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5thGenerationIntraLase TechnologyRefractiveProductManagerZhaochunLi IntraLase FSTechnologyAn8YearLegacyofInnovation Over2MillionIntraLaseFSProceduresPerformedWorldwide NewIntraLaseTechnology5thGenerationFemtosecondLaser HIGHLIGHTS Inverted Bevel In SideCutAngleEllipticalFlapOptionHigherRepetitionRateTighterSpotSeparation LowerEnergyVirtuallyEffortlessFlapLiftLowerIncidenceofOBLinInitialClinicalExperience Chayet LessOBLobserved lessthan10 overall OBLwassoftandtypicallydissipatedimmediatelyuponflapliftHi ResDigitalVideoMicroscopewithTouchScreenNewUserInterface Keyboard andTouchScreenErgonomicallyDesignedforMaximumSurgeonComfortInclusiveIEKandRingChannelCreationCapabilities InvertedBevel inSideCutAngle嵌入型边切角 BetterwoundhealingforenhancedbiomechanicalstabilityofthepostLASIKcornea1 2Significantlystrongerflapadhesionpost operativelyforimprovedwoundhealing2Virtuallyeffortlessflaplift replacement andpositioningformaximumflapstability3 4Significantlyreducedflapgutter3 1 ProfJMarshall PhD Dataonfile AMODevelopment LLC 2 ProfMKnorz MD PresentedASCRS2008 3 PBinder MD AChayet MD PresentedASCRS2008 4 A Chayet MD Dataonfile AMODevelopment LLC EllipticalFlapOption椭圆瓣 MatchestheanatomicalellipticalshapeofthecorneaPreventsresectionofthevitalperipheralcornealfibersthataidinthebiomechanicalstrengthofthecornea1MovesthehingeperipherallyformaximumstromalbedexposureandfulldeliveryofexcimerablationAllowsuseofwiderhingeangleforgreaterflapstabilityandimprovedpreservationofcornealnerves 1 ProfessorJMarshall PhD NCartwright PhD Dataonfile AMODevelopment LLC New WOW Factor FlapsinLessThan10 HigherRepetitionRate2 5xfasterthancurrent4thgenerationIntraLase FSlaserReducechanceofsuctionbreakImprovepatientflowEnhancepatientcomfortLowerEnergyPerPulseMaycontributetolesstissueresponse inflammation1Smootherstromalbed2TighterSpotSeparationVirtuallyeffortlessflaplift 1 AChayet MD Dataonfile AMODevelopment LLC2 MSarayba MD DDurrie MD Dataonfile AMODevelopment LLC New WOW Factor VideoMicroscope DigitalhighresolutionvideomicroscopewithtouchscreenErgonomicallydesignedformaximumsurgeoncomfortDisplayandcontrolsareinfrontofthesurgeonallowinghim hertoperformthetaskcomfortablyEasilyadjustabletopersonalworkingdistance 5thGenerationIntraLase Technology ClinicalOverview ComparativeMeasurementofFlapTensileStrengthsinNewZealandWhiteRabbits StudyDesign NewZealandwhiterabbitsIACUCapprovedstudyFlapscreated1 Amadeusmicrokeratome2 iFSlaser70 sidecutangle3 iFSlaser140 sidecutangleFlaptensilestrengthmeasuredat3months ProfMKnorz UVossmerbaeumer PresentedASCRS2008 ComparativeMeasurementofFlapTensileStrengthsinNewZealandWhiteRabbits ProfMKnorz UVossmerbaeumer PresentedASCRS2008 Methodology At3monthsrabbitswereeuthanizedCurvedlensgluedtocornealflapandallowedtodryfor6minsLensattachedtoforcegaugeandpulledperpendicularlyuntilflapdehiscedPeakforcemeasuredusingadigitalforcegauge ResultsofComparativeMeasurementofFlapTensileStrengthsinNewZealandWhiteRabbits Gramsofforcerequiredtolift Flaptensilestrengthdifferenceswasstatisticallysignificantamongallthegroups p 0 001 MicrokeratomeAMADEUS IntraLaseiFSlaser70 SideCut IntraLaseiFSlaser140 SideCut PEAKFORCEMEASURED ProfMKnorz UVossmerbaeumer PresentedASCRS2008 ComparativeMeasurementofFlapTensileStrengthsinNewZealandWhiteRabbits Results 70 sidecutiFSlaserflapsweremorethan2xthestrengthofthemicrokeratome MK flaps140 sidecutiFSlaserflapsweremorethan3xthestrengthoftheMKflapsDiscussion SidecutarchitectureeffectswoundhealingpropertiesofthecorneaInvertedbevel insidecutangleproprietarytothe5thgenerationIntraLasetechnologydemonstratesstatisticallysignificantwoundhealingadvantagesoverthetaperededgesidecutproducedbyMKOtherfemtosecondlasersbasedonmicrokeratomedesignsinflaparchitecturealsoproducetaperededgeandthusmayresultinlessthanoptimalwoundhealing ProfMKnorz UVossmerbaeumer PresentedASCRS2008 ComparisonofStromalBedQuality4thand5thGenerationIntraLase LaservsZIEMERLDV Laser 9x 30 x 300 x 135x 4thGenerationIntraLaseFSLaser 5thGenerationiFSLaser ZIEMERLDVLaser MSaraybaMD DDurrie MD Dataonfile AMO Inc ComparisonofStromalBedQuality4thand5thGenerationIntraLase LaservsZIEMERLDV Laser 4thand5thGenerationIntraLaselasershaveasmootherstromalbedthanZiemerLDV p 0 001 5thGenerationiFSLaser 4thGenerationFSLaser ZiemerLDV SmoothRough MSaraybaMD DDurrie MD Dataonfile AMO Inc ComparisonofStromalBedQuality4thand5thGenerationIntraLase LaservsZIEMERLDV Laser 5thGenerationiFSLaser 4hGenerationFSLaser 4thand5thGenerationIntraLaselasershaveasmootherstromalbedthanZiemerLDV p 0 01 ZiemerLDV SPIPResults MSaraybaMD DDurrie MD Dataonfile AMO Inc WhyEllipticalFlaps Inastandardroundablation WhyEllipticalFlaps Inaroundablation ifthehingeencroachesontheablationzone surgeoncandecreasethehingeangletoenlargethehorizontaltreatmentdiameterorincreasethetotalflapdiameter WhyEllipticalFlaps Inanellipticalflap onecansimplyincreasethehorizontaldiametertopushthehingeperipherally Benefits LargerhingeangleforimprovedflapstabilityPossiblelessdryeyebypreservingcornealnerves iFSOversizeParameters Movethecrosshairtargettothecenteroftheeffectiveablationbedinsteadofthecenterofthevirtual EllipticalvsRoundFlap Elliptical Round EllipticalvsRoundExcimerAblation Elliptical Round iFSSideCutAngleOverCut Increasesidecutanglerange45 90 150degrees iFSSideCutAngleOverCut Surgeonscanprogramabevelinsidecutwhichprovi

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