is a reviewer for peer-

in charge of refractive surgery at

five members of the Kałuz˙ny family

reviewed

journals

OFTALMIKA. The clinic has focused

in the family-owned business. The

such as „Ophthalmology“, „Cornea“

exclusively on surface treatments

clinic is headed by Prof. Józef

and „Optometry and Vision Science“.

since its founding. Around 40 per-

professional

cent of these have been performed

Kałuz˙ny, whose two sons also work there as ophthalmic consultants:

The SCHWIND AMARIS 750S has

as TransPRK and the remaining

Dr. Jakub Kałuz˙ny is responsible

been used at the OFTALMIKA Eye

60 percent as LASEK or alcohol-

for

surgery,

Clinic since June 2011. Its purchase

assisted PRK. TransPRK is used

whilst his wife, Dr. Lucyna Kałuz˙na,

was partially financed by the EU

to correct myopia and compound

deals with dermatological prob-

as part of a funding programme

myopic astigmatism with a spheri-

lems. Dr. Bartłomiej Kałuz˙ny is

for new members of the European

cal equivalent of between -1.5 and

head of anterior segment surgery,

Union. The clinic has already per-

-9 dioptres. “I use the same optical

and his wife, Agnieszka Kałuz˙na, is

formed 1,500 procedures using the

zone for all surface treatments,

Managing Director of OFTALMIKA.

SCHWIND laser and the numbers

posterior

segment

are growing ever faster. Dr. Kałuz˙ny Dr. Bartłomiej Kałuz˙ny is also

estimates that around 450 treat-

Assistant Professor in the Depart-

ments will be performed in 2015.

ment of Ophthalmology at Nicolaus Collegium

Together with his team, comprising

Medicum in Bydgoszcz, a post he

another ophthalmologist, two opto-

has held since 2009. He has already

metrists,

published more than 80 academic

administrative staff, Dr. Kałuz˙ny is

Copernicus

Page 2 of 12 

University

two

nurses

and

two Reception at OFTALMIKA

Issue 2/2015

Compared with Western Europe, OFTALMIKA’s

prices

are

highly

competitive, at between 1,500 and 3,300 złoty (PLN) per eye, depending on the laser technique used, which corresponds to between €364 and €800. A diagnostic examination for both eyes and the first consultation cost 250 złoty (approx. €60). Within its treatment portfolio, the clinic has positioned TransPRK as a premium procedure and patients consequently pay more. The operating theatre

regardless of the technique. In

excellent service is the clinic’s

Dr.

higher astigmatism I tend to use

answer to a problematic pheno-

SCHWIND AMARIS for several rea-

an optical zone of at least 7.5 mm

menon

sons: “State-of-the-art technology,

whenever possible. In all surface

Coupon sites like Groupon sell

SCHWIND’s

treatments I use 0.02-0.01% mito-

a large number of treatments to

opinion of colleagues. In the end,

mycin C.”

laser surgery candidates at dis-

what helped me reach a final

count prices. The result is not only

decision

offering

a lower price level across the

represent

FemtoLASIK in May 2015. “The

market, but also lower quality of

there whenever you need them, are

safety of the treatment is the

treatment. Luckily, there is also a

responsible and flexible at the

decisive aspect for us. For this

growing patient segment for whom

same time. That’s a weak point of

reason, we only started using the

price is not as important as the

many

LASIK procedure when we acquired

quality of the treatment.

distributors operating in the refrac-

The

clinic

also

began

in

the

Polish

market.

Kałuz˙ny

decided

reputation

was

the

and

people

SCHWIND.

other

on

They

manufacturers

the

the

who are

and

a femtosecond laser for creating the flap,” said Dr. Kałuz˙ny. The clinic’s retreatment rate is extraordinarily low. Dr. Kałuz˙ny admits that he can barely believe it himself, but so far they have only had to retreat a single patient. That translates to a rate of 0.15%, which is a clear indication of the quality of the treatments provided. By the way, its strict focus on quality and Issue 2/2015 

OFTALMIKA Eye Clinic

Page 3 of 12

news tions at congresses alongside other

TransPRK

communication channels. “Never-

particularly helpful in patients with

theless, our expansion is primarily

irregular corneas. We have not

down to word of mouth, i.e. recom-

had a single technical problem

mendations

ophthalmologist

with the laser in the last four years,

colleagues and satisfied patients,”

but the most convincing argument

said Dr. Kałuz˙ny. In his opinion,

is by far the excellent results that

cooperation with responsible and

we achieve time and time again

reliable ophthalmologists is parti-

with each individual patient.”

by

Dr. Kałuz˙ny performing diagnostic examination

cularly important for building up

tive surgery market. In addition,

a reputation among colleagues and

I place great faith in family-owned

with patients.

treatment,

which

is

Contact: OFTALMIKA Eye Clinic

companies.” When talking about the AMARIS

Dr. Bartłomiej Kałuz�ny

The clinic’s services are marketed

750S, the first thing Dr. Kałuz˙ny

Fon: +48 52 370 20 02

on a website, via social media and

mentions is TransPRK: “One of the

Email: [email protected]

by means of academic presenta-

laser’s biggest advantages is the

ASCRS 2015: Best Paper of Session

Olivier Richoz, MD

Farhad Hafezi, MD

Shady Awwad, MD

On the occasion of the ASCRS 2015, the following SCHWIND users were distinguished with the honor of “Best Paper of Session“: • Dr. Olivier Richoz and co-author Dr. Farhad Hafezi, Switzerland, in the category “CORNEA Medications and Medical Therapy” for the paper “Optimizing the Antibacterial Efficacy of Photoactivated Chromophore for Infectious Keratitis–CXL Treatment Parameters”. • Dr. Shady Awwad, Lebanon, in the category “KERATOREFRACTIVE LASIK and PRK Outcomes” for the paper “Single-Step Transepithelial PRK and PRK with AlcoholMediated Epithelial Removal: Comparative Study.”

Talk at the SCHWIND booth during ASCRS 2015. From left: Samuel Arba Mosquera, Luis Páparo, MD, Tobias Ewering, Jerome Vryghem, MD, and Jerry Tan, MD.

We express our congratulations! Page 4 of 12 

Issue 2/2015

First AMARIS 750S in Pakistan On occasion of the inauguration of

gists from Pakistan came to listen

The seminar was conducted by

the first AMARIS 750S in Pakistan,

to comprehensive information about

Dr. Qasim Lateef Chaudhry, a re-

the Medicare Lahore Clinic held

AMARIS technology and clinical

nowned refractive surgeon in the

a very successful seminar at its

results, including a guest lecture

city and consultant ophthalmologist

facility. More than 100 ophthalmolo-

by Dr. Samer Malas.

at Medicare Lahore.

Qasim Lateef Chaudhry, MD, and his team perform a live Femto LASIK surgery during the seminar

Ophthalmological Society of Pakistan, Lahore Branch – senior members on the occasion of the seminar with guest speaker

AMARIS Symposium in Guangzhou On occasion of this year’s APAO,

than 90 doctors listened to pre-

from Beijing Tongren Eye Center.

the Chinese SCHWIND distributor

sentations by renowned refractive

Amongst others, topics as TransPRK,

MingWang held an AMARIS Refrac-

surgeons such as Professor Li Ying

customised treatments, PresbyMAX

tive Surgery Summit Symposium

from Peking Union Medical College

and

in Guangzhou on March 31st. More

Hospital and Professor Zhang Fengju

cussed.

More than 90 attendees at the AMARIS Refractive Surgery Summit Symposium

Issue 2/2015 

surgical

skills

were

dis-

Li Hayan, MD, created for his presentation two hearts as a symbol for a successful partnership between the user and AMARIS technolgy

Page 5 of 12

news IOL calculation with the ray tracing method using the SCHWIND SIRIUS Scheimpflug Analyser By Diego de Ortueta, MD, and Dipl.-Ing. Dennis von Rüden, Aurelios Eye Clinic, Recklinghausen, Germany ■  Determining

the combined corneal

of 3rd and 4th generation formulae

refractive index also requires

for IOL calculation after refractive

knowledge of the posterior sur-

corneal surgery are based on the

face of the cornea or, to be more

lens position. In ray tracing, the

precise, the ratio between the geo-

lens position is referred to as pre-

metry of the anterior and posterior

calculated, hence PLP (predicted lens

surfaces. As keratometers and

position). In the calculation formu-

The term “ray tracing” refers to the

video keratoscopy only measure

lae, the so-called ELP (effective lens

tracking of light rays through an

the anterior surface of the cor-

position) should really be designated

optical system such as the human

nea, a standardized algorithm is

as the assumed lens position.

eye. The advantage it offers over

used to calculate the combined

all other IOL calculation methods is

refractive index based on the re-

The ELP is based on a “reverse cal-

that it does not require the use of

fractive index of the anterior sur-

culation” with the help of preopera-

a “general” eye model as the basis

face. As a result, a notional corneal

tive and postoperative information,

for the IOL calculation. Instead, the

refractive index is erroneously

such as the refraction or the cur-

patient’s biometric and topographic

incorporated into the calculation.

vature of the cornea. Missing or

Diego de Ortueta

Dennis von Rüden

data can be used to create a “per-

even erroneous data from external

sonalised” eye model. The integra-

Both IOL calculation using the ray

keratorefractive laser eye surgery

tion of the specific topographic data

tracing method and the majority

means that the IOL calculation em-

is particularly relevant, as measurement of the corneal refractive index is the source of errors in the conventional IOL calculation methods for eyes which have previously undergone keratorefractive surgery. Possible reasons for this are: ■  Keratometer

data record just a

small, central section of the anterior cornea and largely ignore the altered asphericity of the cornea in keratorefractive myopia and hyperopia correction. Page 6 of 12 

Measuring with the SCHWIND SIRIUS

Issue 2/2015

Summary of calculation data (Fig. 1)

IOL power and indices for image quality (Fig. 2)

ploying the formulae is not only time-

biometry (the axial length of the eye is

Point Spread Function). In addition

consuming, but also imprecise.

required) as well as knowledge of the

to the PSF, the Strehl ratio is also

exact parameters of the intraocular

calculated, i.e. the quotient of the

The advantages of an IOL calcula-

lens to be used. In our experience, it

maximum intensity of the PSF for

tion with the ray tracing method

is important to pay attention to the

the eye to be measured and the

using the SCHWIND SIRIUS diag-

following points when measuring:

maximum for the ideal, aberration-

nostics

The

■  Always

free eye. These indices allow you

Scheimpflug technique allows mea-

miosis

system

are

clear.

perform measurements in

to draw conclusions about the post-

surement of the depth of the ante-

■  Ensure

rior chamber, so the actual geo-

■  Check

metric, postoperative position of

offset

optimal centring

the plausibility of the pupil

(Fig. 2).

Conclusion:

the IOL (distance between posterior corneal apex and anterior IOL apex)

The “Cataract Summary” button in the

can be calculated approximately. In

toolbar takes you to the ray tracing

addition, the patient’s topographic

calculation program. After checking

data for the anterior and posterior

the quality of the measurement and

surfaces of the cornea can also be

entering the biometric data and

integrated in the IOL calculation.

the IOL parameters, the IOL power is suggested, based on the target

The prerequisite for the ray tracing

refraction (Fig. 1). Depending on the

calculation is a perfectly executed

selected IOL power, the predicted

measurement with the SCHWIND

distribution of the light intensity on

SIRIUS diagnostics system and the

the retina is then shown (PSF =

Issue 2/2015 

operative optical image formation

We have integrated ray tracing IOL calculation with the SCHWIND SIRIUS diagnostic system for eyes which have previously undergone keratorefractive surgery in our clinic because the results are very satisfactory and considerable time savings are achieved compared with other popular IOL calculation methods.

Page 7 of 12

news Sophisticated marketing strategy Dardenne Eye Clinic in Germany markets LASIK with the AMARIS 1050RS Since June 2015, Dardenne Eye Clinic in Bonn, Germany, has been using the SCHWIND AMARIS 1050RS for LASIK treatments. The clinic has developed a comprehensive marketing strategy with the aim of boosting its patient volume. The clinic, with its attractive combination of old and new architectural styles, is a familiar feature of the Bad Godesberg district of Bonn. Run by Prof. Dr. Alireza Mirshahi and Dr. Thomas Haupt, Dardenne Eye Clinic is one of the major ophthalmology centres in Germany, with around

Dardenne Eye Clinic

10,000 eye surgeries being per-

Continuing medical education is also

tracking is completely unrivalled,”

formed there every year. In addition

given particular importance in the

said Dr. Thomas Haupt. An impor-

to its main focus on cataract sur-

clinic.

tant part of the strategy is a transparent, easy-to-understand price

gery, the range of procedures performed also includes glaucoma and

Transparent fixed prices

retinal surgery as well as eyelid,

By

of

ding all the check-ups and any

corneal and refractive surgery. The

SCHWIND laser systems, the AMARIS

necessary corrections within the

clinic is ISO-certified and sets great

1050RS, Dardenne Eye Clinic has

first year of treatment. “We’re not

store by its sophisticated hygiene

now positioned itself in the pre-

working with loss leaders here,”

and quality concept, a key element

mium segment of refractive surgery

added Dr. Haupt.

of which is providing patients with

with the aim of establishing premi-

comprehensive advice and support.

um LASIK as a byword for quality

Alireza Mirshahi, MD, Clinical Director

Page 8 of 12 

Dr. Thomas Haupt, Chief Operating Officer

purchasing

the

structure for LASIK surgery, inclu-

flagship

LASIK hotline

and reliability. “We

To catch the attention of potential

decided

the

LASIK candidates in the local area

world’s fastest and

around Bonn in particular, the clinic

safest excimer laser.

launched a carefully planned and

The repetition rate of

multifaceted advertising campaign

1,050 Hz is the fas-

to mark the inauguration of the

test currently avai-

AMARIS 1050RS. This includes a

lable, and in terms

LASIK hotline which is manned by

of safety the 7D eye

trained employees and promoted

on

Issue 2/2015

across all the planned communication channels, as well as a userfriendly microsite (www.brillenlos. com) which provides information about LASIK with helpful illustration – including a notice about upcoming information evenings. The clinic also produced an information video, which follows a LASIK patient through the entire treatment process from preoperative examination through to postoperative check-up. The video is employed in various ways: at the information evenings,

LASIK with SCHWIND AMARIS 1050RS

on the Internet and on social media,

flyer, which was placed in gyms and

professionals who refer patients is

and even in a cinema advert (in an

driving schools, for example.

particularly important to Dardenne

edited version), which runs at a

Eye Clinic. With this in mind, all

cinema in Bonn for six months. To

Target group campaign

referrers – mostly practising ophthal-

round off its communication, in

All this was complemented with

mologists who specialise in more

August the clinic placed a radio

direct dialogue. In a one-day pro-

conservative treatments – were sent

advert on the most popular local

motional campaign, hostesses in

a letter and an information brochure

private radio station, which ran for

green Dardenne polo tops intervie-

on the AMARIS 1050RS. In addition,

a period of six weeks, as well as a

wed passers-by in Bonn city centre

the clinic organised an information

range of adverts in local newspapers

about LASIK, and handed out flyers.

stand at a medical training work-

and on social networks plus a LASIK

Good cooperation with the medical

shop on OCT in June to publicise the introduction of the new laser. A campaign which is already bearing fruit. After just a few months, the clinic has already recorded a considerable increase in treatments and a significantly larger number of patients interested in LASIK. Contact information: Dardenne Eye Clinic Dr. Thomas Haupt Managing Director Tel.: +49 (0) 228/8303-115

Impressions from the new LASIK video

Issue 2/2015 

Email: [email protected]

Page 9 of 12

news Turkish Eye Surgeons at SCHWIND Leader Meeting from 28th to 31st

The agenda included a tour through

surgeons visited SCHWIND eye-tech-

of May 2015. During a side trip to

the production area, product presen-

solutions in Kleinostheim, Germany.

the “Haus der Optik” (House of

tations and demonstrations in the

The Turkish SCHWIND distributor,

Optics), the visitors became well

showroom. The resonance from the

VSY, selected the Rhine-Main region

acquainted with SCHWIND facilities

doctors regarding the multifaceted

around Frankfurt for its 8th Opinion

and technologies.

programme was very positive.

© Tobias Ewering

In May, a group of 40 Turkish eye

Page 10 of 12 

Issue 2/2015

An excellent network

The SCHWIND Sales team sets great store by fairness The family-owned company SCHWIND eye-tech-solutions sells its laser systems in more than 120 countries around the world. SCHWIND itself is directly responsible for sales and distribution in the Baltic States, Germany, France and Italy, and has carefully selected distribution partners in the other countries. The SCHWIND Sales team has a wide range of duties, including supporting and advising customers and potential users. The Sales department functions as an “interface” between SCHWIND and the customer, is the first port of call for any requests © Claudia Werner

and requirements, develops customised solutions and is always on hand to answer any questions.

Best Practice The department also guides and

The SCHWIND Sales team. From left to right: Christian Prinz, Alexander Schroeck, Vice President Sales Michael Fichtner, Anja Segschneider and CEO Rolf Schwind,. Not pictured: Franck Penin.

supports the distributors in the

The Sales organisation within the

“A strong Sales operation in our

other countries. Centralised control

company is operated under the

very competitive industry is founded

lays the foundation for more trans-

overall supervision of CEO Rolf

on the high level of skills and

parent and cost-efficient global

Schwind, who is also active in the

market knowledge of our em-

sales and distribution activities,

Sales department himself. Together

ployees and partners. It is just

making

speedily

with the Vice President Sales,

as important for us that users

identify best practices adopted by

Michael Fichtner, and the country

and interested parties can put

individual distributors and recom-

managers Franck Penin, Christian

their trust in SCHWIND. Continuity,

mend them to others. Attending

Prinz, Alexander Schroeck and Anja

reliability, fairness and honesty

numerous national and internatio-

Segschneider, he is responsible for

are the guiding principles of how

nal ophthalmology congresses is

the world market. An additional four

we do business,” explained Rolf

also part of the department‘s remit

members of staff are also employed

Schwind.

area of responsibility.

in sales processing.

it

possible

Issue 2/2015 

to

Page 11 of 12

“Great improvement in quality of life” SCHWIND employee treated with TransPRK and SmartPulse Nadine Dietrich, executive assistant at SCHWIND, deals with the topic of laser eye surgery every day. After many years of wearing glasses and contact lenses, the 36-year-old recently underwent laser treatment with the SCHWIND AMARIS 1050RS to correct her ametropia (-4.75 D in the left eye and -5.00 D in the right eye). The surgery was performed by © Alexander Schroeck

Dr Diego de Ortueta, Head of the Aurelios Eye Clinic in Recklinghausen, Germany. “For safety reasons, a ‘no touch’ TransPRK was the only procedure that was an option for me, because the treatment does not require a flap. In addition, I do sports

From left to right: Maria Widdermann, Dennis von Rüden, Nadine Dietrich and Dr Diego de Ortueta, Aurelios Eye Clinic

regularly,” said Nadine Dietrich. The

next day, the epithelium had already

cut onions without crying any more.

availability of the new SmartPulse

healed over two thirds. After just

My husband will have to do that

technology also played a significant

three days, the foreign body sen-

from now on,” commented Nadine

role in her decision to undergo

sations had disappeared and she

Dietrich with a grin, before adding:

the surgery.

could see without any noticeable

“All in all, my new vision offers

limitations. After removal of the

me a much better quality of life. It’s

The treatment flew by for Nadine

bandage contact lens, visual acuity

a really amazing feeling to wake

Dietrich and was painless, from

on the fourth day was around 60

up every day and be able to see

insertion of the lid speculum to

percent. Six weeks after the treat-

clearly straight away. My eyes

the lasering itself. The laser beam

ment, her visual acuity was as good

aren’t dry and tired of an evening

felt like nothing more than a “gust

as it was with her glasses or con-

any more. I also don’t have to

of air” on her eye. The ablation –

tact lenses before the treatment.

plan for which activities I have to

including the epithelium – took just

take lenses, eyecare products or

38 seconds per eye. Directly after

Amazing feeling

glasses with me – whether it’s

the surgery, her visual acuity was

“The only disadvantage compared

for work, the family or sport. That

approximately 40 per cent. The

with contact lenses is that I can’t

saves me time and money!”

Imprint SCHWIND eye-tech-solutions GmbH & Co. KG · Mainparkstrasse 6-10 · D-63801 Kleinostheim, Germany fon: +49 (0) 60 27 – 5 08-0 · email: [email protected] · www.eye-tech-solutions.com

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Issue 2/2015