Ziemer's FEMTO LDV, the first compact, mobile femtosecond surgical laser, has been conceived to provide a versatile, powerful platform for a wide spectrum of applications in corneal surgery. The basic system addresses the demand of refractive surgeons for an "all-Laser LASIK" capability that is consistent with an efficient LASIK work-flow. The solution by Ziemer is based on an all-new femtolaser design concept that seamlessly integrates into LASIK procedures and corneal surgery.

Product Information on Ziemer's FEMTO LDVT



Integrated Work Flow
Due to its unique hand-held laser delivery system, which is attached to an easily maneuverable articulated arm, patients can be treated on the patient bed of the excimer laser and do not have to be relocated between flap creation and ablation procedures. The surgeon can perform and control the entire procedure from a single working position, without having to move about or changing microscopes. This revolutionary design concept entails several major advantages in clinical practice.

Smooth Tissue Separation
A novel, proprietary laser cutting process developed specifically for Ziemer's FEMTO LDV system provides for effortless, gentle tissue separation with minimal tissue bridges. The process generates minuscule bubbles that help visualize the flap edge for easy opening. The bubbles disintegrate instantly when the flap is lifted. Consequently, the excimer laser ablation process may be initiated immediately after completion of the flap cutting process, saving process time and minimizing exposure of stroma.

The process creates a smooth edge with approx. 45° angulation. This edge geometry, which resembles edges created with mechanical microkeratomes, ensures a tight, dynamic fit of the flap into the incision, and helps avoid epithelial ingrowth.

Versatile Flap Control
Flap dimensions are computer controlled and are set through an intuitive set of parameters via a user-friendly graphical user interface and touch-screen. Hinge position, hinge angle and width, flap diameter, and flap thickness can be selected by the surgeon to create a customized flap optimized to bulbus dimensions and surgical requirements. There are no parts moving on the cornea; hence less trauma to the epithelium than with mechanical microkeratomes.

Clinical Advantages with Ziemer's FEMTO LDVT Femtolaser surgery
Smooth surface of stromal bed
Smooth edges for optimal flap closure
Thin flaps of even thickness
Rapid healing and visual recovery
Excellent visual outcomes

Taking LASIK to the Next Level
Thinner flaps are better for corneal stability in the long run because it involves cutting less fibres and nerves. The very high cutting precision of the FEMTO LDV has made it possible to create flaps with a thickness of 90 microns and less, reproducibly and confidently.

Ziemer Ophthalmics is now offering users of its FEMTO LDV laser the capability to perform such procedures. This involves using Procedure Packs that are configured with InterShieldT spacers for a flap thickness of 90 µm, 110 or 140 µm flaps. The 110 µm LASIK flap is usually recommended. The ability of the FEMTO LDV to consistently cut thinner flaps helps to preserve invaluable cornea tissue for treatment of high myopia or preservation of cornea tissue useful for future LASIK enhancements.

For more information on the FEMTO LDV Bladeless Laser, visit other clinics around the world who have acquired the machine.

Dr. Allamby:		FocusClinics / Lasiksurgeon
Dr. Labor:		Eyectexas
Dr. Feinerman:		Feinermanvision
Dr.Braverman:		Bravermaneyecenter
Dr. Peters:		Clearadvantagelaser
Dr Foulkes:		Glassesfree