Features - Victus Laser

Created from the ground up to enable multiple premium procedures, deliver high efficiency, and optimize patient outcomes, the VICTUS Femtosecond Laser Workstation incorporates innovative technologies, multi-mode versatility, and comprehensive abilities into a single laser platform.

Fast pulse rates and small spot size

80 kHz for cataract indications
160 kHz for LASIK flaps

Excellent accuracy and consistency

Detailed precision and control

Unparalleled Multi-mode Versatility

Redefining any previous notion of what an ophthalmic laser device should be, VICTUS delivers a single, integrated platform optimized for a broad range of laser cataract and corneal procedures.

Cataract Procedures

Laser cataract lens fragmentation
Capsulotomies
Corneal incisions
Arcuate incisions

Corneal Procedures

LASIK flaps
Arcuate incisions

VICTUS 3.3 SOFTWARE

Consistent with our commitment to continuous product improvement and ongoing system optimization, our VICTUS 3.3 software provides surgeons with updated capabilities.

Capsulotomy and Lens
Fragmentation Centration
Gives surgeons the flexibility to center a procedure on the pupil, limbus, apex, or other positions as preferred during capsulotomy and lens fragmentation.

Automatic Pupil Centration
Delivers enhanced precision by automatically centering the pupil for corneal flaps, eliminating the need for manual positioning.*

*Position must be manually confirmed.

Grid Fragmentation Pattern
Provides surgeons with an additional valuable option to optimize their individual phacoemulsification techniques.

REALEYEZ Swept-source OCT

Only REALEYEZ swept-source OCT delivers real-time, high-quality visualization during image-guided pre-procedure planning and intraoperative monitoring, and real-time imaging throughout the entire procedure.

Real-time Enhanced Visualization
See the entire surgical field any time—and in real-time—as it changes and evolves during the procedure.

Auto-recognition
By automatically recognizing key landmarks including the pupil, cornea, lens, anterior and posterior capsules, and more, VICTUS facilitates fast and precise centering, and incision adjustments.*

*Landmarks must be confirmed by surgeon.

Guided Visual Adjustment
Move confidently through the docking, planning, and treatment phases of a wide array of cataract and corneal procedures with our easy-to-use graphic interface, and advanced high-contrast OCT capabilities.

OCT-guided arcuate incisions enable precise control incision depth, and independent adjustment of incision length, diameter,
and axis.

VICTUS VERAFIT™ Patient Interface

The VICTUS VERAFIT™ Patient Interface delivers stability with a gentle touch. And it’s paired with an advanced docking technology that lets you switch on the fly between cataract and corneal procedures, while maintaining the correct position of the eye.

VICTUS VERAFIT Patient Interface
Designed for Stability

Cataract Procedures
Non-contact, fluid-filled docking—helps ensure centration and alignment, precise cutting and fragmentation, and stability while minimizing corneal folds^1,2.

Corneal Procedures
Full-contact, dry docking—engages with a direct connection, to provide high stability and enable precise corneal incisions¹.

Intelligent Pressure Sensors Designed for Precision

Intelligent Pressure Sensors monitor the sheer forces exerted on the eye by the docking device¹. Sheer forces can cause undesired posterior corneal folds or ripples and conjunctival hemorrhaging².

Graphic display shows radial and vertical pressure, allowing physician to center and stabilize the eye, and select the desired procedure-specific downward pressure on the cornea.

1. Data on file. Bausch & Lomb Inc. 2. Talamo JH, et al. Optical patient interface in femtosecond laser-assisted cataract surgery: contact corneal applanation versus liquid immersion. J Cataract Refract Surg. 2013;39(4):501-10

Indications and Safety Information

Indications for Use

The VICTUS^® Femtosecond Laser Platform is indicated for use for:

The creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea
For anterior capsulotomy during cataract surgery
The creations of cuts / incisions in the cornea of patients undergoing cataract surgery or other ophthalmic treatment requiring cuts / incisions in the cornea
Laser-assisted lens fragmentation of nuclear cataracts during cataract surgery, not for posterior subcapsular (PSC) and cortical cataracts

Safety Information

The VICTUS^® Femtosecond Laser Platform emits an invisible class 3B laser beam that may injure the retina of the eyes or burn the skin. Never look directly into the laser source.

Misuse of the laser system may lead to dangerous situations and severe injuries. See the Operator Manual for detailed directions, proper use, and full risk and safety information.

Contraindications
General contraindications for using the VICTUS^® Femtosecond Laser Platform include, but are not limited to:

Pediatric surgery, hypotony, glaucoma, retinal disorders, rheumatic diseases, occlusion of retinal vessels, pellucid marginal degeneration, existing corneal implant, heavy vascularization of the ocular tissue, or epilepsy.
Conditions that would cause inadequate clearance between the intended capsulotomy cut and the corneal endothelium, such as chemosis, significant loss of stability of the conjunctiva, and nystagmus.
Subjects with corneal disease or pathology that precludes applanation of the cornea or transmission of laser wavelength or distortion of laser light, such as: residual, recurrent, active ocular or uncontrolled eyelid disease or any corneal abnormalities (including endothelial dystrophy, guttata, recurrent corneal erosion, etc.) in the eye to be treated; ophthalmoscopic signs of keratoconus (or keratoconus suspect) in the eye to be treated; a history of herpes zoster or herpes simplex keratitis; or subjects who are using ophthalmic medication(s) other than artificial tears for the treatment of ocular pathology including ocular allergy, or any corneal disease in the fellow eye that requires treatment (recurrent corneal erosion, severe basement membrane disease).
Patients who are pregnant or nursing, are blind in the fellow eye, or have a known sensitivity to planned concomitant medication.
Patients with a difference of more than 5D between minimum and maximum K-values of the central 3mm zone on a keratometric map of the cornea, maximum K-value of more than 60D, or minimum K-value of less than 37D.

General contraindications for using the VICTUS^® femtosecond laser platform to perform anterior capsulotomy include, but are not limited to:

Patients with a poorly dilating pupil, anterior chamber depth (ACD) <1.5mm or ACD >4.8 mm as measured by ultrasonic examination, less than 40 years of age, previous corneal surgery of any kind, dry eye diseases, severe wound-healing disorders (such as connective tissue disease, autoimmune illnesses, immunodeficiency illnesses, endocrine diseases, lupus, rheumatoid arthritis), diabetes mellitus, severe acne rosacea, or patients suffering from AIDS or HIV.

General contraindications for using the VICTUS^® femtosecond laser platform to perform lens fragmentation include, but are not limited to:

Patients with a poorly dilating pupil, anterior chamber depth (ACD) <1.5mm or ACD >4.8 mm as measured by ultrasonic examination, history of lens or zonular instability, less than 40 years of age, posterior subcapsular (PSC) or cortical cataracts.

General contraindications for using the VICTUS^® femtosecond laser platform to perform corneal incisions include, but are not limited to:

Dry eye diseases, previous corneal surgery, specifically incisions that might provide a potential space into which the gas produced by the procedure can escape, or corneal thickness requirements that are beyond the range of the system.

General contraindications for using the VICTUS^® femtosecond laser platform to perform flaps for LASIK include, but are not limited to:

Anyone who is not eligible for a laser vision correction (LVC), patient under the age of 18 years or legal age, previous corneal surgery of any kind, dry eye diseases, cataract, diabetes mellitus, severe wound-healing disorders (connective tissue disease, autoimmune illnesses, immunodeficiency illnesses, endocrine diseases, lupus, rheumatoid arthritis, etc.), patients with an autoimmune disease, collagenosis, or clinically significant atopy, patients suffering from AIDS or HIV, or patients with signs of progressive or unstable myopia in the eye that require treatment.

Potential Complications

Potential general complications resulting from VICTUS^® procedures include, but are not limited to the following:

Corneal abrasion or defect, pain, bleeding, inflammation, or elevated intraocular pressure.

Potential complications resulting from anterior capsulotomy or lens fragmentation include, but are not limited to the following:

Capsulotomy decentration, incomplete or interrupted capsulotomy or lens fragmentation, decentered intraocular lens (IOL), capsular tear, or damage to intraocular structures.

Potential complications resulting from the creation of corneal flaps or corneal cuts / incisions include, but are not limited to the following:

Corneal edema, epithelial ingrowth, flap or corneal cuts / incisions decentration, incomplete flap or corneal cuts / incisions creation.
Flaps only: flap tearing or incomplete lift-off, free cap, photophobia, thick or thin flaps, flap striae.