DISTRIBUTORS
OEM
SERVICES FOR COMPANIES
CLINICAL STUDIES AND REFERENCES
DRY EYE
PRODUCTS
COMPANY
OS1000
DESCRIPTION
TOPOGRAPHY EXAMS
DRY EYE EXAMS
REPORTS
VIDEO
TECHNICAL DATA
PRODUCT PICTURES
ATLAS
BROCHURE
ACCESSORIES
BIBLIOGRAPHY

Auto interferometry

The software automatically detects the coloured lipids on the patient's eye and determines lipid layer thickness (LLT).
In a few seconds it is possible to get automatically relevant data to understand functionality of Meibomian Glands.
AUTOMATED LIPID LAYER ANALYSIS
The IDRA software analyses lipid layer thickness and allows to understand the functionality of Meibomian Glands.
It is possible to carry out a follow up after MG treatment detecting an increase in secretion.
A typical blink pattern can be observed as approximately one blink every five seconds, ie 11 blinks per minute. Incomplete blink can often be observed in contact lens wearers, and frequent blink may be a result of an attempt to maintain a relatively thin lipid layer.

Tear meniscus

Low tear production may result in aqueous tear deficiency (ATD) and cause dry eye symptoms. However, measuring the tear volume is difficult since the methods available nowadays are invasive and irritating.

Auto nibut

Thanks to one single video, the physician can gain lots of information:
  • Automatic NIBUT
  • Average of more than one value
  • Graph to understand the trend of tear film stability during the video
  • Tear topography that shows all breaking the tear film during time.
Tear meniscus height is related to the tear secretion rate and tear stability and is so a good indicator of tear production.
The aqueous layer is evaluated through the non-invasive 'Tear Meniscus' test and is then classified into different categories.

Blink rate

Most blinks are spontaneous, occurring regularly with no external stimulus. However, a reflex blink can occur in response to external stimuli such as a bright light, a sudden loud noise, or an object approaching towards the eyes.
A complete blink, in which the upper eyelid touches the lower eyelid, contributes to the health of the ocular surface by providing a fresh layer of tears as well as maintaining optical integrity thanks to a smooth tear film over the cornea.
It is also well known that wearing contact lenses (both rigid and soft lenses) can induce significant changes in blinking rate and completeness.
It is been established that efficient blinking plays an important role in ocular surface health during contact lens wear and that is improves contact lens performance and comfort.

Meibography

The System automatically analyses the images taken through a sensitive infrared camera (NIR) to locate the Meibomian Glands in a guided way:
  • An exam valid both for the upper and the lower eyelids
  • Automatic percentage of the Meibomian Gland loss area
Meibomian Gland dysfunction (MGD) is characterised by chronic, diffuse abnormalities of the Meibomian Glands and altered secretion and chemical composition of meibum.
The IDRA allow an accurate comprehension of the ocular surface and especially the Meibomian Glands. The acquired images are processed and transformed into 3D pictures. Thanks to scientific algorithms it is possible for the physician to see these 3D images, and to show them and explain abnormalities to the patients.

3D Meibography

The revolutionary introduction of the 3D Meibomian Gland imaging gives two big advantages.
Firstly, it enables to confirm the presence of abnormal glands compared to a healthy subject in a 3D view; secondly, it provides a clear image to share with the patients, to help explain the potential reason of their discomfort.
For the first time, a 3D image can help to understand the structure of the eyelids. It can show possible diseases of Meibomian Glands and differences with healthy MGs.
Patients can see for themselves why they are getting eye discomfort and fluctuating vision
Patients can understand why a specific treatment is suggested.
To be able to view the presence of abnormal gland structures in a high-resolution 3D image
Evidence that supports the diagnosis in the case of evaporative dry eye disease and the explanation of the reasons for the choice of MGD therapy (including IPL)

Blepharitis and Cylindrical Dandruff

CYLINDIRICAL DANDRUFF AND BLEPHARITIS
The human skin surface is known to house millions of bacteria, though some people have more than the average number.
Blepharitis is an inflammation caused by some bacteria that lie at the base of eyelashes. They produce dandruff-like flakes in the skin, which lead to infection and inflammation.
Problems with the Meibomian Glands (meibomianitis) in the eyelids can also cause blepharitis. The development of inflammation is also associated with tisk factors such as dandruff, dry eye, acne rosacea, or bacteria.
This test helps in the detection of blepharitis. It can be performed on the outer surface of the eyeball and eyelids.
The process includes:
Examining the openings of the Meibomian Glands, base of the eyelashes, and eyelid margins using a bright light.
Checking for abnormalities by evaluating the quantity and quality of tears
The type of blepharitis can be determined based on the appearance of the eyelid edges. If the symptoms frequently exhibited by the patients are mildly sticking eyelids, thickened lid margins, and missing/misdirected eyelashes, then the type of blepharitis is diagnosed as Staphylococcal.
When the patient is found with blockage of the Meibomian Glands in the eyelids, poor quality of tears, and redness of the lining of the eyelids, Meibomian blepharitis is diagnosed.
If a hard, matted crust is formed on the eyelashes, and after its removal small sores appear on the skin, Ulcerative blepharitis is diagnosed.
WHAT IS DEMODEX BREVIS?
Demodex brevis is a kind of mite found on the skin of humans. Like its counterpart Demodex folliculorum, D. brevis is naturally occurring. D. brevis is so small that mites can't be seen macroscopically.

MD Luca Vigo Suggestions

MD. VIGO TREATMENT SUGGESTION
SUGGESTIONS FOR DIAGNOSIS AND TREATMENT BASED ON CLINICAL PROCEDURE OF DR. LUCA VIGO AND STUDIO CARONES (MILAN, ITALY)
DATA RESULTS VIEW
A complete and dry eye-focused database allows to understand and properly diagnose the dry eye patient. With the useful data, the ophthalmologist can check the complete tear film assessment, determining all deficiencies and understanding which treatment is needed to approach each case.
DIAGNOSIS SUGGESTION
Ocular surface data and pathology classification
Thanks to Studio Medico Carones with MD. Luca Vigo's experience, the IDRA includes a suggestion algorithm able to share a possible treatment approach for each patient.

Reports

Custom protocols

Protocol (MD L.VIGO Studio Carones Milano) is already provided and suggest treatment on our KOL experience
All users can customize their own protocol adding treatment procedure to be chosen automatically right after performing the exams (this makes it possible as well to delegate the diagnosis to an assistant).

Other examinations

AN ASSESSMENT OF GRADING SCALES FOR MEIBOGRAPHY IMAGES
The evaluation of the Meibomian Gland dysfunction appears to be of increasing interest in research and clinical practice. Consequently, the evaluation of MGs morphology using Meibography is of high interest for both researchers and clinicians.
BULBAR REDNESS CLASSIFICATION
Acquiring an image of the conjunctiva, it will be possible to compare the patient's condition with different international grading scales.
COMPARISON WITH THE MAIN INTERNATIONAL GRADING SCALES
EFRON - CCLRU - JENVIS - GLAUCOMA - FERNING TEST - MEIBOGRAPHY

Reports

SEVERAL REPORTS AVAILABLE
The IDRA software is a dedicated platform for dry eye and allows, in addition to helping in the diagnosis and classification of diseases, to print and save various medical reports, offering the most professional and clinical solutions to patients.
For customer satisfaction, it is often advisable to provide technical documentation relating to the exams taken.
Thanks to the various press reports of the Sbm device, you will have the possibility to visually explain and simply demonstrate the pathology situation.
Furthermore, it's possible to explain how the pathology has changed over time.
COMPLETE REPORT
Complete report with all results and pictures used to explain to the patient any dry eye category.
TREATMENT REPORT
Patient oriented report explaining causes of pathology and recommended treatments.
FOLLOW UP REPORT
For each value it is possible to show the trend line before/during/after treatment.
BLINKING QUALITY
You have the possibility to save the results of Eye Blinking quality and quantity with the related graph.
MONOCULAR REPORT
To save and prind one only interesting examination.
BINOCULAR REPORT
To save in a single pdf the same eamination of both eyes.
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Atlas

Accessories

TABLE
MINI PC
COMPLETE HOLDER

Human Bibliography

1. Management and therapy of dry eye disease: report of the Management and Therapy Subcommittee of the International Dry Eye WorkShop (2007). Ocul Surf. 2007 Apr; 5(2): 163-78.
2. Paugh JR, Nguyen AL, Ketelson HA, Christensen MT, Meadows DL. Precorneal residence time of artificial tears measured in dry eye subjects. Optom Vis Sci. 2008 Aug;85(8):725-31.
3. Garrett Q, Simmons PA, Xu S, et al. Carboxymethylcellulose binds to human corneal epithelial cells and is a modulator of corneal epithelial wound healing. Invest Ophthalmol Vis Sci. 2007;48:1559-67.
4. Garrett Q, Xu S, Simmons PA, et al. Carboxymethyl cellulose stimulates rabbit corneal epithelial wound healing. Curr Eye Res. 2008 Jul;33(7):567-73.
5. Zheng LL, Myung D, Yu CQ, Ta CN. Comparative In vitro Cytotoxicity of Artificial Tears. JSM Ophthalmol 2015;3(1): 1026.
6. Diebold Y, Herreras JM, Callejo S, Argueso P, Calonge M. Carbomer- versus cellulose-based artificial-tear formulations: morphologic and toxicologic effects on a corneal cell line. Cornea. 1998 Jul;17(4):433-40.
7. Tong L, Petznick A, Lee S, Tan J. Choice of artificial tear formulation for patients withdry eye: where do we start? Cornea. 2012 Nov;31 Suppl 1:S32-6.
8. Berger JS, Head KR, Salmon TO. Comparison of two artificial tear formulations using aberrometry. Clin Exp Optom. 2009;92:206-211.
9. Ridder WH III, Lamotte JO, Ngo L, et al. Short-term effects of artificial tears on visual performance in normal subjects. Optom Vis Sci. 2005;82:370-377.
10. Baudouin C, et al. Role of hyperosmolarity in the pathogenesis and management of dry eye disease: proceedings of the OCEAN group meeting. Ocul Surf. 2013 Oct;11(4):246-58.
11. Hirata H, et al. Hyperosmolar Tears Induce Functional and Structural Alterations of Corneal Nerves: Electrophysiological and Anatomical Evidence Toward Neurotoxicity. Invest Ophthalmol Vis Sci. 2015 Dec;56(13):8125-40.
12. Mager WH, Siderius M. Novel insights into the osmotic stress response of yeast. FEMS Yeast Res. 2002 Aug;2(3):251-7.
13. Lievens C, Berdy G, Douglass D et al. Clinical Evaluation of a New Enhanced Viscosity Eye Drop for Moderate to Severe Dry Eye Disease: A Multicenter, Double-Masked, Randomized 30-Day Study. AAOptAnnual Meeting, Oct 7-10, 2015, New Orleans, LA, USA.
14. Miller KL, Walt JG, Mink DR, et al. Minimal clinically important difference for the ocular surface disease index. Arch Ophthalmol. 2010 Jan;128(1):94-101.
15. Roth H-W, Conway T, Hollander DA. Evaluation of carboxymethylcellulose 0.5%/ glycerin 0.9% and sodium hyaluronate 0.18% artificial tears in patients with mild to moderate dry eye. Clin Optom. 2011:3;73-78.
16. Deng R, et al. Osmoprotectants suppress the production and activity of matrix metalloproteinases induced by hyperosmolarity in primary human corneal epithelial cells. Mol Vis. 2014 Sep 12;20:1243-52.
17. Hua X, et al. Effects of L-carnitine, erythritol and betaine on pro-inflammatory markers in primary human corneal epithelial cells exposed to hyperosmotic stress. Curr Eye Res. 2015 Jul;40(7):657-67.
18. Hua X,et al. Protective Effects of L-Carnitine Against Oxidative Injury by Hyperosmolarity in Human Corneal Epithelial Cells. Invest Ophthalmol Vis Sci. 2015 Aug;56(9):5503-11. 19. P. A. Simmons, J.-E. Chang- Lin, Q. Chung, J. G. Vehige, D. Welty; Effect of Compatible Solutes on Transepithelial Electrical Resistance and Uptake in Primary Rabbit Corneal Epithelial Cell Layers Model. Invest. Ophthalmol. Vis. Sci. 2007;48(13):428.

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