CIPTAmax™Corneal Interactive Programmed Topographic Ablation
Over 15 Years of Experience in Customised Corneal Surgery. Who else can claim that?
CIPTAmax™ software was born in 1996 to design 100% customised, optimised, aspheric, aberration-free surgical applications while reducing invasiveness for the patients
CIPTAmax™, our new generation evolution of CIPTA™, uniquely blends PrecisioHD™ morphological and refractive data together with the IdealPupil™ computed by pMetrics™ to plan the ideal Aconic Surface with full control over asphericity to deliver the ideal vision for each patient as the natural consequence of the corneal regularisation
CIPTAmax™ plans variable-width transition zone to maintain a constant slope with linear variation of the curvature to mitigate the risk of regression and minimise the risk of halos and starbursts
CIPTAmax™ delivers the treatment plans for ordinary refractive disorders, as well as complex refractive disorders such as irregular astigmatism, decentrations, central islands, errors induced by previous refractive surgery and high refractive errors
- CIPTAmax™ ablation volume is defined by the intersection of IdealShape™ that is our computed ideal surface designed to restore ideal vision,
and the anterior corneal surface. The volume of the ablation is defined by the intersection of the existing, detected anterior surface
of the cornea and the ideal corneal surface. The ablation takes into account the patient’s real anterior corneal surface and it is not
derived from a mathematical calculation based upon a lens application. Importantly, CIPTA does not apply a lens without taking into account
the underlying structure
- CIPTAmax™ ablation diameter is delimited by the Ideal Pupil™ computation implemented by pMetrics™ dynamic pupilometry.
The intersection of the measured surface and the ideal aconic surface must be as large as the IdealPupil™ area projected on the anterior surface of the cornea.
The optimum ablation size minimises the volume of tissue to be ablated, while assuring that this refractive area completely covers the Ideal Pupil™.
This can have significant impact on tissue sparing and is an exclusive feature of CIPTAmax™
- CIPTAmax™ determines automatically the critical corneal surgical parameters like the centre of the ablation and reference axis
of the ideal aconic surface. Naturally the surgeon can override the default parameters if desired.
- CIPTAmax™ plans by default cTEN™, our exclusive custom trans-epithelial, all-laser, no-touch" treatment strategy.
CTEN eliminates the intraoperative risks associated with the use of femtosecond lasers as well as the flap-induced aberrations
that are unmeasured and unaccounted for in LASIK surgery
- CIPTAmax™ plans a transition zone with a constant slope and a linear change of curvature. This is achieved by calculating a
variable-width transition zone. This may only be accomplished with detailed knowledge of the shape of the cornea given by our
PrecisioHD™ Tomographer. Our variable-width transition zone guarantees a constant slope with a linear change of curvature in all
radial directions. This linear change of curvature minimises the risk of halos and starbursts
Not only used for primary custom, corneal refractive surgery, CIPTAmax™ has advanced capabilities for treatment of prior refractive surgery problems.
CIPTAmax™ uniquely brings a solution to:
- Myopia, Myopic Astigmatism
- Hyperopia, Hyperopic Astigmatism
- Mixed Astigmatism
- Irregular Astigmatism
- Complex Corneas
- Induced Irregularities and Aberrations
- Small Optical Zones
- Decentred Ablations
- Correction of Asphericity
- Custom therapeutic procedures (e.g. correction of decentrations, induced and/or congenital irregular astigmatism, scars, insufficient optical zones, leucoma, etc.)
- Custom Epikeratophacky (e.g. high refractive diseases)
- Custom regularisation prior cross-linking surgery
- Custom regularisation after pterigium excision
- Deep sclerectomy for glaucoma
Discover the CIPTAmax™ advantage
CIPTAmax™ is a synthesis of high-definition shape, detailed refractive data and dynamic pupil assessment
Built of a strong basis of physiological optics while respecting corneal physiology, CIPTAmax™ demonstrated excellent clinical results in delivering custom refractive surgery to primary cases through complex secondary cases.
CIPTAmax™ is a fundamental departure from refractive-only approaches marketed with wavefront measurements. Rather than using only refractive data available through the pupil, CIPTAmax™ incorporates a synthesis of ray-traced refractive data, high definition elevation, and pupillometry data.
Importantly, surgery is executed on the surface that is detected in high-resolution by PrecisioHD™. This sharply contrasts with the widespread approach to etching a lens, thus producing an aberration map on a surface thusly altering its shape, but without regard or knowledge of its shape.
CIPTAmax™ vs. Wavefront Ablations
iVis believes a Wavefront approach is technically limited
In fact, can we ethically state that objective refractive data is the entire equation? iVis believes this not the case! Here is why!
The philosophy that drives CIPTAmax™ states that the refractive outcome is the natural consequence of the modifications of the corneal morphology
Customised ablations based only on refractive data deduced by Wavefront devices and/or Placido-based topographers attempt to directly compensate for the refractive error under the assumption that there is no need to know the corneal morphology
Wavefront ablation profiles are based on a lens to be applied on the cornea with no consideration of the corneal morphology
CIPTAmax™ regularises the anterior surface of the cornea by identifying and placing the ideal aconic surface thus removing only the limited portion of tissue included between the anterior corneal profile and the ideal aconic surface
CIPTAmax™ requires less tissue ablation as the irregularities of the cornea increase, as opposed to Wavefront-guided ablations which require a higher amount of tissue as irregularities increase.
Expand the offering of your surgery with premium treatments!
Discover iVis exclusive No-Touch procedure for premium therapeutic and refractive corneal surgery. In Fact C-TEN™ is trans-epithelial with the epithelium removed by the laser only in the individual treatment area. Thus C-Ten is Safe and respects the patients’ eyes, sparing corneal tissue.
C-TEN™ avoids all manipulation of the patients’ cornea by the doctor and by eliminating corneal applanation, suction and flap.
Thanks to the accuracy of the diagnostic devices of the iVis Suite™, Customised Ablations are the standard with C-TEN™ in 100% of cases and delivered always granting Low Invasiveness.
C-TEN™ dramatically reduces patients’ and surgeons’ time in the operating theatre being a Fast one-step surgery thanks to the 1000Hz frequency of the patented iRes™ excimer laser.
Discover all the surgical options brought to you by C-TEN™
C-TEN™ thanks to its gentle laser ablation limited to the treatment zone, dramatically accelerates corneal healing and reduces patients’ recovery time
Discover Asphericity Interactive™ - "ai™"
The ai™ function interactively compensates for multiple, interdependent factors affecting asphericity.
CIPTAmax™ includes our exclusive algorithm ai™. Only ai™ fully and interactively compensates for multiple factors each affecting and affected by asphericity.
ai™ is an easy to use, surgeon-friendly surgical design tool that eliminates the need for very complex, multi-factored compensation calculations with variable interdependencies on:
- Corneal curvature
- Pupil (refractive area) dimensions
- Refractive power change
- Asphericity change