THE multi-modality YAG laser from Ellex
Featuring Ellex's proprietary Reflex Technology, the Ultra Q Reflex is designed for capsulotomy with new generation IOLs, peripheral iridotomy for glaucoma and laser vitreolysis for the treatment of floaters.
Please tell me more about Ultra Q Reflex
Fast & highly-accurate treatment
Considered to be the industry’s leading microsurgical YAG laser, the Ultra Q Reflex features a patented, proprietary cavity and a custom power supply, which allow you to perform capsulotomy and iridotomy procedures at a lower, more efficient power consistency. It is also the world’s fastest YAG laser, with a firing rate of 3 shots-per-second.
For anterior & posterior YAG treatments
The new Ultra Q Reflex is the only YAG laser designed to perform both anterior and posterior YAG laser treatments. Whether you are performing capsulotomy with new generation IOL’s, peripheral iridotomy for glaucoma or ND:YAG laser vitreolysis for the treatment of floaters, the Ultra Q delivers higher accuracy and greater control.
The ultra-gaussian spot profile and fast rise time enable the user to perform capsulotomies and iridotomies at lower, more efficient power levels.
Optimised for posterior YAG treatments
Ultra Q Reflex’s proprietary slit lamp illumination tower design converges the operator’s vision, the target illumination and the treatment beam onto the same optical path and focuses them to the same optical plane. This minimises the potential for focusing errors and the risk of damage to the natural lens or the retina. This makes Ultra Q Reflex ideal for targeting vitreous strands and opacities.
'Treat eye floaters' microsite
As the treatment of eye floaters has become more commonplace, Ellex has produced a 'microsite' on Laser Floater Removal (LFR) www.treateyefloaters.com. This small website provides an educational resources for the medical community, focusing solely on LFR and the Ultra Q Reflex laser.
Optimised for anterior YAG treatments
Ultra Q Reflex achieves the industry’s lowest energy optical breakdown at 1.8mJ (in air) to cut tissue more efficiently with fewer shots and less cumulative energy. Featuring an ultra-gaussian beam profile, Ultra Q focuses more energy into the centre of the beam profile to deliver greater energy density. Not only does this reduce the amount of energy needed to effectively perform capsulotomy and iridotomy treatments, it also greatly reduces the risk of lens pitting.
Reduce the risk of IOL pitting
Ultra Q Reflex allows you to cut tissue more effectively using fewer shots and less cumulative energy, dramatically reducing the risk of IOL pitting. Featuring an Ultra Gaussian beam profile, Ultra Q Reflex focuses more energy into the centre of the beam profile to deliver greater energy density, achieving ultra-low optical breakdown.
This beam profile enables you to perform capsulotomy and iridotomy procedures at lower, more efficient power levels. It reduces the risk of side effects such as lens pitting, retinal thickening, increased IOP or collateral damage to surrounding structures.
Capsulotomy for presbyopic IOLs
A precise capsulotomy is essential for intraocular lenses that correct presbyopia through implantation in the posterior chamber’s capsular bag. Good IOL centration, in terms of the pupil, optimises lens performance. In contrast, decentration can cause halos and poor vision. The goal is a perfectly centred, precise capsulotomy that will not affect the tension of the bag and the position of the IOL in the visual axis.
The precision and ultra-low energy optical breakdown provided by Ultra Q Reflex creates a capsulotomy opening that is precisely controlled, without causing damage to the lens, even if the lack of a ridge makes the capsule adhere to the optic.
Iridotomy for phakic IOLs
Refractive IOLs that are designed to correct myopia, or hyperopia (also known as Phakic IOLs) can be placed in front of the iris or between the iris and the natural lens. To prevent any possibility of IOL-induced pupillary block, these lenses require peripheral iridotomies prior to surgery. The iridotomy aperture must be large enough to ensure a balanced aqueous flow, yet small enough so that no light is transmitted back to the pupil, which can cause double vision.
Ultra Q Reflex enables you to create a precise size of the iridotomy, often in a single shot, using lower energy than other YAG lasers.
Reflex Technology comprises Ellex’s proprietary slit lamp illumination tower design, which converges the operator’s vision, the target illumination and the treatment beam onto the same optical path, and focuses them onto the same optical plane – offering optimised visualisation and illumination of the vitreous. This is of particular importance when aiming at vitreous strands or opacities, as it greatly minimises the potential for focusing errors, and the risk of damage to the natural lens or the retina.
The unique illumination mirror design, which briefly moves out of the laser pathway during firing, ensures that the laser beam is never obstructed. This minimises the risk of under-dosing or over-dosing the energy, ensuring that the desired therapeutic effect is achieved.
Optimised for better viewing
The quality and design of Ultra Q Reflex’s slit lamp optics are optimised for both anterior and posterior YAG laser procedures. In addition, next-generation filter technology provides the best colour balance possible.
Featuring Galilean converging optics with a 16° stereoscopic angle, Ultra Q Reflex provides a more natural stereoscopic view combined with a small depth of field for precision focusing on structures in the anterior segment. The illumination tower, which can be used in a coaxial position, provides better depth perception in the posterior segment for focusing on structures in the vitreous cavity.
Better long-term performance
A Q-switch is an optical component used to ‘gate’ energy in order to generate a short, high peak-energy pulse. The Ultra Q Reflex Q-Switch is thermally matched to deliver a more consistent performance over a number of different operating conditions, ensuring robust, reliable performance and a lifespan of more than 400,000 shots. In addition, Ultra Q Reflex’s custom-built YAG power supply incorporates a micro-controller and energy compensation algorithm to deliver greater shot-to-shot consistency.
With a tolerance range of ± 8 µm, Ultra Q Reflex’s two-point focusing system makes it easy for you to accurately position where the optical breakdown will take place, irrespective of whether you are working in the anterior segment or in the posterior segment.
The Ultra Q Reflex’s simple, yet highly-precise aiming system indicates when the laser and slit lamp view are in proper focus with a high level of precision, as it allows you to see a separation of the two aiming beams (four-point systems require a significant shift in the slit lamp’s position before you can distinguish any separation of the aiming beams).
Accurately position optical breakdown
Ultra Q Reflex’s continuously variable offset (from 100 to 500 microns) allows you to accurately set the distance between the focal plane and the position of the plasma ball, ensuring more effective and safer photodisruption.
Depending on the treatment, the aiming beam focus can be placed exactly in front of, behind, or on the disruption laser focus.
Maximise your workflow & minimise downtime
Ellex has integrated the laser and slit lamp for greater efficiency and reliability, as well as for improved ease-of-use. Ultra Q Reflex’s compact, efficient design provides you with additional working space, making it easier to align the patient and to position the contact lens. It also offers the added benefit of convenient, simultaneous access to the patient and laser controls.
Ultra Q Reflex’s fully-integrated design, which integrates the treatment laser with the diagnostic slit lamp, minimises system downtime because there are no exposed fibre-optic or electrical cables to accidentally damage. It also eliminates the need for you to calibrate the system, or to reposition cables or adapters.
Tables configured to meet your needs
Ultra Q Reflex laser can be combined with the ‘Total Solution’ table range in order to meet the needs of ophthalmic offices, ambulatory surgery centres and hospital outpatient clinics.
These tables are designed to meet the needs of any environment, with the added benefit of comfort, flexibility and an optimised patient-surgeon interface. They are portable and wheelchair accessible.