Distributed by

PhysIOL sa/nv - Liège Science Park - Allée des Noisetiers 4 - 4031 Liège - Belgium

t. +32 (0)4 361 05 49 - f. +32 (0)4 361 05 30 - info@physiol.be - www.physiol.eu

CA

LCTO

R_2

018

/02

Other PhysIOL advanced optical solutions

www.physiol.eu

www.physioltoric.eu

0°

45°

90°

270°

315°

135°

180°

225°

Beyond the limits of vision

When precision meets innovation

PhysIOL Toric Calculator with Abulafia-Koch Formula

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

Toric monofocal optic Double C-loop platform

Non-preloaded injection system 6D to 30D power

1.50D to 6D cylinder power (IOL plane)

Toric trifocal diffractive optic Double C-loop platform

Non-preloaded injection system 6D to 35D power

Additional power: +1.75D for intermediate vision and +3.50D for near vision

1D to 6D cylinder power (IOL plane)

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29P R E M I U M

M O N O F O C A LP R E M I U M

T R I F O C A LE N H A N C E D

M O N O F O C A LS TA N DA R D

M O N O F O C A LAC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

PhysIOL toric solutions www.physioltoric.eu

How to achieve the most accurate correction for your astigmatic patients?

Our goal is to assist surgeons with the most precise and reliable IOL calculations in order to achieve the utmost satisfaction level of patients with

corneal astigmatism. The new calculation method helps physicians select the appropriate toric IOL model and as such improves toric outcomes in

astigmastic patients.

Clinical background

Standard keratometric and topography machines tend to yield inaccurate results in assessing the net corneal astigmatic power.

Astigmatism is present on the posterior corneal surface, which is independent in magnitude and meridian from the astigmatism of the anterior

surface. Residual postoperative astigmatism occurs often in eyes with toric IOL implantation.

Solution

The PhysIOL toric calculator model uses the new Abulafia-Koch regression Formula developed in order to compensate for the posterior corneal

astigmatism effect.

www.physioltoric.euPHYSIOL TORIC CALCULATOR

1.85°average rotation

n = 42 eyes

Abulafia-Koch regression Formula

HELP-button

Predictive patient-specific effective

lens position

Absolute error in predicted residual astigmatism below or equal to 0.50D, 0.75D, and 1.00D

AK-formula

100%

50%

0%

Barrett (IOLM)

≤ 0.5 D ≤ 0.75 D ≤ 1.0 D

What do studies say?“The prediction of postoperative

astigmatic outcomes can be

optimized by adjusting the PhysIOL

toric IOL calculator with the Abulafia-

Koch regression Formula.”

Reference:

A. Abulafia, MD, D.D. Koch, MD, L. Wang,

MD, PhD, W.E. Hill, MD, E.I. Assia, MD, M.

Franchina, MD, G.D. Barrett, MD:

A new regression formula for toric IOL

calculations, J Cataract Refract Surg 2016;

42:663–671.

What are the new features?

A redesigned interface, user-friendly, intuitive and mobile responsive, integrating following features:

1 Abulafia-Koch regression Formula, which reportedly theoretically accounts for posterior corneal astigmatism. This calculation method

uses the standard keratometry measurements (anterior K values) and estimates the total corneal astigmatism based on the Abulafia-

Koch regression Formula to improve the prediction of postoperative astigmatic outcome. Calculation using the Standard K method is also

possible.

2 HELP-button at each bloc that will help you understand and fill in each parameter.

3 Predictive patient-specific effective lens position (ELP) which improves the preoperative refractive predictability.

Effective IOL Cylinder Power at Corneal Plane (D)

WTR (D) ATR (D)

0.00 ≤1.69 (PCRI if > 1.00) <0.39

1.00 1.70–2.19 0.40*–0.79

1.50 2.20–2.69 0.80–1.29

2.00 2.70–3.19 1.30–1.79

2.50 3.20–3.79 1.80–2.29

3.00 3.80–4.39 2.30–2.79

3.50 4.40–4.99 2.80–3.29

4.00 5.00– 3.30–3.79

ATR = against the rule; IOL = intraocular lens; PCRI = peripheral corneal relaxing incision; WTR = with the rule

*Especially if spectacles have more ATR

Double C-loop technology: optimal stability

Besides its postoperative rotational stability, the double C-loop platform offers easy maneuverability, both clockwise and counter-

clockwise, for accurate axis placement of the IOL.

What do studies say?“Double C-loop haptics design provides

excellent capsular bag stability associa-

ted with a low amount of PCO. ”

Reference:

O. Findl, MD: Capsular bag stability and

posterior capsule opacification, Eurotimes,

February 2017.

What do studies say?“An exceptional average rotation of

1.85° +/- 1.01° was observed between

1 day and 3 months with the double

C-loop IOL.”

Reference:

F. Poyales, MD, et al.: Stability of a novel intra-

ocular lens design: comparison of two trifocal

lenses, J Refract Surg. 2016;32(6):394-402.

What do studies say?“In eyes with toric IOL implantation, corneal astigmatism

prediction errors with devices that measure anterior corneal

astigmatism only were 0.5 to 0.6 D WTR in WTR eyes and 0.2 to

0.3 D WTR in ATR eyes, showing the effect of posterior corneal

astigmatism.”

Reference:

D.D. Koch, MD, et al.: Correcting astigmatism with toric

intraocular lenses: Effect of posterior corneal astigmatism,

J Cataract Refract Surg 2013; 39:1803–1809.

1

2

3

n = 78 eyes

How to achieve the most accurate correction for your astigmatic patients?

Our goal is to assist surgeons with the most precise and reliable IOL calculations in order to achieve the utmost satisfaction level of patients with

corneal astigmatism. The new calculation method helps physicians select the appropriate toric IOL model and as such improves toric outcomes in

astigmastic patients.

Clinical background

Standard keratometric and topography machines tend to yield inaccurate results in assessing the net corneal astigmatic power.

Astigmatism is present on the posterior corneal surface, which is independent in magnitude and meridian from the astigmatism of the anterior

surface. Residual postoperative astigmatism occurs often in eyes with toric IOL implantation.

Solution

The PhysIOL toric calculator model uses the new Abulafia-Koch regression Formula developed in order to compensate for the posterior corneal

astigmatism effect.

www.physioltoric.euPHYSIOL TORIC CALCULATOR

1.85°average rotation

n = 42 eyes

Abulafia-Koch regression Formula

HELP-button

Predictive patient-specific effective

lens position

Absolute error in predicted residual astigmatism below or equal to 0.50D, 0.75D, and 1.00D

AK-formula

100%

50%

0%

Barrett (IOLM)

≤ 0.5 D ≤ 0.75 D ≤ 1.0 D

What do studies say?“The prediction of postoperative

astigmatic outcomes can be

optimized by adjusting the PhysIOL

toric IOL calculator with the Abulafia-

Koch regression Formula.”

Reference:

A. Abulafia, MD, D.D. Koch, MD, L. Wang,

MD, PhD, W.E. Hill, MD, E.I. Assia, MD, M.

Franchina, MD, G.D. Barrett, MD:

A new regression formula for toric IOL

calculations, J Cataract Refract Surg 2016;

42:663–671.

What are the new features?

A redesigned interface, user-friendly, intuitive and mobile responsive, integrating following features:

1 Abulafia-Koch regression Formula, which reportedly theoretically accounts for posterior corneal astigmatism. This calculation method

uses the standard keratometry measurements (anterior K values) and estimates the total corneal astigmatism based on the Abulafia-

Koch regression Formula to improve the prediction of postoperative astigmatic outcome. Calculation using the Standard K method is also

possible.

2 HELP-button at each bloc that will help you understand and fill in each parameter.

3 Predictive patient-specific effective lens position (ELP) which improves the preoperative refractive predictability.

Effective IOL Cylinder Power at Corneal Plane (D)

WTR (D) ATR (D)

0.00 ≤1.69 (PCRI if > 1.00) <0.39

1.00 1.70–2.19 0.40*–0.79

1.50 2.20–2.69 0.80–1.29

2.00 2.70–3.19 1.30–1.79

2.50 3.20–3.79 1.80–2.29

3.00 3.80–4.39 2.30–2.79

3.50 4.40–4.99 2.80–3.29

4.00 5.00– 3.30–3.79

ATR = against the rule; IOL = intraocular lens; PCRI = peripheral corneal relaxing incision; WTR = with the rule

*Especially if spectacles have more ATR

Double C-loop technology: optimal stability

Besides its postoperative rotational stability, the double C-loop platform offers easy maneuverability, both clockwise and counter-

clockwise, for accurate axis placement of the IOL.

What do studies say?“Double C-loop haptics design provides

excellent capsular bag stability associa-

ted with a low amount of PCO. ”

Reference:

O. Findl, MD: Capsular bag stability and

posterior capsule opacification, Eurotimes,

February 2017.

What do studies say?“An exceptional average rotation of

1.85° +/- 1.01° was observed between

1 day and 3 months with the double

C-loop IOL.”

Reference:

F. Poyales, MD, et al.: Stability of a novel intra-

ocular lens design: comparison of two trifocal

lenses, J Refract Surg. 2016;32(6):394-402.

What do studies say?“In eyes with toric IOL implantation, corneal astigmatism

prediction errors with devices that measure anterior corneal

astigmatism only were 0.5 to 0.6 D WTR in WTR eyes and 0.2 to

0.3 D WTR in ATR eyes, showing the effect of posterior corneal

astigmatism.”

Reference:

D.D. Koch, MD, et al.: Correcting astigmatism with toric

intraocular lenses: Effect of posterior corneal astigmatism,

J Cataract Refract Surg 2013; 39:1803–1809.

1

2

3

n = 78 eyes

Distributed by

PhysIOL sa/nv - Liège Science Park - Allée des Noisetiers 4 - 4031 Liège - Belgium

t. +32 (0)4 361 05 49 - f. +32 (0)4 361 05 30 - info@physiol.be - www.physiol.eu

CA

LCTO

R_2

018

/02

Other PhysIOL advanced optical solutions

www.physiol.eu

www.physioltoric.eu

0°

45°

90°

270°

315°

135°

180°

225°

Beyond the limits of vision

When precision meets innovation

PhysIOL Toric Calculator with Abulafia-Koch Formula

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

Toric monofocal optic Double C-loop platform

Non-preloaded injection system 6D to 30D power

1.50D to 6D cylinder power (IOL plane)

Toric trifocal diffractive optic Double C-loop platform

Non-preloaded injection system 6D to 35D power

Additional power: +1.75D for intermediate vision and +3.50D for near vision

1D to 6D cylinder power (IOL plane)

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

P R E M I U MM O N O F O C A L

P R E M I U MT R I F O C A L

E N H A N C E DM O N O F O C A L

S TA N DA R DM O N O F O C A L

AC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29P R E M I U M

M O N O F O C A LP R E M I U M

T R I F O C A LE N H A N C E D

M O N O F O C A LS TA N DA R D

M O N O F O C A LAC C E S S O I R E SC O R P O R AT E

PMS 431

C45 M25 Y16 K59

PMS 540

C100 M57 Y12 K70

PMS 533

C95 M72 Y15 K67

PMS 533

C95 M72 Y15 K67

PAPIERCOUCHÉ

PAPIEROFFSET

PMS 186

C2 M100 Y82 K6

PMS 2405

C38 M100 Y0 K0

PMS 3115

C60 M0 Y14 K0

PMS COOL GREY

C16 M11 Y10 K26

C O R P O R AT E P R E M I U MT R I F O C A L

PMS 872

C36 M44 Y69 K29

PhysIOL toric solutions www.physioltoric.eu