150°X 200m 150° X 300m Pourpose Evaluate the corneal remodeling using the new Keraring SI 6 for the Keratocous Treatment. Corneoplastic Techniques Mechanical methods Intracorneal segments Incisional procedures Biochemical methods Cross-linking UV light Conductive Keratoplasty (CK) Mix methods Excimer laser ablation Inlays (Acufocus) ©1997 – 2006 IntraLase Corp. All rights reserved. Confidential Mkt Doc 470 Rev. A Optimized prismatic design Scalene triangular shape SI-6 compared to Isosceles triangle in SI-5. Improves effect and optimizes total internal reflection, reducing glare and halos 800µ base width instead of 600µ Wider base provides 25% greater implant volume and compensates for reduction of effect in the larger optical zone When should Keraring SI-6 implantation be considered? Mesopic pupil diameter ≥ 5mm BCVA is ≥ 0.6 Moderete Sphere ≤ 5 D Cylinder value is ≤ 5 D Segment thickness should not exceed 60% of the minimum pachymetry at the 5.5 optical ring zone When PRK is planned as a second procedure. When phakic IOL implantation is planned as a second procedure Different Arc Lengths for each Refraction and Topography appearance New Keraring SI-6 IS-6 IntraLase 60 Hz parameters Depth in Cornea 80% at 5.5 mm Incision Axis at steepest meridian Entry Cut Length 1 mm Inner Diameter 6.0 mm Outer Diameter 6.8 mm Ring Energy 1.5 Entry Cut Energy 1.3 New Keraring SI-6 150°Asymmetric Thickness Implantation -3.50/-4.00X135°=20/60 150°X 200m -0.50/-1.25 X 30°=20/30 150° X 300m New Keraring SI-6 120°symmetric implantation +1.50 / -7.50 X 20°= 20/60 Plano/-1.25 X 45°= 20/30 120°X 250m Single Inferior Segment for PMD Corneoplasty Achivement Preop Postop New SI-6 Keraring Early Conclusions Keraring SI-6 achieves Corneoplasty purposes. Keraring SI-6 is not intended to replace the IS-5, but rather intends to offer the surgeon additional tools to customize the corneal remodeling according to each individual patient’s needs