To support surgical decisions and ultimately deliver the best outcomes, ophthalmic surgeons need to have as much visual information as possible. With ever evolving technology, and often restricted budgets, surgeons and hospitals want to be sure that an investment into a new ophthalmic microscope delivers excellent visualization and digital imaging options, not only today, but in the longer term. In this interview, Oscar Portilla Product Manager at Leica Microsystems explains how the product development team addressed these needs when creating the Proveo 8 ophthalmic microscope.
Excellent red reflex as well as maximum accuracy throughout the entire procedure are required to meet these expectations. Dr. Ulrich Jung, Medical Director at the ARTEMIS eye clinic in Dillenburg, Germany, tested the Proveo 8 ophthalmological microscope from Leica Microsystems in combination with the positioning system IOLcompass Pro for intraocular lenses at his clinic. In this interview, Dr. Jung reports his experiences.
These videos recorded during cataract and glaucoma surgery using Proveo 8 demonstrate how Dr. Ahmed benefits from continuous red reflex even during phaco, due to exclusive CoAx 4 coaxial illumination, and high resolution combined with depth of focus for a texture-rich view due to FusionOptics technology.
Typical ophthalmic procedures require specific levels of light, focus and magnification in each phase of surgery. Changing quickly between these settings is the prerequisite for an uninterrupted and smooth workflow where the surgeon can concentrate completely on his patient. The surgical microscope for ophthalmology Proveo 8 features a unique level of customization that allows to program complete surgical phases and single parameters. Dr. Devesh Varma is one of the first ophthalmologists having tested the Proveo 8 microscope.
In cataract surgery, ophthalmologists rely on the red reflex which provides ideal contrast to visualize the capsule, lens and anterior chamber structure. A new illumination technology in the latest of ophthalmic microscopes now appears to provide great breadth of red reflex enhancement throughout the entire procedure. Dr. Ike Ahmed is one of the first ophthalmologists having tested the Proveo 8 microscope which features the CoAx4 illumination.
A stable red reflex is one of the most important features of an ophthalmic surgical microscope for cataract surgery. It’s the red reflex that makes the structure of the lens visible and thus makes for a uncompromised view for a successful and secure surgery. However, conventional red reflex illumination often decreases during the critical phases of the procedure like phacoemulsification. A new illumination technology with four individual beam paths overcomes these drawbacks.
Neurosurgeons and ophthalmologists deal with delicate structures, deep or narow cavities and tiny structures with vitally important functions. A clear, three-dimensional view on the surgical field is thus indispensable for the outcome of the operation and the patient’s safety. Until now, an increased depth of field for a larger three-dimensional area in focus was only achievable by reducing the resolution. A new technology is able to overcome this challenge.
Every operation demands a maximum of concentration from the surgeon and his team. A comfortable, pain-free working posture helped by the ergonomic design of the surgical microscope aids concentration – and contributes significantly to the success of the operation. Andrew Morris, Consultant Ophthalmologist at the Royal Bournemouth Hospital, England since 2002, reports on his experience with ergonomics in everyday working life.
In this video, Dr. Ike Ahmed demonstrates how optical innovations help to improve ophthalmic surgeries. In addition, he talks about his experience with 3D heads-up surgery, using a stereoscopic high-definition visualization system for cataract, glaucoma, and retinal surgeries.