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    Upgrades to intraop aberrometer enhance surgical feedback

    Technology provides continuous, real-time measurements to verify refraction


    Cloud-based physician portal         

    Upgrades to the technology platform, introduced last fall, also include the cloud-based InSight physician portal. During surgery, the portal integrates preoperative biometric information and intraoperative data.

    Postoperative results are also entered via the portal, Dr. Linder said.

    This makes the database valuable to surgeons not only for obtaining quick access to the results of a procedure but also as a mechanism by which they can identify ways to modify their technique at various steps and further improve their outcomes.

    “With time, as the data accrue in the portal, this will allow the IOL team that developed the formula to further optimize the overall formula, as well as algorithmically develop physician factors for each of the surgeons who are putting their postop data into the portal and thereby further enhance their results,” Dr. Linder explained.

    Outcomes data should begin to appear in the database within the next few months, and the manufacturer will provide surgeon users the analytical tools to assess their outcomes.

    Other upgrades

    The software update for the aberrometer also includes enhancements to the graphical user interface. The goal was to have the HOLOS aberrometer fit into the cataract surgery workflow, Dr. Linder said.

    The system automatically detects when the eye is in the phakic, aphakic, and pseudophakic states so that no interaction with the device by the surgeon or the operating room staff is required.

    When it detects high-quality measurements, it automatically begins to calculate the predicted IOL using the HOLOS Barrett Intraocular Lens Formula.

    In order to better manage the flow of data available during surgery, the manufacturer has designed a novel data display summarizing each IOL prediction from the formula in the form of a histogram, Dr. Linder said.

    “It’s an intuitive and immediate visual representation of an enormous amount of data to give the surgeons confidence in the most common predictions from the IOL formula,” he said.

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