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Market Start for SCHWIND SIRAMA® - SCHWIND eye-tech-solutions

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news<br />

Issue 2/2012<br />

Save the Date<br />

<strong>Market</strong> <strong>Start</strong> <strong>for</strong> <strong>SCHWIND</strong> SIRAMA ®<br />

Nanosecond laser launched at the ESCRS Congress 2012<br />

The <strong>SCHWIND</strong> SIRAMA has arrived<br />

(previously known as the SmartTech<br />

Laser). The answer from <strong>SCHWIND</strong><br />

<strong>eye</strong>-<strong>tech</strong>-<strong>solutions</strong> to femtosecond<br />

lasers was launched into the market at<br />

the ESCRS Congress 2012 in Milan, Italy.<br />

The new nanosecond laser enables<br />

nano-precise cuts and uniquely smooth<br />

cut surfaces when creating flaps. Its<br />

innovative microchip laser ensures<br />

short treatment times and maximum<br />

safety. The <strong>SCHWIND</strong> SIRAMA has integrated<br />

pupil detection and takes input<br />

from the pupil offset into account.<br />

The name <strong>SCHWIND</strong> SIRAMA has<br />

two meanings. For one, „SIRAMA“ is a<br />

regional type of the so-called panther<br />

chameleon (Furcifer Pardalis). Its home<br />

is in Madagascar and it is capable of<br />

special per<strong>for</strong>mance. It can effectively<br />

and precisely adapt to changing conditions<br />

like no other creature. Unique<br />

in its own way, the <strong>SCHWIND</strong> SIRAMA<br />

is also closely associated with the<br />

<strong>tech</strong>nological leading <strong>SCHWIND</strong> AMARIS<br />

excimer laser. There is a bit of panther<br />

in the Furcifer Pardalis, and furthermore,<br />

the name AMARIS spelled backwards<br />

is the name SIRAMA.<br />

The slogan „Sirafy your <strong>eye</strong>s“ is the<br />

synonym <strong>for</strong> treatment with the nanosecond<br />

laser. „Sirafy“ has its root word<br />

in the first part of the name [SIRA]MA<br />

and becomes therewith an action.<br />

„Sirafy your <strong>eye</strong>s“ invites doctors and<br />

patients to decide <strong>for</strong> the innovative<br />

nanosecond <strong>tech</strong>nology. The slogan<br />

creates an association with the trademark<br />

claim „Trust your <strong>eye</strong>s“, therewith<br />

manifesting the origin at a linguistic<br />

level and accelerating the learning<br />

process.<br />

14th <strong>SCHWIND</strong> User Meeting<br />

17.-20.01.2013, Telfs, Austria<br />

Additionally, <strong>SCHWIND</strong> Dual Per<strong>for</strong>mance,<br />

the device combination of the<br />

<strong>SCHWIND</strong> SIRAMA and the <strong>SCHWIND</strong><br />

AMARIS, was also presented at the<br />

ESCRS Congress. The high-per<strong>for</strong>mance<br />

package of nanosecond laser<br />

and excimer laser optimises workflow<br />

and offers high treatment com<strong>for</strong>t.<br />

This includes perfectly coordinated<br />

pupil centration, less space requirement<br />

through swiveling laser arms and<br />

patient bed, as well as an attractive,<br />

harmonious design.<br />

Issue 2/2012 Page 1 of 12


news<br />

Network Solution <strong>SCHWIND</strong> MEDNET<br />

Offering 24/7, central availability of all planning and treatment data<br />

Today, laser clinics are faced with the<br />

challenge of managing ever increasing<br />

amounts of their patients’ treatment<br />

data efficiently and securely.<br />

<strong>SCHWIND</strong> MEDNET meets this<br />

challenge with its intelligent and<br />

standardised features. This innovative<br />

network solution combines the<br />

<strong>SCHWIND</strong> <strong>tech</strong>nologies used in each<br />

clinic simply and consistently. It<br />

incorporates with a clinic’s existing<br />

IT infrastructure. All of the clinical<br />

data generated by <strong>SCHWIND</strong>’s diagnostic<br />

equipment and laser systems<br />

is centrally stored and can be called<br />

up and processed at the workstations<br />

via <strong>SCHWIND</strong> MEDNET<br />

using the appropriate software. This<br />

improves practice and surgery workflow<br />

efficiency in the medical environment.<br />

The service package also<br />

includes online remote services <strong>for</strong><br />

<strong>tech</strong>nical and application support.<br />

Optimised workflows<br />

An example from clinical practice: If<br />

<strong>SCHWIND</strong> MEDNET is not available,<br />

the medical assistant has to take the<br />

patient’s <strong>eye</strong> measurements on the<br />

diagnostic system and save the data<br />

on an SD card. The SD card and a<br />

print-out of the data are then passed<br />

to the ophthalmic surgeon who examines<br />

the patient, plans the treatment<br />

on the basis of this data, saves<br />

the treatment profile on an SD card<br />

again, imports the data onto the<br />

laser system and then carries out<br />

the treatment. In practices where<br />

<strong>SCHWIND</strong> MEDNET is used, however,<br />

the medical assistant saves the<br />

patient’s diagnostic measurements<br />

centrally on a file server. The surgeon<br />

downloads these measurements<br />

as required on a panel PC in<br />

order to plan the treatment and<br />

then saves the treatment profile on<br />

the file server. The <strong>eye</strong> laser then<br />

picks up the profile from there <strong>for</strong> the<br />

subsequent treatment of the patient.<br />

In this way, the medical assistant<br />

and surgeon are able to work independently<br />

of each other. Thanks to<br />

Online Remote Services<br />

<strong>SCHWIND</strong> MEDNET, the time spent<br />

treating each patient can be reduced<br />

by up to 30 minutes.<br />

Network <strong>tech</strong>nology<br />

The centre piece of <strong>SCHWIND</strong><br />

MEDNET is a file server with two hard<br />

disks and redundant data storage.<br />

This solution gives the user an extremely<br />

high level of reliability in the<br />

event of a hard disk failure. The<br />

planning and treatment data is<br />

stored centrally, giving all panel PCs<br />

in the <strong>SCHWIND</strong> systems access to<br />

the same database on the file server.<br />

The <strong>SCHWIND</strong> MEDNET Manager<br />

software controls the flow of data<br />

securely, reliably and consistently.<br />

Page 2 of 12 Issue 2/2012


All the user has to do is to click on<br />

“Save”: there is no need to remember<br />

any file paths. All of the files are<br />

then initially stored temporarily on<br />

the <strong>SCHWIND</strong> panel PC in a “Delegate”<br />

folder and are then automati-<br />

MEDNET <strong>for</strong> Optimax Group<br />

Optimax London – Finchley Road<br />

<strong>SCHWIND</strong> MEDNET has been in use at the Optimax Laser<br />

Eye Surgery Group, Great Britain and Northern Ireland since<br />

the beginning of 2012. Optimax was established there<br />

in 1991 as one of the first private laser clinics and now<br />

operates laser centres at 30 locations from Belfast to<br />

Southampton. <strong>SCHWIND</strong> MEDNET is currently in use at four<br />

Optimax laser centres in Birmingham, Leeds, London and<br />

Manchester with the networking of other locations to follow.<br />

The installation of <strong>SCHWIND</strong> MEDNET at each location<br />

took only three hours. To ensure that the installations were<br />

carried out smoothly, <strong>SCHWIND</strong> provided Optimax with the<br />

installation requirements, supplied the necessary additions<br />

to the network infrastructure, and Optimax appointed<br />

an internal IT representative to supervise the implementation<br />

of the system at the clinics. The <strong>SCHWIND</strong> <strong>tech</strong>nicians<br />

then set up the network, comprising the <strong>SCHWIND</strong><br />

AMARIS laser system, the <strong>SCHWIND</strong> SIRIUS diagnostic<br />

system, a panel PC <strong>for</strong> treatment planning and a central file<br />

server, and ensured that it operated safely and reliably.<br />

cally transferred by the <strong>SCHWIND</strong><br />

MEDNET Manager into the corresponding<br />

product lists on the file server.<br />

The system is easy to operate even<br />

in the event of a network failure: all<br />

the new files are collected in the<br />

“Delegate” folder. When the network<br />

is up and running again, the transfer<br />

is started automatically, dispensing<br />

with the usual manual copying of data<br />

into the network and the susceptibility<br />

to errors this procedure entails.<br />

In addition, a more comprehensive solution was devised<br />

to meet Optimax’s requirement <strong>for</strong> a system capable of<br />

importing and processing treatment data to the clinics’<br />

in-house practice management software. This solution<br />

also enables Optimax to analyse economic factors, such<br />

as the number and types of treatments carried out each<br />

month at a particular location.<br />

Beata Mc Manus, Managing Director of the Optimax Group,<br />

had the following to say about this solution: “Optimax<br />

has always been keen to use up-to-date <strong>tech</strong>nology to<br />

advantage. The <strong>SCHWIND</strong> MEDNET solution enables us<br />

to preserve our good record with security and stability<br />

by using the network to transfer patient data to the laser<br />

rather than using detachable media like SD cards or flash<br />

drives which have the potential to introduce malware.<br />

With <strong>SCHWIND</strong>'s help, we have been using the MEDNET<br />

solution in order to transfer and save the treatment<br />

data with the patients’ medical record. We were very<br />

impressed with the reports and logs on the <strong>SCHWIND</strong><br />

equipment, so that in the future we will be also attaching<br />

the SIRIUS scans and treatment summary to create a complete<br />

medical record. The attention<br />

to detail while maintaining<br />

data integrity and still being able<br />

to fulfil the customer’s requirements<br />

(e.g. in terms of a simple<br />

installation) is something that<br />

has been handled exceptionally<br />

well by the MEDNET solution<br />

and the company in general.” Beata Mc Manus, Optimax<br />

Issue 2/2012 Page 3 of 12


news<br />

Clipped PALK with <strong>SCHWIND</strong> AMARIS ®<br />

A new repair tool in refracto-therapeutic corneal laser surgery<br />

The newest version of the <strong>SCHWIND</strong><br />

PALK-CAM software module integrates<br />

the innovative option of<br />

Clipped Pachymetry Assisted Laser<br />

Keratectomy (PALK), which offers<br />

successful repair procedures in<br />

patients with complicated corneal<br />

pathologies including irregular<br />

pachymetry and significant higherorder<br />

aberrations (HOAs). The<br />

<strong>SCHWIND</strong> CAM software is used<br />

to generate a pachymetry-guided<br />

ablation profile based on <strong>SCHWIND</strong><br />

SIRIUS corneal data, and the<br />

<strong>SCHWIND</strong> AMARIS excimer laser is<br />

used to treat the patient.<br />

Thin cornea areas<br />

For the first time, Clipped PALK<br />

allows particularly thin cornea areas<br />

to be excluded from the ablation<br />

planning. Thanks to the detailed<br />

pachymetry data, in the case of a<br />

keratoconus patient, <strong>for</strong> example,<br />

the cornea is ablated uni<strong>for</strong>mly<br />

around the cone, while the cone itself<br />

is not ablated. The cornea thus<br />

achieves an altogether more regular<br />

thickness and thus a more homogeneous<br />

and stable structure. The<br />

goal of every treatment with Clipped<br />

PALK is to achieve the best possible<br />

quality of vision and increase in<br />

visual acuity. Which treatment type<br />

to use among the wide choice from<br />

A B<br />

A) <strong>SCHWIND</strong> SIRIUS pachymetry in<strong>for</strong>mation with central, minimum and maximum corneal<br />

thickness (409 µm, 390 µm and 661 µm) as well as topography with corneal radius of<br />

44.98 @ 165° and 52.12 @ 75°. B) <strong>SCHWIND</strong> CAM ablation profile with a diameter of 8.95 mm<br />

and a planned central and peripheral residual thickness of 350 µm and 500 µm respectively.<br />

the <strong>SCHWIND</strong> portfolio depends on<br />

the individual case and a detailed<br />

analysis. The use of Clipped PALK<br />

particularly makes sense if the<br />

patient’s pachymetry data show high<br />

inhomogeneity.<br />

Two examples<br />

With the Clipped TransPALK variant,<br />

the epithelium and the stroma are<br />

ablated by the AMARIS laser in a<br />

single step. No instruments touch<br />

the <strong>eye</strong>. In the following two examples,<br />

each <strong>eye</strong> surgeon chose a<br />

refracto-therapeutic treatment with<br />

Clipped TransPALK based on diagnostic<br />

analysis with corneal wavefront<br />

and pachymetric data. In both<br />

cases a bandage lens was inserted<br />

and kept in place until the epithelium<br />

completely regenerated.<br />

Case 1: Clipped Trans-<br />

PALK after intracorneal<br />

ring segment implantation.<br />

Maria Clara Arbelaez,<br />

MD, Muscat Eye Laser Center,<br />

Muscat, Oman.<br />

Ten months after implantation of<br />

an intracorneal ring segment, a<br />

44-year-old male patient showed<br />

uncorrected distance visual acuity<br />

(UDVA) of 20/63 with a manifest<br />

refraction of -3.25 D sphere and<br />

-2.25 D cylinder @ 150° and a best<br />

corrected distance visual acuity<br />

(BCDVA) of 20/40. The expected<br />

refractive result was -0.5 D sphere<br />

and -3.5 D cylinder @ 145°. Corneal<br />

collagen crosslinking was per<strong>for</strong>med<br />

directly after the ablation.<br />

Two months after treatment the<br />

patient achieved UDVA of 20/50.<br />

The BCDVA improved to 20/28<br />

Page 4 of 12 Issue 2/2012


with -2.50D sphere and -4.00D cylinder<br />

@ 155°.<br />

Case 2: Clipped Trans-<br />

PALK due to a complex<br />

epithelial regrowth after<br />

cataract surgery. Detlef<br />

Uthoff, MD, Markus<br />

Pölzl, MD, Eye Clinic<br />

Bellevue, Kiel, Germany.<br />

Six months after a complicated<br />

cataract surgery, a 71-yearold<br />

male patient complained of<br />

increasing impairment of vision such<br />

as ghosting and increasing blur. The<br />

uncorrected distance visual acuity<br />

(UDVA) was 20/400 with a manifest<br />

refraction of +4.75 D sphere and<br />

-6.00 D cylinder @ 85° and the best<br />

corrected distance visual acuity<br />

(BCDVA) was 20/32. Anterior surface<br />

topography showed irregular againstthe-rule<br />

astigmatism and superonasal<br />

steepening – coinciding with the<br />

cataract incision. Corneal wavefront<br />

analysis at 6.0 mm exposed significant<br />

higher-order aberrations. The<br />

corneal thickness profile showed to<br />

be significantly thicker than normal<br />

with a central value of 581 µm. It was<br />

surrounded by an annulus of asymmetric<br />

thickening matching the irregularities<br />

seen on topography. The<br />

expected refractive result was +1.0 D<br />

sphere and -1.75D cylinder @ 49°.<br />

Immediately after completing ablation<br />

with a 9.5 mm optical zone,<br />

cooled BSS (~+4°C) was irrigated<br />

A B<br />

C D<br />

<strong>SCHWIND</strong> SIRIUS in<strong>for</strong>mation: A) Topography with irregular, superior steepening. B) Pachymetry<br />

with central, minimum and maximum corneal thickness (581 µm, 574 µm, and 849 µm).<br />

C) Wavefront with RMS HO 2.25 µm as well as D) the <strong>SCHWIND</strong> CAM ablation profile with a<br />

diameter of 9.50 mm with a planned central and peripheral residual thickness of 523 µm<br />

and 746 µm respectively.<br />

and MMC was applied <strong>for</strong> 35 seconds.<br />

20 days after the procedure, the<br />

patient showed a UDVA of 20/25. The<br />

BCDVA with -0.50D sphere and 0.50D<br />

cylinder @ 40° improved to 20/22.<br />

No haze was seen during slit lamp<br />

examination.<br />

Summary: The goal of both treatments<br />

was to achieve the best possible<br />

compromise between a refractive<br />

correction and a topographic and<br />

pachymetric regularisation. The post-<br />

operative topographic evaluations<br />

showed distinctive smoothing of the<br />

corneal surface. This conclusion was<br />

supported by wavefront in<strong>for</strong>mation<br />

with significantly reduced higherorder<br />

aberrations. The postoperative<br />

corneal thickness profile confirmed<br />

the precision of the laser ablation<br />

with Clipped PALK and was excellently<br />

consistent with the pattern<br />

of the theoretically planned ablation.<br />

Issue 2/2012 Page 5 of 12


news<br />

Contact <strong>for</strong> all Applicative Questions<br />

Customer Support assists users with comprehensive know-how<br />

The applicative possibilities <strong>for</strong> users in<br />

refractive laser surgery are becoming<br />

increasingly complex as <strong>tech</strong>nical<br />

innovations develop more quickly.<br />

Sustained customer support after the<br />

sale of a laser system has a very<br />

high priority at <strong>SCHWIND</strong>. There<strong>for</strong>e<br />

the company invests in a special<br />

department that provides continuous,<br />

individual and prompt support <strong>for</strong><br />

the refractive surgeons and their<br />

applicative concerns. The employees<br />

of the Customer Support Department<br />

are not only experts on all <strong>SCHWIND</strong><br />

<strong>tech</strong>nologies; they are also very familiar<br />

with the scientific world of refractive<br />

and therapeutic corneal surgery.<br />

User services offered by the Customer<br />

Support Department include:<br />

■ Comprehensive product training<br />

on-location. Duration: typically<br />

three to five days - depending<br />

on the individual requirements of<br />

a clinic. Assistants also receive<br />

full instruction on the diagnostic<br />

devices.<br />

■ Product training in the <strong>SCHWIND</strong><br />

Demo Centre in Kleinostheim,<br />

Germany<br />

■ Applicative support and consultation<br />

via telephone hotline and<br />

email.<br />

■ Support and consultation during<br />

international congresses.<br />

Bastian Bratenstein, Customer Support Manager (left) and Thomas Magnago, Head of Customer<br />

Support Department, analyse a diagnostic measurement.<br />

Massimo Camellin, MD, Italy<br />

I have been per<strong>for</strong>ming surgery with<br />

<strong>SCHWIND</strong> <strong>tech</strong>nologies since 2001,<br />

beginning with the ESIRIS. I have been<br />

using the AMARIS since 2008. I always<br />

had great results with the ESIRIS, but<br />

the AMARIS provides me with many<br />

additional options <strong>for</strong> per<strong>for</strong>mance of<br />

special procedures. Among these is,<br />

<strong>for</strong> example, customised treatment<br />

of vision problems following Radial<br />

Keratotomy, or combination of the<br />

excimer laser treatment with corneal<br />

cross-linking.<br />

Aside from the extraordinary and<br />

excellent <strong>tech</strong>nological per<strong>for</strong>mance<br />

of the laser system, I strongly rely on<br />

the flexibility and the high level of professional<br />

knowledge of the <strong>SCHWIND</strong><br />

Application Department. Whatever I<br />

ask about or wish <strong>for</strong>, I receive prompt<br />

support every time. The Customer<br />

Support experts are always prepared<br />

Page 6 of 12 Issue 2/2012


to visit me in my clinic and to work with<br />

me on special cases or problems. It is<br />

the combination of state-of-the-art<br />

<strong>tech</strong>nology and a perfect human relationship<br />

that satisfies me and makes<br />

<strong>SCHWIND</strong> a special company <strong>for</strong> me.<br />

Erika Eskina, MD, Russia<br />

The ‘Sphere’ Eye Laser Surgery Clinic<br />

in Moscow, established in 1996, was<br />

at that time one of the first clinics<br />

in Russia to develop an individual<br />

approach to the treatment of <strong>eye</strong><br />

diseases. We started working with<br />

<strong>SCHWIND</strong> <strong>tech</strong>nologies in 2006 – first<br />

with the ESIRIS laser and the Carriazo-<br />

Pendular microkeratome, and since<br />

the beginning of 2012 with the AMARIS.<br />

As “Sphere” serves as a reference<br />

clinic in Russia, contact with the<br />

<strong>SCHWIND</strong> Customer Department<br />

occurs on a fairly regular basis,<br />

either through exchange of emails or<br />

through personal visits. In my work,<br />

not only as a practitioner, but also<br />

as a scientist and professor, I need<br />

to be able to rely on my partners.<br />

I am happy to say that in all aspects,<br />

whether it is practical support, support<br />

<strong>for</strong> publications or support via email,<br />

I always receive fast and professional<br />

assistance whenever needed. The contact<br />

persons are personable and reliable,<br />

and I’m looking <strong>for</strong>ward now to<br />

the future, starting as the first clinic<br />

in Russia to per<strong>for</strong>m treatment of<br />

presbyopia with the AMARIS.<br />

Gerold Fiedler, MD, Germany<br />

„In our very long business relationship<br />

you doubtlessly rather know me as<br />

a critical user. Today I would like to<br />

take the opportunity to extend my<br />

special thanks to your Customer<br />

Support Department, in this case<br />

especially to Mr. Tobias Ewering.<br />

Although I have been intensively<br />

engaged in refractive surgery <strong>for</strong> 20<br />

years, I have come to rely on the<br />

profound <strong>tech</strong>nical knowledge of your<br />

experienced application specialists to<br />

supplement my clinical experience.<br />

This service, which is also surely<br />

cost-intensive, is not to be taken <strong>for</strong><br />

granted in your branch, which I know<br />

from less than pleasant experiences<br />

with major corporations. Even after<br />

the sale of a laser system not to be<br />

<strong>for</strong>gotten is such a strong advantage<br />

in the area of referral marketing that<br />

glossy brochures appear really weak<br />

in comparison. Your current success,<br />

<strong>for</strong> example, in the Far East, is certainly<br />

also due to the quality of your<br />

products.<br />

The average user, however, typically<br />

has only one laser system and cannot<br />

compare his own experience with<br />

others. But the professional, reliable<br />

and intensive support in problem cases<br />

gives us doctors peace of mind and<br />

further leverages word of mouth and<br />

recommendation marketing to new<br />

opinion leaders. I write these lines<br />

not only as thank-you <strong>for</strong> outstanding<br />

service, but also as an argument<br />

against corporations, who rather invest<br />

in cost-intensive turbo commercial<br />

campaigns instead of in continuous<br />

customer service. Having said this,<br />

I look <strong>for</strong>ward to continued successful<br />

cooperation.”<br />

<strong>SCHWIND</strong> <strong>eye</strong>-<strong>tech</strong>-<strong>solutions</strong><br />

Customer Support Department<br />

Hotline: +49 6027 508 333<br />

email: apm@<strong>eye</strong>-<strong>tech</strong>.net<br />

Issue 2/2012 Page 7 of 12


news<br />

<strong>SCHWIND</strong> Events at the ASCRS and DOC<br />

PresbyMAX Seminar at the DOC<br />

On the occasion of this year’s DOC<br />

congress in Nuremberg, Germany,<br />

<strong>SCHWIND</strong> hosted a seminar on<br />

PresbyMAX µ-Monovision in cooperation<br />

with the Bellevue Eye Clinic, Kiel.<br />

25 German-speaking refractive surgeons<br />

were brought up-to-date on the<br />

newest <strong>tech</strong>nology in presbyopia treatment<br />

with <strong>SCHWIND</strong> AMARIS laser<br />

systems. Moderated by Detlef Uthoff,<br />

MD, Eye Clinic Bellevue, detailed in<strong>for</strong>mation<br />

on new methods and current<br />

clinical results with PresbyMAX were<br />

key parts of the programme. Furthermore,<br />

treated patients reported on<br />

their expectations and experiences.<br />

Among these was refractive surgeon<br />

Michael Stade, MD, who successfully<br />

underwent treatment and also uses<br />

the new <strong>tech</strong>nology in his patients.<br />

The two-our practice-oriented seminar,<br />

where topics and questions of<br />

<strong>SCHWIND</strong> Social Dinner at the ASCRS Congress 2012<br />

PresbyMAX µ-Monovision Seminar at the DOC Congress 2012<br />

the participants were lively discussed,<br />

received great response.<br />

Social Dinner at the ASCRS<br />

On the occasion of this year’s ASCRS<br />

<strong>SCHWIND</strong> held a social dinner in<br />

Gibson’s Bar & Steak House in Chi-<br />

cago. More than 180 guests, primarily<br />

from Latin and South America, met<br />

<strong>for</strong> dialogue and experience exchange.<br />

Of particular interest were three presentations<br />

held by <strong>SCHWIND</strong> users.<br />

Detlef Holland, MD, Germany, presented<br />

a lecture on the new<br />

PresbyMAX µ-Monovision option, its<br />

advantages as well as the first clinical<br />

results. Luis Izquierdo Jr., MD,<br />

Peru, reported on his experiences<br />

with the AMARIS 750S laser system<br />

regarding cyclotorsion, centration, offset<br />

as well as high astigmatism.<br />

Jerry Tan, MD, Singapore, highlighted<br />

aspects as <strong>for</strong> example PTK,<br />

TransPRK, 6D Eye Tracking or Corneal<br />

Wavefront, which make <strong>for</strong> him the<br />

<strong>SCHWIND</strong> AMARIS 750S the optimal<br />

solution <strong>for</strong> many different uses, cases<br />

and clinical challenges.<br />

Page 8 of 12 Issue 2/2012


<strong>SCHWIND</strong> CXL-365 Vario System<br />

Corneal collagen cross-linking with <strong>SCHWIND</strong> AMARIS ® laser systems ®<br />

<strong>SCHWIND</strong> is consistently expanding<br />

its competence in therapeutic corneal<br />

surgery. The company is the first and<br />

only manufacturer of excimer laser<br />

systems to offer the integrated<br />

<strong>SCHWIND</strong> CXL-365 vario system <strong>for</strong><br />

the so-called corneal collagen crosslinking<br />

(CXL). CXL using ultraviolet A<br />

(UVA) light and riboflavin (vitamin B2)<br />

was introduced as a clinical application<br />

to stabilise the cornea by inducing<br />

cross-links within and between collagen<br />

fibres.<br />

Three power levels<br />

The <strong>SCHWIND</strong> CXL-365 vario system is<br />

equipped with three power levels of 3,<br />

9, and 18 mW/cm2 . The highest power<br />

level enables a cross-linking within five<br />

minutes. To protect the limbal stem<br />

cells and to focus the beam on the<br />

clear cornea the irradiation diameter<br />

can be variably adjusted from 7 mm<br />

to 11.3 mm on the patient’s <strong>eye</strong>. The<br />

CXL-365 comes with a high per<strong>for</strong>mance<br />

diode and special optics which<br />

ensure homogeneous illumination and<br />

constant irradiation intensity over the<br />

entire corneal surface. Thus hot spots<br />

are avoided and the endothelium is<br />

sufficiently protected. The <strong>SCHWIND</strong><br />

CXL-365 vario system is installed<br />

under the laser arm and can be<br />

moved back and <strong>for</strong>th. It can also<br />

be swivelled by 90°. In the parking<br />

position, the aperture is positioned<br />

above the external sensor. The energy<br />

check is easy to per<strong>for</strong>m prior to<br />

treatment. A small display shows<br />

the remaining treatment time. For<br />

treatment the system is moved to the<br />

left and swivelled by 90°.<br />

Easy positioning<br />

The treatment planes of the <strong>SCHWIND</strong><br />

AMARIS laser systems and the<br />

<strong>SCHWIND</strong> CXL-365 vario are identical.<br />

The precise x/y adjustment of the<br />

patient bed ensures easy patient<br />

positioning. All laser systems in the<br />

<strong>SCHWIND</strong> AMARIS product range can<br />

be optionally equipped with the<br />

<strong>SCHWIND</strong> CXL-365 vario system.<br />

Issue 2/2012 Page 9 of 12


news<br />

1,000th <strong>SCHWIND</strong> Eye Laser Installed<br />

In spring 2012, <strong>SCHWIND</strong> has installed<br />

the thousandth laser system <strong>for</strong><br />

the treatment of visual defects. “In<br />

reaching the number one thousand,<br />

we have achieved yet another milestone<br />

in the history of our company.<br />

This is a great motivation <strong>for</strong> us<br />

to continue to expand our strong<br />

market position,” commented CEO Rolf<br />

Schwind. The very first <strong>SCHWIND</strong> laser<br />

was delivered to South Korea in 1992.<br />

Today, the sixth generation of lasers<br />

enjoys high popularity across the<br />

globe: laser systems from the<br />

<strong>SCHWIND</strong> AMARIS product range have<br />

been installed worldwide, with the<br />

exception of the USA. In the business<br />

year 2011/2012 alone, over 100 lasers<br />

<strong>SCHWIND</strong> milestones 2002 to 2012<br />

were sold. Depending on the selected<br />

features, a clinic or <strong>eye</strong> surgeon can<br />

invest up to € 500,000 in the premium<br />

segment lasers of the <strong>SCHWIND</strong><br />

AMARIS product range and the corresponding<br />

diagnostic systems.<br />

The Bavarian-based, family-owned<br />

company sets great store by a continuous<br />

quality offensive in a market<br />

characterised by multinational, predominantly<br />

listed providers. And not<br />

without success: according to a recent<br />

survey conducted by the market<br />

researching company <strong>Market</strong> Scope,<br />

excluding the US market, <strong>SCHWIND</strong><br />

achieved a 34% global market share<br />

in laser sales in 2011. According to<br />

estimates by <strong>Market</strong> Scope, there are<br />

currently approximately 4,000 excimer<br />

lasers from various manufacturers in<br />

operation <strong>for</strong> the correction of visual<br />

defects in Asia, Australia, Europe,<br />

Central and Latin America.<br />

A pioneer in refractive surgery<br />

<strong>SCHWIND</strong> <strong>eye</strong>-<strong>tech</strong>-<strong>solutions</strong> is one<br />

of the pioneers of refractive surgery.<br />

Founded in 1958 and having started<br />

out as a complete provider <strong>for</strong> ophthalmologists,<br />

the 1990s saw the company<br />

start up its second sector: the development,<br />

production and sale of <strong>eye</strong> lasers<br />

<strong>for</strong> correcting visual defects. The first<br />

<strong>eye</strong> surgery with the first laser generation<br />

<strong>SCHWIND</strong> KERATOM was per-<br />

Page 10 of 12 Issue 2/2012


<strong>SCHWIND</strong> KERATOM <strong>SCHWIND</strong> KERATOM MULTISCAN<br />

<strong>SCHWIND</strong> ESIRIS <strong>SCHWIND</strong> AMARIS<br />

<strong>for</strong>med in 1992. In 1994, the company<br />

was the first supplier in the world<br />

to introduce a passive <strong>eye</strong>-tracking<br />

system as a standard feature. Since<br />

1999, <strong>SCHWIND</strong> has been focusing<br />

its complete expertise and all of its<br />

resources on laser <strong>eye</strong> surgery.<br />

Milestones include the development<br />

of unique corneal wavefront method<br />

which can be used to detect and<br />

smooth out smallest irregularities of<br />

the cornea. With the introduction<br />

of corneal thickness measurements<br />

(online pachymetry) as a decisive<br />

safety factor in laser treatment,<br />

<strong>SCHWIND</strong> has made headlines as<br />

a pioneer. The ‘TotalTech Laser’<br />

<strong>SCHWIND</strong> AMARIS has been a <strong>tech</strong>nology<br />

leader since its introduction in<br />

2007 and has impressed as a continuous<br />

pacesetter. 2009 heralded<br />

the integration of the world’s first<br />

six-dimensional <strong>eye</strong> tracking system,<br />

which actively compensates all possible<br />

<strong>eye</strong> movements. 2010 saw the<br />

market launch of the flagship<br />

<strong>SCHWIND</strong> AMARIS 750S, which reduces<br />

the treatment to just 1.5 seconds<br />

per dioptre at a pulse frequency of<br />

750 Hertz. Since the beginning of 2012,<br />

the <strong>SCHWIND</strong> AMARIS product range<br />

has been offering the latest <strong>tech</strong>nology<br />

<strong>for</strong> the treatment of presbyopia with<br />

the new PresbyMAX ® µ-Monovision<br />

method. The procedure ensures excellent<br />

visual acuity at all distances and<br />

provides quick and high patient satisfaction.<br />

Last but not least, the nanosecond<br />

laser <strong>SCHWIND</strong> SIRAMA was<br />

launched in the market on occasion of<br />

the ESCRS 2012.<br />

A new high-<strong>tech</strong> laser from <strong>SCHWIND</strong><br />

is the fruit of over three years’ research<br />

and development per<strong>for</strong>med in order<br />

to make the tailor-made hardware with<br />

highly-developed software programmes<br />

ready <strong>for</strong> its market launch.<br />

Issue 2/2012 Page 11 of 12


Nomination Distinction <strong>for</strong> <strong>SCHWIND</strong> SIRAMA ®<br />

The new <strong>SCHWIND</strong> SIRAMA (<strong>for</strong>mer<br />

SmartTech Laser) was recently nominated<br />

<strong>for</strong> the Berthold Leibinger<br />

Innovationspreis 2012. The jurors<br />

named the innovative laser system,<br />

which creates LASIK flaps on the basis<br />

of nanosecond <strong>tech</strong>nology, as prizedeserving<br />

development work in applied<br />

laser <strong>tech</strong>nology.<br />

The Berthold Leibinger Innovationspreis<br />

honors scientists and developers<br />

who make advancements in the field<br />

of laser <strong>tech</strong>nology. Since 2000, the<br />

Berthold Leibinger Stiftung has presented<br />

the award every two years <strong>for</strong><br />

excellent research and development<br />

In June the Muscat Eye Laser Center<br />

celebrated ten years of <strong>eye</strong> care excellence.<br />

Founded in 2002, it has developed<br />

into Oman's largest and best<br />

established <strong>eye</strong>-care services provider<br />

in the private sector and is one of the<br />

most renowned addresses <strong>for</strong> refractive<br />

and therapeutic corneal surgery<br />

in the gulf region. The specialist team<br />

is led by Maria Clara Arbelaez, MD,<br />

a renowned refractive surgeon from<br />

Colombia with over 20 years of experience<br />

in Latin America, the Caribbean<br />

and the Middle East. She has more<br />

than 50.000 successful <strong>eye</strong> surgeries<br />

to her credit. Coinciding with the laser<br />

Prof. Dr. Alfred Vogel, Director Institute of Biomedical Optics, Prof. Dr.-Ing. Berthold Leibinger,<br />

founder of the Berthold Leibinger Stiftung, and Rolf Schwind, <strong>SCHWIND</strong> CEO, at the presentation<br />

of the nomination distinction.<br />

work on the application or generation<br />

of laser light. It is one of the highest<br />

Ten Years Muscat Eye Laser Center<br />

center’s jubilee is the fact that Dr.<br />

Arbelaez has also used <strong>tech</strong>nologies<br />

Imprint<br />

<strong>SCHWIND</strong> <strong>eye</strong>-<strong>tech</strong>-<strong>solutions</strong> GmbH & Co. KG · Mainparkstrasse 6-10 · D-63801 Kleinostheim, Germany<br />

fon: +49 (0) 60 27 – 5 08-0 · email: info@<strong>eye</strong>-<strong>tech</strong>.net · www.<strong>eye</strong>-<strong>tech</strong>-<strong>solutions</strong>.com<br />

remunerated international innovation<br />

prizes <strong>for</strong> laser <strong>tech</strong>nology.<br />

Rolf Schwind, CEO <strong>SCHWIND</strong>, congratulates Maria Clara Arbelaez, MD, Medical Director, and<br />

Sameer Al Awam, CEO of the Muscat Eye Laser Center, <strong>for</strong> their ten-year anniversary.<br />

from <strong>SCHWIND</strong> <strong>for</strong> ten years, starting<br />

in 2002 with the <strong>SCHWIND</strong> ESIRIS.<br />

Page 12 of 12 Issue 2/2012

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