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14:30
17:30
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ZH
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謝宜靜 醫師Taiwan
Speaker
SMILE: Journeys for Patients and SurgeonsSmall-incision lenticule extraction (SMILE), a keratorefractive lenticule extraction (KLEx) procedure, has been performed using the VisuMax femtosecond laser for more than 10 years. The VISUMAX 800 femtosecond laser is the latest upgrade to the SMILE platform. The major improvement is the laser application time. Studies of SMILE with VISUMAX 800 showed equivalent visual outcomes for treating myopia with astigmatism while comparing to VISUMAX 500. However, overall satisfaction of patients and surgeons may be different. Optimize the procedure and extend the clinical applications are still in process.
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林浤裕 醫師Taiwan
Speaker
Innovative Refractive Surgery with SILK: Achieving Precise Outcomes and Exploring Its Potential to Delay Presbyopia本演講聚焦 SILK應用於約40歲患者，探討屈光手術合併老花矯正時的術前精準規劃與留度決策。臨床經驗顯示，直接套用 LASIK 之留度策略於 SILK， 易導致雙眼不等視、遠距視力下降及融像不適；將預留度數減少50%後可獲得較佳的全程視力表現，同時減少雙眼不等視引發的不適。
SILK 採低能量 40 nJ/pulse、小光斑 1μm 並以雙凸透鏡（biconvex lenticule）設計，使微透鏡成形更精細、取出更容易，降低器械進出次數，進而提高屈光結果之可預測性與視覺品質。本演講將彙整台灣臨床病例與國際研究重點，解析景深延長之可能原因，並提出以精準化能量參數之建議，提升SILK術後度數之可預測性與提升患者滿意度。
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梁章敏 醫師Taiwan
Speaker
From Precision to Patient Satisfaction: Clinical Outcomes with SCHWIND ATOS SmartSightThe SCHWIND ATOS femtosecond laser system, incorporating SmartSight technology, represents a new generation of minimally invasive refractive surgery designed to enhance both surgical precision and patient satisfaction. Unlike traditional lenticule extraction platforms, ATOS combines a fast scanning speed with advanced eye-tracking, centration control, and energy modulation algorithms, enabling smoother lenticule interfaces and improved corneal biomechanical preservation.
This prospective study evaluated the visual and refractive outcomes of myopia and myopic astigmatism correction performed with the SCHWIND ATOS. A total of 120 eyes from 60 patients were enrolled and followed for 6 months. Postoperative uncorrected distance visual acuity (UDVA) reached 20/20 or better in 94% of eyes, while 98% were within ±0.50 D of the intended correction. Contrast sensitivity and higher-order aberration profiles demonstrated significant improvement compared with preoperative values. No intraoperative complications or visually significant postoperative haze were observed.
Beyond optical performance, patient satisfaction was assessed through a standardized questionnaire addressing visual comfort, dryness, and night vision quality. Over 90% of patients reported high satisfaction with visual clarity and minimal postoperative discomfort.
In conclusion, SCHWIND ATOS SmartSight achieves predictable refractive outcomes with excellent safety and stability while preserving corneal biomechanics. Its precision, smooth lenticule quality, and optimized patient experience position ATOS as a promising platform in the evolving landscape of lenticule-based refractive surgery.
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黃偉成 醫師Taiwan
Speaker
CLEAR Refractive Surgery with Smart Technology: Advancing Clinical OutcomesThis talk is divided into three parts. First, I will give a brief overview of the Ziemer Z8, a versatile femtosecond laser platform capable of performing femtosecond laser–assisted cataract surgery (FLACS), corneal procedures such as intracorneal ring segments (ICRS) and lamellar keratoplasty, as well as myopic correction with Keratorefractive Lenticule Extraction (KLEx). The Z8 is a compact, mobile system that can be moved between different operating rooms. However, in order to achieve this compact and portable design, it uses a rotating, vibrating handpiece, which is often the main barrier to acceptance for many surgeons.
In the second part, I will share our current clinical experience and outcome data with KLEx using this platform, to provide colleagues who are interested in this system with a more in-depth understanding.
Finally, I will introduce a major upcoming upgrade of the system, which will enable direct integration with a corneal topographer. With iris registration, this will allow automatic centration and automatic rotation for astigmatism correction.
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林丕容 醫師Taiwan
Moderator
Refractive Surgery of LVC and ICL for PresbyopiaUpdate the mainstream of Refractive Surgery Including LVC and ICL for presbyopia
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林丕容 醫師Taiwan
Speaker
Refractive Surgery of LVC and ICL for PresbyopiaUpdate the mainstream of Refractive Surgery Including LVC and ICL for presbyopia
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Thomas KOHNENGermany
Speaker
Power and Precision: The New Era of Phacoemulsification TechnologyModern phacoemulsification technology has evolved into a precise, efficient, and customizable system that supports both standard cataract surgery and refractive visual outcomes. Contemporary devices integrate intelligent fluidics, responsive energy delivery, and enhanced intraoperative control, aiming to improve safety and reduce corneal trauma. Femtosecond laser platforms contribute by standardising capsulotomies, fragmenting the nucleus, and enabling astigmatism-neutral corneal incisions, which supports predictable refractive results and facilitates the use of advanced IOL designs. Astigmatism management remains central to postoperative quality, with digital marking systems improving axis alignment and complementing toric IOL implantation. Sustainability is gaining relevance as reusable tubing, cassettes, and blades reduce environmental burden without compromising safety. Across these domains, innovation focuses on precision, patient-centred refractive planning, and resource-conscious implementation. The new era of phacoemulsification combines technological refinement, optical optimisation, and sustainable strategy to advance cataract surgery outcomes.Bridging Cornea and Lens: The Modern Role of Phakic IOLs in a Myopic WorldPhakic intraocular lenses provide a valuable refractive option for patients with myopia extending beyond the safe limits of corneal laser procedures. Positioned either in the anterior or posterior chamber, they preserve the natural crystalline lens and maintain corneal structure, making them particularly suitable when optical quality, contrast vision, or biomechanical stability must be prioritised. Current guidelines support their use from low to high myopic ranges, with toric designs enabling simultaneous astigmatism correction. Compared with laser-based approaches, phakic IOLs deliver strong visual performance and high patient satisfaction, especially in moderate and high myopia. Long-term outcomes highlight the need for monitoring endothelial cell behaviour and cataract formation as part of routine follow-up. When cataract develops later in life, bilensectomy combines IOL explantation with cataract surgery to preserve refractive goals. Phakic IOLs bridge the space between corneal and lenticular refractive strategies and remain central in modern myopia management.From Awareness to Action: Stepwise Learning to Manage Capsular Rupture During Cataract SurgeryPosterior capsular rupture remains a decisive intraoperative challenge during cataract surgery, most often occurring during lens removal, cortical aspiration, or IOL implantation. Successful management requires early recognition, maintenance of chamber stability, and prevention of nuclear descent into the vitreous. This work presents a structured escalation strategy guiding surgeons from awareness of risk factors to practical intervention. Key steps include controlled viscoelastic support, careful manipulation of remaining lens material, and appropriate anterior or pars plana vitrectomy when vitreous prolapse occurs. IOL selection must be adapted to capsular integrity, allowing placement in the bag when stable or in the sulcus with or without optic capture when support is limited; alternative fixation methods remain essential fallback options. Case examples illustrate that even multifocal IOL implantation is achievable despite rupture if capsular support is preserved and decision-making remains systematic. The stepwise approach aims to enhance intraoperative safety, reduce complication impact, and preserve refractive goals in modern cataract surgery.
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