Resources

Video

2RT^® in the Fundamental Research Program of the LEAD clinical trial

Professor Erica Fletcher, PhD, Leader of the Fundamental Research Program in the Laser for Early AMD (LEAD) clinical trial, explains how the 2RT^® unique mechanism of action may remove the early signs of age-related macular degeneration. Professor Fletcher highlights the distinctive differences that set 2RT^® apart from current conventional retinal lasers.

Video

Promising results from LEAD clinical trial for 2RT^® in preventing progression of early AMD

Professor Robyn Guymer AM, MBBS, PhD, FRANZCO, FAAHMS, the Principal Investigator for the Laser for Early AMD (LEAD) clinical trial, shares promising results for the implementation of 2RT^® to prevent AMD progression. Professor Guymer highlights the importance of the world-first study in determining the role of 2RT^® in the AMD treatment paradigm.

Report

Ellex Investor Presentation for Year Ended 30 June 2018

Product Brochure

Product Portfolio Brochure

Article

SLT: The First In-Line Advantages of SLT

This CRST article features an article by Paul I. Singh, MD, which discusses the first-line benefits of SLT in lowering IOP, reduce medication use, and provide key diagnostic information.

Case Study

LFT Clinical Evidence

Published in JAMA Ophthalmology, this trial by Chirag P. Shah, MD and Jeffrey S. Heler, MD evaluates the efficacy of YAG laser vitreolysis vs. sham vitreolysis for symptomatic Weiss ring floaters from posterior vitreous detachment, featuring the proprietary Reflex Technology platform.

Article

LFT in the Media (Cataract and Refractive Surgery Today, May 2016)

In this article, Karl Stonecipher, MD (USA) provides his treatment pearls for LFT in clinical practice.

Article

Roundtable Discussion, LFT

“The Evolving View of Laser Vitreolysis” In this roundtable discussion, ophthalmologists working in glaucoma, retina, cataract and refractive surgery talked with Inder Paul Singh, MD, about prospective clinical study data, hands-on experiences, and how their profession’s view of LFT is evolving alongside growing data and the introduction of the new Reflex Technology platform.

Article

Meet the Masters of the New Comprehensive MIGS

This article from the September 2017 issue of The Ophthalmologist discusses the role of the MIGS procedure ABiC, ab interno canaloplasty. ABiC has grown into a procedure that is fast, effective, safe and easily combined with other MIGS interventions. Contributing authors include Mahmoud Khaimi, MD (USA), Norbert Koerber, MD, PhD (Germany), Mark Gallardo, MD (USA), Sev Teymoorian, MD (USA) and Leon Au, MD (UK).

Case Study

MIGS: Restoration of Normal Outflow Aqueous Pathways

The March 2018 issue of CRST featured an editorial and an accompanying case study on Ellex iTrack/ABiC featuring Dr. David Lubeck: "ABiC is the most versatile MIGS procedure. A viable option for all stages of glaucoma, its use should also be considered when previous medical, laser, or surgical treatment has failed to adequately lower IOP. It is elegant and straightforward to perform for surgeons who are comfortable with angle-based procedures. ABiC will continue to grow in popularity as surgeons realize its value and MIGS dominates the discussion of glaucoma treatment paradigms .” David Lubeck , MD (USA)

Case Study

MIGS: A New Paradigm to Treat Glaucoma

The February 2018 issue of CRST featured an article and accompanying case study on the syergies of ABiC and SLT and the benefits of performing these two procedures in combination featuring Dr. Mahmoud Khaimi: "ABiC is a comprehensive microinvasive glaucoma surgery (MIGS) procedure that addresses all aspects of outflow resistance. SLT is a tissue-sparing initiative that preserves the ability to perform angle-based surgery in the future, if necessary. ABiC and SLT work hand in hand to reduce or eliminate the use of topical medications, and SLT can be used as a diagnostic tool." Mahmoud A. Khaimi, MD

Whitepaper

ABiC Whitepaper: The Minimally Invasive Glaucoma Surgery that Keeps its Promise

ABiC - The Minimally Invasive Glaucoma Surgery that Keeps its Promise This whitepaper presents the preliminary 12-month results for ABiC, based on a 228-eye case series by Mahmoud A. Khaimi, MD and Mark J. Gallardo, MD. The preliminary results for ABiC are very encouraging – at this point similar to previously published Canaloplasty studies, notably the landmark multi-center prospective trial carried out at 15 clinical sites in 2005.

Article

Roundtable Discussion, MIGS with ABiC

This paper summerises the panel discussion on microinvasive glaucoma surgery (MIGS) sponsored by Ellex iTrack during World Glaucoma Congress in Helsinki. Led by Ike K. Ahmed, MD, panel members shared their collective wisdom and experiences with MIGS and ab interno Canaloplasty (ABiC; Ellex). In addition to discussing how they envision the roles of these technologies in the glaucoma armamentarium going forward, the surgeons looked at how, as MIGS gains in popularity, an increasing number of physicians are exploring the adjunctive nature of these procedures with other MIGS options and with selective laser trabeculoplasty (SLT).

Article

ABiC In the Media, Glaucoma Today

In this article, featured in the Dec 2015 issue of Glaucoma Today, ABiC pioneer Mahmoud A. Khaimi, MD (Dean McGee Eye Institute) addresses his experience with the procedure to date, including his preliminary 6-month results. Dr. Khaimi also compares ABiC to other MIGS procedures. "ABiC offers a comprehensive approach to micro invasive glaucoma surgery (MIGS) by accessing, catheterizing, and viscodilating all aspects of outflow resistance—the trabecular meshwork, Schlemm canal, and the distal outflow system beginning with the collector channels. ABiC is an innovative way of using a proven technique and technology earlier in the disease process, and the procedure can be performed during cataract surgery as well as on pseudophakic patients.With a variety of different MIGS approaches now available to surgeons or forthcoming, it is worth noting that other techniques are less comprehensive than ABiC in that they address specific—but not all—aspects of the ocular outflow system."

Whitepaper

Whitepaper: Aqueous Dynamics and the Natural Outflow System

This whitepaper provides an overview of the Ocular Outflow Mechanism. Written by Haiyan Hong, MD, PhD the paper discusses the complexity of the aqueoys outflow and the importance of understanding of how aqueous humor circulation is regulated, in order to facilitate successful management of glaucoma.

Associated websites

Proactive Glaucoma Care

Associated websites

LFT Bibliography

Associated websites

Physician iTrack Blog

Ab interno canaloplasty (ABiC) truly is the next generation of MIGS (minimally invasive glaucoma surgery). With a mild touch and manifest efficacy, it is a swift procedure that preserves the conjunctiva, with great outcomes and a fast recovery and can be performed both during and independently of cataract surgery.

Associated websites

iTrack Patient Education

A simple three-step procedure, ABiC™ can reduce the elevated intraocular pressure associated with glaucoma. It can also free you from the financial and lifestyle burdens of glaucoma medications.

Video

ABiC: A Comprehensive Solution

In this video interview, Canaloplasty expert Mahmoud A. Khaimi, MD, describes the advent of ABiC, which is Canaloplasty performed via an ab interno approach to Schlemm’s canal.

Associated websites

Physician SLT Blog

SLT Blog is focused on exploring the myriad of ways in which SLT can help in the management of modern-day glaucoma.

Associated websites

SLT Patient Education

A restorative approach, SLT causes no damage to the eye and acts to restore the eye’s natural drainage channel.

Link

SLT Physician Education

The Ellex SLT bibliography contains more than 200 SLT references, including peer-review papers, articles, posters and book chapters.

Video

ASCRS Glaucoma Roundtable: ABiC in the Spotlight

Iqbal Ike K. Ahmed, MD, FRCSC, asks a group of experts featuring Mark J. Gallardo, MD; Nathan M. Radcliffe, MD; Mahmoud A. Khaimi, MD; David Richardson, MD; and I. Paul Singh, MD, to address the misconceptions and barriers to adoption for ab interno canaloplasty (ABiC).

Video

The Evolution of SLT

This interview with Dr. Latina, the inventor of SLT, addresses the role of SLT in clinical practice, including its role as a primary therapy – and as an adjunct to MIGS.

Video

ASCRS Glaucoma Roundtable: SLT Misconceptions

Iqbal Ike K. Ahmed, MD, FRCSC, asks this roundtable of surgeons to clarify the misconceptions surrounding selective laser trabeculoplasty (SLT).

Video

ASCRS Glaucoma Roundtable: MIGS in Daily Practice

Iqbal Ike K. Ahmed, MD, FRCSC, opens up discussion on preferred minimally invasive glaucoma surgery (MIGS) procedures. Mark J. Gallardo, MD; I. Paul Singh, MD; Mahmoud A. Khaimi, MD; David Richardson, MD; and Nathan M. Radcliffe, MD, each describe their approach to MIGS and discuss the mechanism of action of ABiC iTrack (Ellex).

Video

TCI™ True Coaxial Illumination and Capsulotomy

The benefits of True Coaxial Illumination, TCI, extend beyond the safe treatment of floaters, and in fact help to prevent the notoriously common patient complaint of sudden floater development after capsulotomy.

Article

Restoration of Outflow Pathways with iTrack

CRST – March 2018 – ABiCiTrack

Video

ABiC: iTrack Animation

Watch the iTrack as it circumnavigates Schlemm’s canal during ABiC (ab-interno Canaloplasty), separating the herniations of the meshwork into the collector channels and breaking inner lumen adhesions.

Article

Laser Vitreolysis: A Retinal Specialist's Viewpoint

CRST Retina Today supplement

Video

ABiC: Restoring the Outflow Pathway

Restoring the Natural Outflow Pathway Mahmoud A. Khaimi, MD Dean McGee Eye Institute, USA

Associated websites

Physician LFT Blog

Whitepaper

2RT: Rejuvenating Bruch's Membrane

Whitepaper – 2RT Rejuvenating Bruch's Membrane –John Marshall

Associated websites

Floater Patient Education

Article

Roundtable Discussion: ABiC™ with iTrack™

Six surgeons share their experiences using a MIGS technology that targets multiple sources of outflow resistance.

Whitepaper

Reflex Technology™ for Anterior and Posterior

Transforming Anterior and Posterior YAG Treatments with a New Generation Laser

Whitepaper

The Duality of SLT in Glaucoma

The Duality of SLT in Glaucoma Management

Video

TCI™ True Coaxial Illuminiation

Dr. Paul Singh (The Eye Centers of Racine and Kenosha) demonstrates the benefits of coaxial illumination with Ultra Q Reflex that enables him to focus on a weiss ring floater clearly and to deliver the energy needed to break down the weiss ring floater safely.

Video

Titratable Illumination with Reflex technology™

Dr. Paul Singh (The Eye Centers of Racine and Kenosha) demonstrates the use of titratable illumination with Ultra Q Reflex which enables physicians to view floaters that are within the posterior capsule clearly, and at the same time view the retina of the eye.

Video

Titratable Illumination with Reflex technology™

The Ultra Q Reflex incorporates a proprietary slit lamp illumination tower design, which converges the operator’s vision, the target illumination, and the treatment beam along the same optical path and onto the same optical plane. The illumination tower can be used coaxially to enhance the view of the target opacity and more effectively vaporize it.

Video

Laser Floater Treatment Through a Multi-Focal Lens

In this video, US physician Paul Singh uses the Ultra Q Reflex laser to perform laser floater removal through a multi-focal lens.

Video

ABiC According to the Expert

According to ABiC expert Mark J. Gallardo, MD, to become a successful ABiC surgeon, one must properly ensure good visualization of the nasal drainage angle.

Video

ABiC Clinical Footage – Dr. Khaimi

According to Dr. Khaimi, ABiC can be performed in three easy steps.

Video

ABiC: Phakic POAG Patient

Unedited video of ABiC in a phakic patient with primary open-angle glaucoma. During the procedure, Goniotomy, 360° cannulation and visco-dilation of Schlemm’s canal with the iTrack microcatheter are performed.

Precision Capsulotomy – Karl Brasse, MD, MRCOphth

Video

Laser Floater Treatment – Paul Inder Singh, MD

Video

Floaters and the Refractive Surgeon – Karl G. Stonecipher, MD

In this video interview, refractive specialist Karl G. Stonecipher, MD (Clinical Associate Professor of Ophthalmology at the University of North Carolina, and Medical Director of TLC Laser Eye Centers in Greensboro, North Carolina) addresses his decision to incorporate laser floater removal into clinical practice.

Video

Modern Laser Vitreolysis - Karl Brasse, MD

Compared with its early clinical use in the 1980s, modern laser vitreolysis provides more efficient and safer energy profiles, offering reliable and repeatable outcomes that provide a low rate of complications combined with a high degree of patient satisfaction.

Video

ABiC: A New MIGS on the Block

In comparing the preliminary data for ABiC against the published data for the various MIGS devices, ABiC appears to be comparable, if not more effective, than other MIGS procedures.

Video

ABiC™: Minimally Invasive Glaucoma Surgery

According to Mark J. Gallardo, ABiC has worked so well to control his patients’ IOP and to reduce their medication load that it has become his “go-to” procedure for patients requiring (glaucoma) surgical intervention.

Whitepaper

SLT: A Comprehensive Solution for Glaucoma

Whitepaper

Expanding Treatment Possibilities with Laser Vitreolysis

In the past, vitrectomy has been commonly considered the gold standard for the treatment of debilitating floater symptoms, but the risk of complications means that it may not be suitable for all patients.

Article

2RT: Taking the Heat out of Retinal Laser Therapy

2RT Heriot – The Ophthalmologist

Whitepaper

The Clinical Impact of Floaters

Whether patients with symptomatic floaters should be offered treatment or told to “carry on regardless” continues to be debated. Moreover, whether physicians should offer laser vitreolysis or vitrectomy has also been discussed.

Video

Canaloplasty: Safety and Efficacy

Glaucoma specialist Howard Barnebey, MD, provides insight regarding the safety and efficacy of canaloplasty. Having performed nearly 1000 procedures, Dr. Barnebey describes canaloplasty as his “go to” procedure and uses it across the glaucoma spectrum.

Video

SLT and the Refractive Surgeon

The glaucoma medications used to control the IOP of refractive patients often add to the blurred vision experienced by these patients on a daily basis. This leaves the refractive surgeon with the frustrating task of correcting refractive error without being able to eliminate a key contributor to the problem. In this Video interview, Matahias Maus, MD, one of Germany's leading refractive surgeons, addresses how SLT the role of SLT as an effective first-line glaucoma treatment for these patients, whilst eliminating the need for troublesome medications. Watch the video to learn more.

Video

SLT as a Primary Therapy for Glaucoma

Video Interview with Andrew G. Iwach, MD, Glaucoma Center of San Francisco, California

Video

SLT Treatment Protocol

SLT (selective laser trabeculoplasty) works by stimulating a natural healing response in the body to manage the elevated intraocular pressure associated with glaucoma, promoting cellular regeneration without the burn and scar tissue associated with other laser procedures. Treatment is undertaken in single shot mode, with consecutive but not overlapping spots placed over the interior half of the trabecular meshwork. To determine the optimal level of energy for each patient, the energy level is gradually increased until the threshold energy level for mini-bubble information is observed, or decreased if bubble formation is noted. Watch the video to learn more. Video courtesy of Prof. Philippe Denis, University Hospitals of Lyon, France.

Video

Ultrasound: Finding the Problem Behind the Problem

Ophthlamic Ultrasound: Finding the Problem Behind the Problem – Video Interview Andrzej Dmitriew, MD, Poznan University of Medical Sciences, Poland

Video

Ophthalmic Ultrasound in Clinical Practice

Even in an era of highly advanced OCT imaging, ultrasound remains one of the most fundamental diagnostic tools in ophthalmology. In this interview, ultrasound expert Dr. Yale Fisher, Bascom Palmer Eye Institute, Florida, addresses the fundamentals of ophthalmic ultrasound.

Video

SLT for Narrow Angle Glaucoma

When performing SLT on patients with narrow angles, visibility is reduced compared to normal angles. Watch the video to learn more.

Video

SLT for Narrow Angle Glaucoma

When performing SLT on patients with narrow angles, visibility is reduced compared to normal angles. It is important to ensure the patient looks toward the mirror in order to improve visibility. In addition, the laser treatment beam must be applied closer to the iris base, but without touching it. Watch the video to learn more. Video courtesy of Prof. Philippe Denis, University Hospitals of Lyon, France.

Video

SLT and Heavily Pigmented Trabeculum

It is important to note that less energy is required when performing SLT on patients with a heavily pigmented trabeculum. In this case study, extensive mini-bubble formation was noted at the commencement of SLT treatment, indicating that the energy level was too high. The energy level was consequently decreased to be just below the threshold level for bubble formation. Watch the video to learn more. Video courtesy of Prof. Philippe Denis, University Hospitals of Lyon, France.

Video

Pan Retinal Photocoagulation (PRP), Diabetic Retinopathy

Hundreds of spot are placed in the retina to reduce the risk of vitreous hemorrhage and retinal detachment.

Video

Photocoagulation (Focal, 532nm), Central Retina

The fully integrated laser-slit lamp design of the Integre™ channels the laser directly through the slit lamp optics, ensuring optimal illumination of the fundus, whilst the motorized safety filter ensures an accurate, color-balanced view. Watch the video to learn more.

Video

Pan Retinal Photocoagulation (PRP)

In this video, treatment is applied to the retinal periphery. A fast exposure time aided by a precise micromanipulator allows for quick, easy and precise placement over the entire periphery.

Video

SLT and Irregular Pigmentation

One of the main theories on the mode of action in SLT (selective laser trabeculoplasty) is that the laser energy is absorbed in melanin granules in the trabeculum, which triggers a reaction that effectively reduces IOP. When performing SLT on eyes with irregular pigmentation, always ensure that focus is maintained on the target tissue, and not on the laser beam spot. In addition, the treatment beam should cover the central part of the trabecular meshwork, where pigmentation is maximal. Watch the video to learn more. Video courtesy of Prof. Philippe Denis, University Hospitals of Lyon, France.