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by Vance Thompson, MD ORA System with VerifEye+ Technology Innovative technologies designed to improve outcomes Supplement to EyeWorld Daily News, Sunday, April 19, 2015 This supplement is sponsored by Alcon. I ntraoperative aberrometry with the ORA System with VerifEye+ Technology (Alcon, Fort Worth, Texas) has revolutionized my premium cataract surgery prac- tice. I use it on all my toric, multi- focal, and accommodating implant cases. I also use it to guide intraoper- ative astigmatic keratotomy (AK) or guide my opening of femtosecond laser-created AKs. I've experienced an improve- ment in outcomes in my procedures using the ORA System with VerifEye Technology. What I love about ORA System is that it gives me the true re- fractive power of the eye in surgery when the eye is in its aphakic state. I still go into the operating room with all of my preoperative calculations, and then I perform the ORA System measurement intraoperatively to either substantiate my preoperative calculations or change my decision. Because I have been involved in the research and development of the ORA System with VerifEye+ Technol- ogy I have witnessed its hardware and software advancements that have resulted in impressive accuracy, reproducibility, and measurement speed. I have developed a lot of con- fidence in it, and as a result, we have it on the microscopes in both of our ASC operating rooms. The device's image capture unit connects to the bottom of the surgical microscope and employs Talbot-Moiré interfer- ometry to measure the refractive power of the eye real time during surgery. When I am at the point in the operation where the patient is aphakic and it is time to choose the ideal implant, the ORA System con- stantly streaming refractive infor- mation provides me with the data; if the VerifEye Technology measure- ment differs from my preoperative calculations, indicating additional variables, this will influence my final decision. VerifEye+ Technology is of great benefit in toric cases because it helps me choose the axis and magnitude of the toric implant and refine that axis intraoperatively. After the toric lens has been implanted, I use the pseudophakic VerifEye+ Technolo- gy measurement for adjusting the implant axis inside the eye. It tells me whether or not I need to rotate the lens to a different axis, so it This supplement was produced by EyeWorld and sponsored by Alcon. The doctors featured in this supplement received compensation from Alcon for their contributions to this supplement. Copyright 2015 ASCRS Ophthalmic Corporation. All rights reserved. The views expressed here do not necessarily reflect those of the editor, editorial board, or the publisher, and in no way imply endorsement by EyeWorld or ASCRS. Vance Thompson, MD VerifEye+ Technology compared to VerifEye Technology continued on page 3 With VerifEye+ Technology, the information available on the system monitor is now sent directly into the surgeon's right ocular, providing real-time data and guidance on cylinder, axis, and lens power recommendation. VerifEye Technology: Microscope ocular static reticle, 5° increments VerifEye+ Technology: Microscope ocular dynamic reticle, 1° increments Contents ORA System with VerifEye+ Technology 1 The Verion Image Guided System provides the game plan for surgery 2 LenSx Laser: Advancing cataract surgery precision 5 Centurion Vision System provides improved anterior chamber stability 6 Important product information 7 digital.eyeworld.org The news magazine of the American Society of Cataract & Refractive Surgery

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