Aha Moments

What will be your Aha moment?

Top surgeons discuss how the ORA SYSTEM® empowers decision making during cataract surgery with real-time guidance that is clinically proven1,2 – when it matters most.

    Intraoperative Aberrometry Experts

    John Berdahl, MD

    John Berdahl, MD
    Vance Thompson Vision
    Sioux Falls, SD

    John Davidson, MD

    John Davidson, MD
    Miramar Eye Specialists
    Ventura, CA
    Nvision Eye Centers
    Camarillo, CA

    Bret L. Fisher, MD

    Bret L. Fisher, MD
    The Eye Center of North Florida
    Panama City, FL

    Kamran Massoumi, MD

    Kamran Massoumi, MD
    Oklahoma Eye Institute
    Lawton, OK

    Dee Stephenson, MD

    Dee Stephenson, MD
    Stephenson Eye Associates
    Venice, FL

    Robin R. Vann, MD

    Robin R. Vann, MD
    Duke University
    Durham, NC

    William F. Wiley, MD

    William F. Wiley, MD
    Medical Director
    Cleveland Eye Clinic
    Cleveland, OH

    Blake Williamson, MD

    Blake Williamson, MD
    Williamson Eye Center
    Baton Rouge, LA

    Lawrence Woodard, MD

    Lawrence Woodard, MD
    Omni Eye Services
    Atlanta, GA

    Michael G. Woodcock, MD

    Michael G. Woodcock, MD
    Carolina Vision Center
    Fayetteville, NC

    All of the above are paid Alcon consultants.

    References

    1. Woodcock MG, Lehmann R, Cionni RJ, et al. Intraoperative aberrometry versus standard preoperative biometry and a toric IOL calculator for bilateral toric IOL implantation with a femtosecond laser: one month results. J Cataract Refract Surg. 2016;42:817-825.
    2. Ianchulev, Intraoperative Refractive Biometry for Predicting Intraocular Lens Power Calculation after Prior Myopic Refractive Surgery. Ophthalmology. June 2014

    VIDEO HIGHLIGHTS

    John P. Berdahl, MD

    Measurement

    "We placed [the lens] after doing multiple readings... it was the right power, and we saved that patient from having two lenses in her eye."

    VIEW VIDEO »

    John Davidson, MD

    Confidence

    "By having the confidence that the ORA SYSTEM® is going to allow me to finalize the position of a toric lens, I feel like it’s hard to perform refractive cataract surgery without it."

    VIEW VIDEO »

    Bret L. Fisher, MD

    Surgical Guidance

    "The ORA SYSTEM® suggested something to me in terms of surgical guidance or lens choice, that was really different than what I had planned preoperatively, and the difference was significant."

    VIEW VIDEO »

    Kamran Massoumi, MD

    Experience

    "On a weekly basis, I have a case or two that give me a 'wow' factor...prior to the ORA SYSTEM®, I would not have dared to do [certain] patients."

    VIEW VIDEO »

    Dee Stephenson, MD

    Outcomes

    "I can't imagine doing cataract surgery without the ORA SYSTEM®. In fact, I do it almost on all patients... all torics, all limbal relaxing incisions, all premium lenses. It is an invaluable tool..."

    VIEW VIDEO »

    Robin R. Vann, MD

    Decision Making

    "I was doing a toric lens implant on a patient that had originally been scheduled to have a T5... Repeat measurements using the ORA SYSTEM® ...recommended a T3 lens implant. The patient ended up having a half a diopter of residual astigmatism, so the patient and myself were very happy."

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    William F. Wiley, MD

    Lens Choice

    "We started going through the charts and it was about 60 to 70 percent of the time that [the ORA SYSTEM®] suggested a change to the lens choice... Every time it had pushed us in the right direction and chose that lens in a positive way."

    VIEW VIDEO »

    Blake Williamson, MD

    Technology

    "In a post-refractive setting... the ORA SYSTEM® has a post-refractive cohort on the AnalyzOR™ so [physicians] are actually able to use that when trying to pick lenses in patients who have already had LASIK surgery..."

    VIEW VIDEO »

    Lawrence Woodard, MD

    Recommendation

    "I had a patient where both eyes seemed very similar in axial length, and K readings, and corneal topography, however the IOL power that was actually necessary differed dramatically. So I actually had to do an IOL exchange on the patient and went completely with what the ORA SYSTEM® recommended when I did the exchange on that second eye, and the patient ended up essentially plano."

    VIEW VIDEO »

    Michael G. Woodcock, MD

    Accuracy

    "Patients now are becoming much more demanding of a refractive outcome...the only consistent way of doing that is to have a live wavefront device that is very accurate, and more accurate than any of the formulas that are out there at this point."

    VIEW VIDEO »

    IMPORTANT PRODUCT INFORMATION

     

    ORA SYSTEM® IMPORTANT PRODUCT INFORMATION

    CAUTION: Federal (USA) law restricts this device to the sale by or on the order of a physician.

    INTENDED USES: The ORA SYSTEM® uses wavefront aberrometry data in the measurement and analysis of the refractive power of the eye (i.e. sphere, cylinder, and axis measurements) to support cataract surgical procedures.

    CONTRAINDICATIONS: There are no known contraindications for this device.

    WARNINGS AND PRECAUTIONS:
    The following conditions may make it difficult to obtain accurate readings using the ORA SYSTEM®

    • Patients having progressive retinal pathology such as diabetic retinopathy, macular degeneration, or any other pathology that the physician deems would interfere with patient fixation;
    • Patients having corneal pathology such as Fuchs’, EBMD, keratoconus, advanced pterygium impairing the cornea, or any other pathology that the physician deems would interfere with the measurement process;
    • Patients for which the preoperative regimen includes residual viscous substances left on the corneal surface such as lidocaine gel or viscoelastics;
    • Visually significant media opacity, such as prominent floaters or asteroid hyalosis, will either limit or prohibit the measurement process; or
    • Patients having received retro or peribulbar block or any other treatment that impairs their ability to visualize the fixation light.
    • Use of iris hooks during an ORA SYSTEM® image capture will yield inaccurate measurements.

    In addition:

    • Significant central corneal irregularities resulting in higher order aberrations might yield inaccurate refractive measurements.
    • Post refractive keratectomy eyes might yield inaccurate refractive measurement.
    • The safety and effectiveness of using the data from the ORA SYSTEM® have not been established for determining treatments involving higher order aberrations of the eye such as coma and spherical aberrations.
    • The ORA SYSTEM® is intended for use by qualified health personnel only.
    • Improper use of this device may result in exposure to dangerous voltage or hazardous laser-like radiation exposure. Do not operate the ORA SYSTEM® in the presence of flammable anesthetics or volatile solvents such as alcohol or benzene, or in locations that present an explosion hazard.

    ATTENTION: Refer to the ORA SYSTEM® Operator’s Manual for a complete description of proper use and maintenance, as well as a complete list of contraindications, warnings and precautions.


    ® 2017 Novartis 3/17 US-ORA-17-E-0585