VICTUS

VICTUS
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VICTUS

Product catalog summary
Introduction
This document is a supplement to the October 2018 issue of Cataract & Refractive Surgery Today, sponsored by Bausch + Lomb. It discusses the integration of the VICTUS femtosecond laser into ophthalmic practices, highlighting its benefits, user experiences, and future potential.
Motivation for Using Femtosecond Laser
Surgeons adopted the femtosecond laser due to market pressure and patient demand. Despite initial concerns about cost and time, the laser's precision and reproducibility have proven advantageous, particularly in reducing phacoemulsification times and energy.
Choosing the VICTUS Platform
The VICTUS laser was selected for its versatility and robust platform, capable of performing precise corneal and cataract procedures. Key features include a higher pulse frequency and real-time OCT integration.
Initial Experience and Lessons Learned
Initial experiences with the VICTUS laser were positive, with support from engineers to optimize system performance. Customizing the laser to specific surgical settings was emphasized as crucial.
Support for Intraocular Lenses (IOLs)
The VICTUS laser enhances incision accuracy and reduces phaco time, supporting the use of multifocal, toric, and accommodating IOLs, thereby improving patient outcomes.
Value in Refractive Surgery
The laser is praised for creating precise corneal flaps for LASIK and effective arcuate and corneal incisions, contributing to improved refractive surgery outcomes.
Impact on Patient Flow and Practice
While the laser adds a step to procedures, efficient workflow management mitigates time delays. The laser also serves as a marketing tool, attracting patients interested in advanced technology.
Strategic Advantages and Future Potential
The VICTUS laser is seen as a strategic advantage, appealing to patients seeking cutting-edge technology. Future advancements are anticipated in corneal procedures and cataract softening techniques.
Advice for Surgeons
Surgeons are advised to evaluate the costs and benefits of femtosecond lasers, considering future capabilities and ensuring that the investment translates into improved surgical outcomes.
Specifications and Features
The VICTUS laser performs both LASIK and cataract surgeries, eliminating the need for multiple platforms. It features real-time OCT imaging, enhancing the precision of arcuate incisions and capsulotomies. Continuous hardware and software upgrades improve its performance.
Procedures and Applications
The laser supports advanced IOLs by ensuring precise capsulotomy and lens placement. It facilitates lens fragmentation with reduced ultrasound energy, improving surgical outcomes, particularly in refractive cataract surgery.
Practice Integration and Workflow
Practices using the VICTUS laser report improved patient flow and reduced movement during procedures. The integrated bed allows seamless transitions between surgical stages, increasing patient confidence and satisfaction.
Future Potential and Recommendations
Surgeons anticipate further applications in corneal surgeries, such as deep anterior lamellar keratoplasties and corneal transplants. Precise incisions could reduce postoperative complications like astigmatism. Surgeons should evaluate the financial and clinical benefits of the laser.
Conclusion
The VICTUS femtosecond laser is a valuable tool for modern ophthalmic practices, offering precision, efficiency, and versatility in cataract and refractive surgeries. Its adoption can enhance surgical outcomes and patient satisfaction, making it a strategic investment for practices aiming to stay at the forefront of ophthalmic technology.
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Catalog excerpts

VICTUS-1

Sponsored by Bausch + Lomb BUILD YOUR PRACTICE WITH VICTUS LASER Four respected surgeons discuss the benefits of adding the VICTUS femtosecond laser to their practices.

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VICTUS-2

BUILD YOUR PRACTICE WITH VICTUS LASER PRACTICE PROFILE COLLINS VISION Cataract and LASIK versatility are keys to success. Michael J. Collins, MD, is medical director and founder of Collins Vision, a cataract and refractive surgery practice in Fort Myers and Naples, Florida. Cataract & Refractive Surgery Today interviewed him about the VICTUS femtosecond laser (Bausch + Lomb). What prompted you to begin using a femtosecond laser? Initially, it was market pressure. Two other centers were heavily marketing laser cataract surgery, and we had a lot of patients asking about it. I wasn’t sold on the...

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VICTUS-3

BUILD YOUR PRACTICE WITH VICTUS LASER incision (Wong incision). With minimal hydration of the pocket incision, the primary incision seals excellent. The VICTUS laser allows me to achieve this. Has the VICTUS laser changed patient flow in the OR or your practice? Patient flow was a major concern when we first started using the femtosecond laser because it obviously requires an additional step, so it takes longer to do the entire case. A cataract case is efficient after using the laser, but the overall time is longer when one surgeon is doing both procedures. We developed a new workflow around...

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VICTUS-4

BUILD YOUR PRACTICE WITH VICTUS LASER PRACTICE PROFILE SCHEIN ERNST MISHRA EYE An experienced femtosecond user appreciates current capabilities, future possibilities. Brett B. Ernst, MD, is a cataract and refractive surgeon at Schein Ernst Mishra Eye in Harrisburg, Pennsylvania. Cataract & Refractive Surgery Today interviewed him about the VICTUS femtosecond laser (Bausch + Lomb). What prompted you to begin using a femtosecond laser? We’ve always been a refractive surgery practice. We had been doing LASIK for many years, and I felt that femtosecond laser cataract surgery was going to be the ultimate...

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BUILD YOUR PRACTICE WITH VICTUS LASER In my experience, the corneal incisions and flaps are excellent. One of my favorite things about the VICTUS laser is that when I’m doing flap creation, I can very easily center the flap over the cornea with a cursor. I simply grab the treatment diagram, move it around the cornea, and drop it where I want it to be. Compared with my previous femtosecond laser, I find it very easy to use this technology to get well-centered flaps. It’s a major advantage of this platform. Do some patient profiles derive a particular benefit from the VICTUS laser? My primary focus...

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BUILD YOUR PRACTICE WITH VICTUS LASER PRACTICE PROFILE REVISION LASIK AND CATARACT SURGERY CENTER A boutique practice reinforces its high-tech reputation and designs a unique patient flow for the VICTUS femtosecond laser. D. James Schumer, MD, is founder and medical director of ReVision LASIK and Cataract Surgery Center in Columbus and Mansfield, Ohio. Cataract & Refractive Surgery Today interviewed him about the VICTUS femtosecond laser (Bausch + Lomb). What prompted you to begin using a femtosecond laser? I’m an early adopter who embraces technology as soon as I feel it’s a benefit for my patients....

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BUILD YOUR PRACTICE WITH VICTUS LASER “I wanted a femtosecond laser to help with LASIK and with cataract surgery, and the VICTUS laser really fit both needs for me, so I didn’t have to have two different platforms, payments, and maintenance schedules.” How does the VICTUS laser support using Crystalens, Trulign Toric (Bausch + Lomb), and other high-technology IOLs? I’m good at making the capsulorhexis by hand, but I’m not as good as I am with the VICTUS laser. The VICTUS laser lets me make a perfect capsulorhexis—perfectly centered, so we can treat on the lens apex and be sure that the toric...

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BUILD YOUR PRACTICE WITH VICTUS LASER “I think in the future, femtosecond lasers will be cataract workstations where the patient lies down and we do everything in one bed—that approach is working very well for us already.” “All of our technologies help our boutique practice build a reputation for embracing the latest advances to achieve the best outcomes for our patients. It’s good business, and for me, it’s the fun part of being a practice owner and an ophthalmologist.” have to create a big bubble to peel away Descemet’s from the back of the stroma, I think the femtosecond laser could create...

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BUILD YOUR PRACTICE WITH VICTUS LASER PRACTICE PROFILE After outfitting a new surgery center, surgeons meet their clinical and business goals. Anil M. Shivaram, MD, is a cataract and refractive surgeon at Claremont Eye Associates in Claremont, California. Cataract & Refractive Surgery Today interviewed him about the VICTUS femtosecond laser (Bausch + Lomb). What prompted you to begin using a femtosecond laser? We were early adopters of the VICTUS platform about 5 years ago. Patients were already asking for it, because they were under the perception that cataract surgery involved a laser as the...

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BUILD YOUR PRACTICE WITH VICTUS LASER “The quality of visualization with the VICTUS is on another level, and I think that the prevalence of lasers and the integrated OCT functionality will help us improve outcomes for our patients.” amount of energy to remove the nucleus. With the VICTUS laser, I make a very stable and true three-plane incision, which I often don’t need to hydrate. Wound reconstruction happens very nicely at the end of the case. What outcomes do you see using the VICTUS platform for cataract patients? In the old days, barely 50% of cataract surgeries were within a half diopter...

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BUILD YOUR PRACTICE WITH VICTUS LASER “The VICTUS laser has driven a lot of business through our practice, helping us become well known in our area as a high-tech group that provides a premium IOL experience. In addition, we now offer open access to the laser to outside surgeons, so five or six other doctors are currently using it.” environment. The platforms are different enough to give you some factors to evaluate in terms of performance and patient flow. If the VICTUS laser looks like a good option to someone, I’d certainly recommend it. We’ve been extremely happy. The corneal applications...

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.