Leica Microsystems is dedicated to supporting ophthalmic surgeons to achieve their goal of optimal patient outcomes in anterior and posterior segment surgery.
Ophthalmic surgeons need the best visualization to be able to operate with the highest precision. Ophthalmology microscopes from Leica Microsystems are world-renowned for premium optics and illumination that provide outstanding image quality. Designed with workflow and user-comfort in mind, they also respond to surgeon needs through each step of a procedure.
Our microscopes form the platform for complete ophthalmology imaging and workflow solutions by seamlessly integrating advanced imaging technologies such as Optical Coherence Tomography (OCT) and high definition 3D or 2D display and documentation.
Since most types of eye surgery do not require much movement, ophthalmic surgeons often stay in the same position while performing procedures. Consequently, maintaining a comfortable working posture and avoiding muscle fatigue and strain is another significant challenge in ophthalmic surgery.
Moreover, eye surgery procedures involving the anterior and posterior segments also have their unique challenges.
Leica offers a wide range of ophthalmic microscopes and accessories for different needs in ophthalmic surgery as well as for different budgets.
Ophthalmic surgical microscopes reveal finest anatomical details and facilitate surgical maneuvers during anterior and posterior segment surgery. Their use in ophthalmology has a wide range of applications, from diagnostics to complex surgical procedures. Some of the common applications of ophthalmic microscopes in surgery include the following:
- Cataract surgery
- Refractive surgery
- Glaucoma surgery
- Corneal surgery
- Laser eye surgery
- Retinal detachment repair
- Macular hole repair
- Maculopathy surgery
- Posterior sclerotomy
- Radial optic neurotomy
- Macular translocation surgery
In addition, OCT solutions can be used for pre-operative assessment, as well as for intraoperative visualization and confirmation of tissue response to surgical maneuvers.
Filter by Area of Application
Intraoperative OCT imaging system
Optical Coherence Tomography for Ophthalmology
Surgical microscope with premium optics for ophthalmology
Advanced surgical microscope for ophthalmology
Red Reflex Surgical Microscope
All-round surgical microscope for ophthalmology
Digital Imaging Color Module for Ophthalmology
The Cost-Efficient Aid to Determine Astigmatism
The Perfect Aid for Placement of Premium IOL's
Panoramic Viewing System for Retinal Surgery
HD Medical Camera
Efficient surgical microscope for ophthalmology
Tabletop surgical microscope for ophthalmology
In anterior segment procedures, surgeons rely on red reflex as it provides ideal contrast to visualize the posterior capsule, lens and anterior chamber structure. Some of the most important challenges of anterior segment surgery include the following:
- Achieving optimal depth perception with a fully-focused, deep view while ensuring minimal workflow interruptions
- Ensuring homogeneous illumination and optimal light intensity to avoid the risk of tissue damage due to phototoxicity
- Maintaining a bright red reflex throughout all steps of surgery, including phacoemulsification
- Real-time confirmation on sub-surface tissue reaction, e.g. during deep anterior lamellar keratoplasty (DALK)
Ophthalmic microscopes support the eye surgeon during every step of cataract surgery, enabling them to work with high levels of efficiency and precision.
For clear visualization in cataract surgery, it is necessary to maintain optimal illumination with a constant and brilliant red reflex. Moreover, it is essential to achieve sufficient depth perception to avoid repeatedly re-focusing during the procedure, causing unnecessary interruptions during the surgical workflow.
Finally, a flexible and ergonomic microscope design with customizable accessories increases the surgeon’s comfort levels, reduces fatigue and allows the surgeon to focus on the procedure, helping to improve patient outcomes.
Dr. André Maia, MD from the Retina Clinic in São Paulo, Brazil describes how the Proveo 8 ophthalmic microscope provides an excellent stable red reflex during combined retina surgeries, particularly during the hydrodissection and phacoemulsification steps.
The video demonstrates the clear view of the anterior chamber and the posterior capsule during phacoemulsification and cortex removal.
In addition, no re-focusing was needed during the entire surgical procedure, thanks to the innovative FusionOptics technology. With Proveo 8, users can also pre-program personalized settings for every step of their surgery to work with high efficiency and precision.
Visualization and Recording Options
- Leica medical cameras: External HD C100 or built-in 3CMOS HD C300 camera
- Recorders: Evolution4K from Med X Change or HDR from Leica
Accessories for Enhanced Ergonomics
- Adjustable binoculars
- Wireless footswitch
- External slit lamp
- RUV800 retinal wide-angle viewing system
Compatibility with Other Devices and Technologies
- EnFocus OCT system built into Proveo 8 for greater insights
- BIOM® 5 fundus viewing system (Alcon) with synchronized focus, BIOM® Ready and flat contact lens
When performing posterior surgery, the surgeon needs to see clearly through the vitreous to visualize every structure of the retina, without frequent refocusing. Some of the biggest challenges of posterior segment surgery include the following:
- Achieving high levels of precision while operating in low-light conditions during vitreoretinal surgery
- Ensuring sufficient illumination for visualization, while avoiding the risk of phototoxic exposure
- Maintaining clear visualization of the retina, particularly when using wide-angle viewing systems
- Distinguishing between different tissue layers during maneuvers such as peeling or vessel suture
- Assessing the level of membrane tension during peeling to avoid potential tears and protect the integrity of underlying tissue
- Obtaining clear visualization of membrane layers during membrane peeling
Vitreoretinal surgery is currently one of the most delicate and complex surgery types in ophthalmology. When performing posterior segment surgery and vitrectomy, surgeons need to achieve clear visualization of every structure of the retina through the vitreous.
Moreover, surgeons need to rely on fully focused view without the need for frequent refocusing while performing e.g. membrane peeling, maneuvering vitrectomy instruments and cutting patches of the choroid layer.
- FusionOptics technology to overcomes the boundaries of sight by uniting high resolution and depth of field for a crisp texture-rich view of fine details without refocusing
- Pre-defined modes for posterior for vitreoretinal or vitrectomy procedures help surgeons to stay focused. Select with a simple press of the footswitch and the microscope adjusts automatically.
- Synchronized focus of the BIOM* fundus viewing systems further supports your visualization and workflow during vitreoretinal surgery.
Ophthalmic microscopes play a key role in every ophthalmology practice, from diagnostics to eye surgery. Some of the most important factors that should be considered when choosing an ophthalmic surgical microscope include the following:
Powerful and Safe Illumination System ensuring patient safety and reducing the risk of phototoxicity.
High Optical Quality delivering high resolution, large depth of field and true-to-life color representation for accurate tissue differentiation.
Workflow Support options like customizable profiles to support quick set-up and programmed settings to ease recurring tasks, e.g. in cataract surgery.
Open Architecture and Connectivity with other devices and technologies, such as camera and recording systems, OCT (EnFocus) and patient information systems.
Ergonomic Accessories for improved comfort, including adjustable binoculars and wireless footswitch.
Hygiene – the microscope should be easy to clean and support hygiene protocols, in addition to having antimicrobial coating.
During retina, cornea and glaucoma procedures, there is typically a point at which surgeons ask themselves whether they are really done or not? While the microscopic view delivers a precise picture of the operating field, subsurface tissue details are not easily visible.
Questions can arise, like:
- Is there residual sub-retinal fluid?
- Is the glaucoma drainage device in the correct position?
- Is the corneal graft well opposed to the host cornea?
The EnFocus intraoperative OCT system built into the Proveo 8 microscope, can help surgeons overcome these uncertainties by providing immediate intraoperative confirmation. Click here for more information about EnFocus.
Next-generation EnFocus intraoperative OCT built into the Proveo 8 ophthalmic microscope
FOCUS ON PERFECTION in eye surgery with greater insight
Remote Product Demos Live from the Medical Headquarters in Heerbrugg, CH
Register now for an easy personal demo of any Leica surgical microscope. Whatever the times, we are there for you, whether on site or online. The…
Residual Fragment Assessment with the Proveo 8 Intraoperative OCT
In the brief video presented below, Dr. Rachid Tahiri, an ophthalmic surgeon at the Centre d’Ophtalmologie in Granville, France shares his experience…
Cataract Incision Analysis Using EnFocus Intraoperative OCT
Ophthalmic surgery requires high levels of accuracy and precision for optimal surgical maneuvers and tissue manipulation. Surgical microscopes play an…
Intraoperative OCT-Assisted Surgical Management of Proliferative Vitreoretinopathy
Proliferative vitreoretinopathy (PVR) is a plague to patients and their surgeons after recent rhegmatogenous retinal detachment (RD). Despite…
Overcoming Ophthalmologic Surgery Challenges
Ophthalmology surgical procedures involving both the anterior and posterior segment can be particularly challenging. Good visualization is required to…
Moving to Routine Use of Intraoperative OCT in Eye Surgery
Dr Barbara Parolini is one of the pioneers in the use of intraoperative OCT in eye surgery. Since 2016, she has gained a lot of clinical experience…
How OCT-guided eye surgery can help you to Focus on Perfection
Watch the successful clinical online symposium on-demand. Find out what Dr. Parolini says about the benefits of OCT-guided ophthalmic surgery. She…
Better Decision Making during Anterior Segment Surgery
Anterior segment surgery ranges from routine cataract surgery to more complex procedures such as Descemet Stripping Automated Endothelial Keratoplasty…
Intraoperative OCT-Assisted Gene Therapy
Gene augmentation therapy is a method of ocular gene transfer for autosomal recessive or X-linked retinal dystrophies when there is insufficient…
Hand-Held OCT Clinical & Research Applications
Hand-held Optical Coherence Tomography (OCT) has revolutionized pediatric ophthalmology and has had a significant impact on ophthalmology in general.…
Cornea Webinar Series: DMEK, DSAEK, and DALK cases
Exclusive 2-part webinar series by Dr. Jod S Mehta, distinguished Professor, Duke-NUS, Singapore National Eye Center. Learn DMEK, complicated DSAEK,…
Advanced Techniques in Cataract and Refractive Surgery
In this webinar Dr. Thompson and Dr. Moshirfar will explain how Leica microscopes aid in procedures such as Centration of Multifocal IOLs and corneal…
What is intraoperative OCT telling us?
In the following videos are excerpts taken from a webinar delivered by Dr. Barbara Parolini. During the webinar Dr. Parolini discusses and illustrates…
Interested to know more?
Talk to our experts. We are happy to answer all your questions and concerns.Contact Us
Do you prefer personal consulting?
Leica Microsystems Inc.1700 Leider LaneBuffalo Grove, IL 60089 United StatesOffice Phone : +1 800 248 0123Service Phone : 1 800 248 0223Fax : +1 847-236-3009