Shaping the Future of Sight

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							Shaping the Future of Sight

Proven ZEISS Optic
for aspheric preloaded IOLs




   CT ASPHINA® 613P (1)




                          (1)   CT ASPHINA® 613P is the same IOL model as CT ASPHINA® 603P (formerly
                                known as XL Stabi ZO). The only difference is the new design of the preloaded
                                cassette that is used exclusively with SkyJet ® Advanced.
   CT ASPHINA® 604P (2)   (2)   CT ASPHINA® 604P is the same IOL model as the formerly known Invent ZO.
                                                                                                                1
“Zeissgeist” in optical design




                                 2
“Zeissgeist” in optical design



 Advancing aspherics
 Carl Zeiss has a long history of experience in developing aspheric
 lens concepts and solutions for a variety of products and systems.
 In fact, with many of its innovative developments, ZEISS has
 managed to literally capture the zeitgeist(1) of a technological era.
 Consider such milestones as the first aspheres to correct astigmatisms
 (1899) or a novel retrofocus type aspheric lens for high-speed motion
 picture cameras (1975), to name but two.
 Consider such ZEISS milestones as:




 Microscope with            Aspheric optic for      Photo camera
 aspheric optic design      binoculars              objective with
                                                    aspheric lens
(1)   Spirit of the times

                                                                          3
“Zeissgeist” in optical design



 New generation of aspheric IOLs
 For more than a century now, Carl Zeiss has defined high-level
 quality, unparalleled optical expertise and outstanding innovation
 in optical technology.

 For the first time, ZEISS has applied this proven technology to
 a new generation of aspheric IOLs used in cataract surgery.
 Introducing the first members of the ZEISS Optic aspheric IOL family:
 the CT ASPHINA 613P and the CT ASPHINA 604P.




                                                                         4
ZEISS in your eyes




Precision of the concept

                           5
ZEISS in your eyes –
Precision of the designed asphericity concept


 Precision of the ZO (600) asphericity concept
 In developing its aspheric lens concept, ZEISS combined the best of
 both worlds: the advantages of negative spherical aberrations IOLs
 and aberration-neutral IOLs.

 The unique ZO / 600 asphericity concept is designed to:
  correct a part of the spherical aberrations of the pseudophakic eye
  be less sensitive to decentration and tilt
  improve the retinal image quality of patients vs. spherical IOL
  maintain depth of field vs. spherical IOL
  offer maximum visual performance for the largest range of patients
  be used in routine and be adapted for the vast majority of patients




                                                                         6
ZEISS in your eyes –
A recognized eye model


 The benchmark among eye models
 The advanced ZEISS aspheric lens is patterned after the
 Liou & Brennan (LBE) eye model, widely regarded as the most
 anatomically accurate eye model in ophthalmology today.

 LBE places the young, phakic human eye into an optical,
 physiological and realistic environment, using, among other things, the
 physiological off-axis of the pupil in nasal and the tilt of the visual/optical
 axis as its basis.

 Similarly, the ZEISS Optic / 600 concept closely mimics the anatomical
 and optical imaging properties of the young, natural human eye.

                                          The ZO / 600 lens design is
                                          based on the widely recognized
                                          Liou and Brennan (LBE) eye
                                          model




                                                                                   7
Proven optical excellence




    CT ASPHINA® 613P




    CT ASPHINA® 604P



Performance of the concept

                             8
Proven optical excellence of the ZO (600) IOLs



 A full range of clinically proven advantages for surgeons and
 patients

 The unique and well-known ZEISS aspheric Optic / 600 concept
 combines the advantages of negative spherical aberration IOLs and
 aberration neutral IOLs correcting a part of spherical aberrations,
 maintaining depth of field, and optimizing visual performance for the
 largest range of patients. The ZO (600) IOLs offer a full range of
 clinically proven advantages for surgeons and patients.

  Confidence in a well-known ZEISS aspheric optic
  Proven efficacy of the asphericity optic concept (A)
  Proven to provide the same amount of SA as the natural young
 crystalline lens (B)
  Proven better visual performance vs. spherical IOL (B)
  Proven to maintain depth of field vs. spherical IOL(B)
  Proven precise, reproducible and stable outcomes (A&B)
  For routine use and adaptation to the vast majority of patients (A&B)


                                                                           9
Proven optical excellence of the ZO (600) IOLs



 Maximum visual performance for the largest range of patients
 The optic of the ZO (600) IOLs closely mimics the anatomical and optical properties of young phakic
 eyes for the largest range of spatial frequencies. Eyes implanted with ZEISS Optic / 600 asphericity
 concept IOLs show a similar amount of spherical aberrations to the phakic eyes from the control group
 (Graph 1) (A).




                                                                   Graph 1: MTF curve of the ZO (600) IOL group is similar to the
                                                                   MTF curve of the young phakic eyes control group, showing
                                                                   that the IOL mimics the SA of the natural crystalline lens in a
                                                                   stable way (12 month post-op.). (OPD-Scan measurement)




                                                                                                                                     10
Proven optical excellence of the ZO (600) IOLs



 Maintained depth of field
 The development of the optical concept of the ZO (600) IOLs is based on the Liou & Brennan eye
 model, the most anatomically accurate eye model, allowing the IOLs to have low sensitivity to tilt &
 decentration (B). The concept also keeps a small amount of spherical aberrations, maintaining depth of
 field in implanted eyes equivalent to spherical IOL implanted eyes (Graph 2) (B).




                                                                 Graph 2: Depth of field of eyes implanted with ZO (600) IOLs is
                                                                 comparable to the depth of field of eyes implanted with
                                                                 spherical IOLs. At 1 year follow-up.



                                                                                                                                   11
Proven optical excellence of the ZO (600) IOLs



 Depth of field – Simulated image
 The 2 pictures below clearly show the impact of the depth of field on the quality of the image, it’s really
 an advantage for patients that ZO (600) IOLs maintain depth of field.




             Vision with an excellent depth of field           Vision with a reduced depth of field




                                                                                                               12
Proven optical excellence of the ZO (600) IOLs



 Superior optical performance compared to a spherical IOL
 Due to their innovative aspheric concept, ZO (600) IOLs outperform spherical IOLs by improving the
 quality of the image (Graph 3) (B).




                                                              Graph 3: MTF curve of aspheric ZEISS Optic (600) IOLs is superior to
                                                              MTF curve of spherical IOLs, showing a higher quality of vision for the
                                                              patients implanted with the aspheric IOLs. Statistically significant
                                                              difference at all spatial frequencies evaluated. (Wasca Analyzer
                                                              measurement)




                                                                                                                                        13
Proven optical excellence of the ZO (600) IOLs



 Visual performance - Compared images of ZO (600) IOL vs. spherical IOL




         Vision with the aspheric optic of the CT ASPHINA 613P   Vision through a spherical optic




                                                                                                    14
CT ASPHINA® 613P & CT ASPHINA® 604P IOLs overview




     CT ASPHINA® 613P




     CT ASPHINA® 604P


Technical Features

                                                    15
CT ASPHINA 613P & CT ASPHINA 604P IOLs overview -
Benefit from a trustworthy IOL platform


Safe, established hydrophilic acrylic material used for over 15
years (C,D,E,F,G)

The hydrophilic acrylic of the ZO (600) IOLs has successfully
demonstrated its excellent long term behavior on the market in terms of:

 biocompatibility (C)
 transparency (C)
 stability (C)
 good resistance to injection stress and Nd:YAG laser (C)
 very low incidence of glare, blurring and halos (B)
 Less bacterial adhesion of hydrophilic acrylic material (D)
 Low silicone oil adherence (C)




                                                                           16
CT ASPHINA 613P & CT ASPHINA 604P IOLs overview -
Benefit from a trustworthy IOL platform


Stable design and reliable behavior

The CT ASPHINA 613P and CT ASPHINA 604P feature
a 3- and 4-haptics design respectively to:
 optimize the contact surface with the equator of the capsular bag
 and to secure postoperative stability

The well-known 3-haptic design of the CT ASPHINA 613P is highly
recognized:
 confidence in the 3-haptic design IOL platform with several hundred
thousand IOLs implanted worldwide (C)
 low occurrence of tilt and decentration observed (B)




                                                                        17
CT ASPHINA 613P & CT ASPHINA 604P IOL overview –
Quick 3-step preparation


Well-known ergonomy and safety
The CT ASPHINA 613P and CT ASPHINA 604P IOLs are preloaded in their respective cartridge to allow
for an easy, sterile and reproducible application. The IOLs are protected at all times and never handled to
avoid risk of damage, misloading and cross-contamination. Simply clip the cassette into the disposable
injector, add the viscoelastic and it’s ready for implantation.

                                       Only 3 steps to be ready for implantation
   Step 1                     Step 2                     Step 3                     Ready for implantation




  confidence in a well-established, for over 7 years, disposable injector system
  safety of the preloaded IOLs
  ease of use from preparation to implantation

                                                                                                              18
CT ASPHINA 604P –
Technical features


CT ASPHINA 604P
 Posterior ZEISS aspheric optic
 Preloaded IOL
 Hydrophilic acrylic (28%)
 Optical ø: 6.0 mm
 Total ø: 10.5 mm
 Angulation: 0°
 A-Constant (estimated): 118.1
 Biconvex
 ACD: 5.02
 Diopters: +14 to +30 D by 0.5 D increments
Square edge
 UV filter
 Injectable with the SkyInvent disposable injector




                                                      19
CT ASPHINA 613P –
Technical features


 CT ASPHINA 613P
  Posterior ZEISS aspheric optic
  Preloaded IOL
  Hydrophilic acrylic (28%)
  Optical ø: 6.0 mm
  Total ø: 10.5 mm
  Angulation: 10°
  A-Constant (estimated): 118.2
  Biconvex
  ACD: 5.08
  Diopters: +10 to +25 D* by 0.5 D increments
  Square edge
  UV filter
  Injectable with the new SkyJet Advanced* disposable injector


  (*)   For diopters from +25.5 to +30 D please continue to use CT ASPHINA 603P with
        the regular SkyJet

                                                                                       20
SkyJet Advanced- the new, smaller incision injector only for
CT ASPHINA 613P


“I am a long time user of the ZEISS aspheric 3-haptic preloaded IOLs with the SkyJet injector system as
they offer precise, stable and efficient outcomes for routine cataract surgery. I was waiting for a new, smaller
incision injector and now it’s done with SkyJet Advanced so the combination is even more attractive”
Dr. Gilles DENIS, MD, France




                                        Reduced surface of the SkyJet Advanced tip


Much smaller incision
SkyJet Advanced allows for an ergonomic, reliable and predictable implantation of the CT ASPHINA 613P
through a much smaller incision. The diameter of the SkyJet Advanced injection tip is significantly reduced
compared to the regular SkyJet, making the incision size required to inject the IOL much smaller.


                                                                                                              21
SkyJet Advanced- the new, smaller incision injector only for
CT ASPHINA 613P


Predictable, controlled and safe IOL delivery
The SkyJet Advanced further improves reproducibility of injection
due to a new plunger and a new design of the preloaded cassette.
The precise folding of the IOL, its centered, straight and controlled
delivery into the capsular bag, makes the injection very safe,
predictable and comfortable.




 Take advantage of the new and impressive SkyJet Advanced to maximize
 efficiency, safety and reproducibility by implanting the proven CT ASPHINA
 613P through a much smaller incision for improved outcomes, optimized
 surgical workflow and happier patients.




                                                                              22
SkyJet Advanced, the new smaller incision injector only for
CT ASPHINA 613P


Minimal incision, maximum performance




                                   Due to a thinner injection tip, a new design of preloaded cassette and a new
                                   plunger, this unique premium combination of a proven innovative aspheric
                                   optic preloaded IOL and a high-tech injector allows for an ergonomic, reliable
                                   and reproducible implantation of CT ASPHINA 613P, through a significantly
                                   reduced incision size.

                                                                                                                    23
An eye for patient well-being




Patient Care

                                24
An eye for patient well-being



 Patient Care
 Cataract surgery has become a very routine procedure.
 But when it comes to patient safety and well-being, there is no
 room for compromise.

 The advanced lens concept of the ZEISS Optic (600) is designed
 to ensure a highly reproducible and precise refractive outcomes,
 enabling routine adaptation to the vast majority of patients.

 Moreover, it delivers the best image quality the retina can process
 while preserving the depth of field.




                                                                       25
An eye for patient well-being



 Great mileage
 The ZEISS aspheric lens displays very high stability, allowing patients
 to benefit from:
  secure long-term lens centration
  optimized optical performance over a longer period of time




                                                                           26
References




 Note: IOLs and injectors are not available in all countries. Please ask our local representatives for the status of the products in your country.




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