VisuMax from ZEISS

Defining the pulse rate in refractive surgery

 Accelerating the pulse
rate of your practice.
ZEISS VisuMax Remarkable precision and detail
Defining new trends in modern corneal surgery

As a ground-breaking, high-performance femtosecond laser system, the

VisuMax® from ZEISS is significantly shaping the world of refractive surgery.
With its cutting precision, exceptional speed and gentle treatment approach,
as demonstrated in multiple published studies it is the ideal platform for cut-
ting-edge corneal surgery applications, including Flaps, Keratoplasty, Incisions
for ICR and Lenticule Extraction with SMILE® from ZEISS.

SMILE is redefining refractive surgery as we know it. ZEISS is at the forefront

of this minimally invasive Laser Vision Correction.

The combination of the VisuMax and the MEL® 90* excimer laser from ZEISS
addresses wide-ranging needs of the modern re­fractive surgical practice. In fact,
it is the first refractive platform to perform all options of laser vision correction:
PRK/LASEK (surface ablation surgery), Femto-LASIK/LASIK (flap surgery) as well
as Small Incision Lenticule Extraction (minimally invasive surgery).

The result is a refractive platform that merges proven corneal surgical

techniques with remarkable details as the basis for excellent, highly
individualized treatment processes.

// PRECISION
    MADE BY ZEISS

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ZEISS VisuMax ZEISS VisuMax highlights
Precision in all its facets The building blocks of state-of-the-art femtosecond technology

The VisuMax® is a truly innovative femtosecond laser system. With its

perfectly coordinated components, it has precise cutting capabilities as well as
proven efficacy, predictability and comfort.

A contact glass designed for the cornea Proven cutting precision Brilliant visual control
Lenticule Extraction Keratoplasty Like the surface of the human cornea, VisuMax High-precision ZEISS optics provide an extremely The integrated high-quality ZEISS surgical micro-
contact glasses are curved. Available in three dif- focused laser beam. The result: the well aligned scope ensures precise and complete visual con-
The VisuMax is the first femtosecond laser system to With the Keratoplasty option, the VisuMax covers several
ferent sizes (S, M, L), they are optimally designed system of laser pulse energy and high pulse fre- trol during every manual surgical manipulation.
perform the minimally invasive, Lenticule Extraction procedure. corneal transplant procedures, including lamellar and to fit the anatomy of the eye. As a result, the cor- quency leads to accurate incisions - at precisely It includes a digital video camera for recording
With SMILE® from ZEISS, a refractive lenticule as well as the penetrating keratoplasty. High-precision cutting quality nea largely retains its natural physiological shape. the desired depth of the cornea, with three-di- surgical procedures right on the spot.

incision through which it is extracted are created in a single and rapid incision speed enable the efficient preparation Artifacts are avoided in the cutting result, as is mensional, curved incisions.
unnecessarily high IOP for the patient.
step – without ablation or flap. Despite its proven of precision corneal grafts and recipient corneas.
predictability, a retreatment may be necessary in rare cases.
If so, the initial incision created with SMILE can be extended Incision for ICR
into a flap with the option CIRCLE* from ZEISS. The femtosecond laser technology of the VisuMax is also ideally
suited for creating incisions in preparation of intracorneal ring
Flap (ICR) implantations. When defining tunnel parameters, it even
The VisuMax creates flaps of a highly predictable performs inclined cutting geometries and ring tunnel seg-
thick­ness and of adjustable geometries for Femto-LASIK ments smaller than 360° with a high degree of flexibility.
and options based on it, such as PRESBYOND®, a binocular
planning tool for patients with presbyopia.

A smart unit Efficiency that pays off Reassurance right on the spot
The sturdy, ergonomic pivoting patient supporting With a pulse frequency of 500 kHz, the ZEISS As a universal workstation for corneal surgery,
system is designed to provide maximum comfort VisuMax enables short treatment times, making the system features integrated slit illumination
during the treatment. It continuously monitors the procedures more comfortable for both physicians to monitor treatments and immediately control
patient’s position, automatically making needed and patients. The result is an efficient workflow results – without the patient needing to be moved.
adjustments. ZEISS VisuMax also incorporates an and a higher throughput of satisfied patients.
easy-to-use, interactive touchscreen and intui-
tive software to assist the surgeon at every step
throughout the procedure.

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ZEISS SMILE
Minimally invasive surgery

SMILE® from ZEISS is turning the world of refractive surgery on its head.
The latest application is described as “LASIK without a flap and
PRK without pain.”1 And ZEISS is leading the way – with SMILE
for Lenticule Extraction.

Flapless
The ZEISS VisuMax is the first
®
Seamless
The lenticule creation and extraction are
Highlights of SMILE and the
corresponding method
Refractive correction with ZEISS SMILE
Three treatment steps
femtosecond laser system to support performed without interruption. Also, • Small incision of 2-4 mm
this unique minimally invasive laser the patient doesn’t need to be moved. • Side-cut length up to 80 % shorter
vision correction procedure. Thereby, a That’s why SMILE offers a fast, seamless and cap incision area up to 30 %
highly precise, precalculated lenticule is treatment. smaller than Femto-LASIK flap
created inside the intact cornea and • Potentially lower incidence of
removed via a small incision. Excellent outcomes transient dry eye syndrome and less
Advanced laser vision correction with nerve transection thanks to smallest
Minimally invasive SMILE promotes more efficient work- incisions without flaps
Requiring no flap, SMILE offers the flows, short treatment times and little • Less risk of infections and epithelial
potential for fewer transected nerves, stress for patients – as well as excellent ingrowth
significantly reduced incidence of outcomes with high predictability, • Good reproducibility of the lenticule, Lenticule creation Lenticule removal Impairment is corrected
A small piece of corneal tissue (lenticule) and a The lenticule is removed through the incision with Removing the lenticule changes the shape of the
transient dry eye syndrome, and a including for higher refraction values. irrespective of individual corneal
small incision are created inside the intact cornea. minimal disruption to the corneal biomechanics. cornea, thereby achieving a vision correction.
lower risk of infection and epithelial characteristics and ambient conditions
ingrowth. Smaller incisions also improve • Excellent predictability, particularly
epithelium healing. for higher refraction values
• Efficient treatment process without
patient having to switch places

1
Rupal Shah, MD, Institute of Laser Medicine, Mumbai, India

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High-precision flaps, grafts and incisions Customized corneal grafts for keratoplasty
And a new level of Femto-LASIK workflow efficiency

For treatments such as conventional Femto-LASIK including With the Keratoplasty option, the ZEISS VisuMax becomes a state-of-the-art
PRESBYOND® Laser Blended Vision, the VisuMax® delivers highly precise workstation for customized corneal grafts, enabling smooth lamellar and
flaps. Together with the MEL® 90 excimer laser and the CRS-Master®* circular incisions for Penetrating Keratoplasty (PKP), Deep Anterior Lamellar
treatment planning station, ZEISS provides an optimal combination for Keratoplasty (DALK) and Descemet’s Stripping Endothelial Keratoplasty (DSEK).
efficient workflows and excellent results.

The practical Keratoplasty adapter provides a robust Specially designed curved contact glass (type KP) pre- Separation of the cut lamellae from the recipient cor­nea
and sterile work surface for preparing corneal grafts vents unnecessary compression of the corneal tissue as viewed through the VisuMax surgical microscope

Flexible access for ICR incisions

Cut right with ZEISS VisuMax MEL 90 excimer excellence CRS-Master for individual Equipped with the Incision for ICR option, the ZEISS VisuMax offers unique
• High-precision flaps Precise, efficient, safe and fast – the treatments advantages for intracorneal ring (ICR) implantations. Even inclined cutting
• High reproducibility and flap thickness ZEISS MEL 90 excimer laser is a true The ZEISS CRS-Master is an advanced
geometries and partial segments from 90° to 270° are possible. Corneal
consistency workhorse for performing a broad treatment planning tool for the remote
tunnels are prepared quickly, precisely and with a high degree of flexibility.
• Easy flap repositioning range of corneal surgical procedures. planning of regular and customized
• Smooth stromal bed surfaces The MEL 90 is combining your topo­graphy-guided treatments.
• Proven workflow experience with modern advancements PRESBYOND Laser Blended Vision,
• Easy-to-understand ICR user interface Freely variable cutting
• Prevents unnecessarily raised IOP like the FLEXIQUENCE switch function
® a treatment option for presbyopic parameters, even for
• Rapid, intuitive entry of treatment
and outstanding intraoperative ablation patients, is another key application incisions parallel to
parameters the posterior corneal
Pivoting patient supporting system speed of up to 1.3 seconds per diopter**. of the CRS-Master.
• Stored user-defined cutting geome­ surface
Move patients comfortably and quickly
tries for improved workflow
from the femtosecond to the excimer
laser with the pivoting patient sup­
porting system.

** LASIK, myopia, 500 Hz, OZ: 6 mm *MEL 90, CRS-Master, PRESBYOND and CIRCLE are not approved for sale in the United States.

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 Technical data

VisuMax from ZEISS

System components Patient supporting system, including platform
Integrated uninterruptible power supply (UPS)
Surgical microscope with additional slit illumination
Video camera with integrated digital recording
Laser parameters Wavelength 1043 nm
Pulse duration 220-580 fs
Laser pulse rate 500 kHz

Installation and set-up conditions

Weight 870 kg (including patient supporting system, platform, UPS)

Footprint standalone L x W: 3.80 m x 4.40 m

Footprint MEL 90 with VisuMax 90°
® ®
L x W: 3.92 m x 3.94 m
Footprint MEL 90 with VisuMax 180° L x W: 4.50 m x 3.79 m
Electrical connection 100-240 V, 50/60 Hz, max. 16 A
Separately fused circuit

Operating conditions
Room temperature 18 to 25 °C
Atmospheric humidity 30 to 70 %
Accessories Single-use contact glasses Treatment Pack (sizes S/M/L and type KP)
Keratoplasty adapter for patient supporting system

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 0297

SMILE
MEL 90

Germany
VisuMax

07745 Jena
CRS-Master
PRESBYOND

www.zeiss.com/visuma
Carl Zeiss Meditec AG
Goeschwitzer Strasse 51–52

www.zeiss.com/med/contacts
EN_34_010_0007V  Printed in Germany  CZ-X/2020  International edition: Not for sale in the US.
The contents of the brochure may differ from the current status of approval of the product or service offering in your country. Please contact our regional representatives for more information.
Subject to changes in design and scope of delivery and due to ongoing technical development. VisuMax, SMILE, ReLEx, MEL, FLEXIQUENCE,PRESBYOND and CRS-Master are either trademarks or registered
trademarks of Carl Zeiss Meditec AG or other companies of the ZEISS Group in Germany and/or other countries.
© Carl Zeiss Meditec AG, 2020. All rights reserved.