Victus英文4. LRCS.pptxVIP

Cataract procedures;Cataract Treatment;Patient database – create cataract treatment ;Capsulotomy: Enter desired diameter of capsulotomy (normally between 4.8 mm and 5.5 mm) Height is the height of the capsulotomy cut, usually left as default: 800 μm ? can be adjusted on the fly after the docking Energy used is 7000 nJ leave spacings default (6.0 μm/4.0 μm);Lens Fragmentation: Select fragmentation pattern (radial cuts only, circular cuts only, circular and radial cuts, quadrant and radial cuts) Energy used is between 7000 nJ to 8000 nJ (higher energy for harder cataracts) leave spacings default (10.0 μm/10.0 μm);Radial cuts: Select number of radials Enter outer diameter Circular cuts: select number of circulars Select outer diameter (smallest circular always diameter = 500 μm) Circular and Radial cuts: Number of radials = 4 Enter outer diameter of radials Select number of circulars Enter outer diameter of circulars;Quadrant cuts: Select number of quadrants Enter quadrant outer radius Enter alignment angle α Enter opening angle β ;Most common used pattern: Radial cuts (“Pizza cuts”) On the basis of Divide and Conquer phaco technique 4 radial cuts recommended for very hard cataract/big nucleus: Because of min. posterior safety distance a hard cataract might not be cut all the way through: be careful with cracking Best is to complete the cut with the phaco tip Combination of Radial cuts and circular cuts Removal of a central cylinder to create some space for further cracking of the lens;GUI – possible lens frag combinations;GUI – cataract ranges and settings;Patient database – select treatment ;GUI Cataract;OCT;After the marking of the pupil the capsulotomy is automatically centered on the pupil If the pupil is too small to shoot the intended diameter, capsulotomy size will be automatically reduced and a warning message will appear As there is a safety zone between the marked pupil and the laser area of 0.5 mm the max. capsulotomy size is pupil size decreased by 1 mm