The multi-modality YAG laser from Ellex
The Ultra Q allows you to perform capsulotomy & iridotomy procedures at lower, more efficient power levels with a reduced risk of side effects, such as lens pitting.
Please tell me more about Ultra Q
Fast & highly-accurate treatment
Considered to be the industry’s leading microsurgical YAG laser, the Ultra Q features a patented, proprietary cavity and a custom power supply, which allow you to perform capsulotomy and iridotomy procedures at 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 YAG laser procedures
The quality and design of Ultra Q’s slit lamp optics are custom-designed for anterior YAG laser procedures. Featuring Galilean converging optics with a 16° stereoscopic angle, Ultra Q provides a more natural stereoscopic view combined with a small depth of field, for precision focusing on structures in the anterior segment.
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 anterior YAG treatments
Ultra Q 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.
Capsulotomy for presbyopic IOLs
A precise capsulotomy is essential for IOLs 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, de-centration 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 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 enables you to create a precise size of the iridotomy, often in a single shot, using lower energy than other YAG lasers.
Selective Capsulotomy performed with Ultra Q can effectively address Anterior Capsule Contraction Syndrome (ACCS) and Posterior Capsular Contraction Syndrome (PCCS) associated with the implantation of accommodative IOLs – allowing refinement of refractive outcomes following IOL surgery.
Designed to maximise your workflow
Ellex has integrated the laser and slit lamp for greater efficiency and reliability, as well as for improved ease of use. Ultra Q’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.
Optimised for better viewing
The quality and design of Ultra Q’s slit lamp optics are custom-made for anterior YAG laser procedures, featuring Galilean converging optics with a 16° stereoscopic angle.
Ultra Q’s combination of high-grade crown glass materials and multi-layered, anti-reflection coatings on all optical components maximises light transmission whilst minimising dispersion, to deliver better optical performance. In addition, next-generation filter technology provides the best colour balance possible.
Accurately position optical breakdown
Ultra Q’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.
In posterior capsulotomy, for example, the ideal placement of the plasma ball is slightly ‘posterior offset’ from the target tissue to be incised, as the plasma ball creates shock waves that move back in the direction of the laser source (that is, towards the operator). This helps to ensure precise treatment whilst eliminating the risks of side effects such as IOL pitting.
With a tolerance range of ± 8 µm, Ultra Q’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.
With a two-point focusing system the two aiming beams converge in the focal plane. This simple, yet highly precise aiming system, is the most accurate at indicating when the laser and slit lamp view are in proper focus, as it allows you to see a separation of the two aiming beams (which indicates out-of-focus) with even the smallest of slit lamp (or patient) movements.
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 Q-switching element used is fabricated from highly stable, homogenous materials, which exhibit similar expansion characteristics. The materials used in the Q-Switch are thermally matched to deliver more consistent performance over a number of different operating conditions. This ensures robust, reliable performance and a lifespan of more than 400,000 shots.
In addition, Ultra Q’s custom-built YAG power supply incorporates a micro-controller and energy compensation algorithm to deliver greater shot-to-shot consistency.
Fast, efficient operation
With a fast firing rate of up to 3 shots-per-second (3 Hz), Ultra Q saves you time and allows you to perform quick and highly accurate treatment. Ultra Q’s patented, proprietary cavity facilitates more effective heat transfer and cooling, thereby permitting fast, efficient operation. In addition, the system’s pulse capacitors are rapidly recharged between each and every shot without the risk of overheating, ensuring you of uninterrupted operation.
Tables configured to meet your needs
The Ultra Q 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.