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The ARGOS® Biometer with Image Guidance by Alcon®

 

FASTER.1-5* EASIER.5,6† BETTER.1,2,7,8‡

 

The ARGOS® Biometer with Image Guidance by Alcon®

FASTER.1-5* EASIER.5,6† BETTER.1,2,7,8‡

 

*Compared to IOLMaster§ 700 (1,4), IOLMaster§ 500 (2,3), LENSTAR§ LS900 (2).

†Compared to VERION™ Reference Unit. ‡ARGOS® Biometer has shown better acquisition rates in dense cataract compared to IOLMaster§ 700 (1), IOLMaster§ 500 and LENSTAR§ LS900 (2). ARGOS® Biometer has shown better predictive accuracy in medium-long eyes than IOLMaster§ 500 (7,8). §Trademarks are the property of their respective owners.

A diagram illustrating the four sections of this webpage. An icon of a man in a suit with text below that says “Hear from an expert”. An icon of an eye in a blue box with text below that says “Advanced biometry”. An icon of a finger touching a button with text below that says “One-touch planning”. An icon of an arrow pointing at a gear with text below that says “image-guided integration”.

Your Surgery Journey Begins at the Clinic

 

Get ready to discover the ARGOS® Biometer – the smart planning solution.

 

 

 

 

A blue icon of a man wearing a suit.
A blue icon of a man wearing a suit.

Hear From an Expert

 

Hear What Surgeons Are Saying About the ARGOS® Biometer

H. John Shammas, MD Medical Director, Shammas Eye Medical Centre

 

"ARGOS® Biometer passes through almost any cataract. It's a time saver in every single way I can think of! Patients like it because of the speed, I like it because of the accuracy and the ease - it's by far the easiest biometer I've ever used!" - Michael Swearingen, O.D.

Dr. Graham Barrett Consultant Ophthalmologist, Lions Eye Institute and Sir Charles Gairdner Hospital

 

Dr. Barrett reflects on recent advancements in cataract surgery planning and discusses how devices such as the ARGOS® Biometer streamline cataract surgery, for improved efficiency and better patient outcomes.

 

"ARGOS® Biometer is designed for more accurate surgical planning." - Dr Barrett

 
 
A blue icon of an eye inside a blue box.
A blue icon of an eye inside a blue box.

Advanced Biometry1,2,7,8

 

The swept-source OCT ARGOS® Biometer with Image Guidance by Alcon® is an innovative solution, designed to enhance your surgical experience and help to achieve better patient outcomes.1,2,7,8

The ARGOS® Biometer is faster than other market-leading biometers.1-5† With a biometric data capture time of less than 1 second and a higher scanning speed, 50% faster than IOLMaster* 700, the ARGOS® Biometer allows for enhanced efficiency and accuracy of eye measurements.1,9

Auto-capture mode automatically records measurements when the patient is optimally aligned, without requiring any extra steps.

 

The ARGOS® Biometer captures biometric data of5,10:

  • Anterior Chamber Depth (ACD)
  • Keratometry (K)
  • Corneal Diameter / WTW
  • Central Corneal Thickness (CCT)
  • Axial Length (AL)
  • Aqueous Depth (AD)
  • Pupil Size (PD)
  • Lens Thickness (LT)
  • Angle Kappa Coordinates (Px and Py)

 

*Trademarks are the property of their respective owners. †Compared to IOLMaster* 700 (1,4), IOLMaster* 500 (2,3), LENSTAR* LS900 (2).

 

The ARGOS® Biometer Provides Higher Acquisition Rates Than Other Market-Leading Biometers1,2,7,8

With SS-OCT Technology and proprietary Enhanced Retina Visualization mode, the ARGOS® Biometer provides unsurpassed dense cataract penetration and accuracy of axial length acquisition.1,2,7,8

It allows for confidence in refractive outcomes even in the case of grade 4+ cataract patients.12

 


Enhanced Retina Visualization mode illustration

A comparison of biometry images captured by the ARGOS Biometer in normal mode and in enhanced retina visualization (ERV) mode. ERV mode reconfigures the internal optics to enhance the signal at the retina by 10 times compared to normal mode.

The ARGOS® Biometer shows significantly higher acquisition rates in grade 4+ cataracts compared to the IOLMaster* 700 and other market-leading biometers, while significantly reducing the need for time-consuming ultrasound biometry.1,2

A bar graph comparing the axial length acquisition rate of 3 SS-OCT biometers in patients with dense cataracts. The ARGOS Biometer had an acquisition rate of 89.9%, Zeiss IOLMaster 700 had an acquisition rate of 63.6% and Tomey OA-2000 had an acquisition rate of 80.8%. The study population was 99 eyes with grade 4+ cataracts. A bar graph comparing axial length acquisition rate of three biometers in random cataract patients. The ARGOS Biometer acquisition rate was 96% with 4% of patients requiring ultrasound A-scan. The Lenstar biometer acquisition rate was 79% with 21% of patients requiring ultrasound A-scan. The Zeiss IOLMaster 500 Biometer acquisition rate was 77% with 23% of patients requiring ultrasound A-scan. The study population was 56 eyes with advanced cataracts.

*Trademarks are the property of their respective owners.

In medium and high density eyes (Groups B and C), mean absolute error (MAE) was significantly lower with the ARGOS® Biometer12

Comparison of the refractive outcomes in patients with dense nuclear cataract between the ARGOS® Biometer and IOLMaster* 70012

A table comparing the refractive outcomes in patients with nuclear cataracts between the ARGOS Biometer and IOLMaster 700. In low density eyes, the mean absolute error was not statistically different between the ARGOS Biometer and IOLMaster 700. In medium and high density eyes, mean absolute error was significantly lower with the ARGOS Biometer compared to IOLMaster 700.

*Trademarks are the property of their respective owners.
†Wilcoxon signed rank test.

    SS-OCT Enhanced Keratometry


    The ARGOS® Biometer’s SS-OCT-enhanced keratometry helps with the acquisition of accurate measurements


    The ARGOS® Biometer utilises SS-OCT-enhanced keratometry with angle-to-angle, cornea-to-retina, real-time OCT guidance, allowing the user to monitor patient alignment and fixation and helping acquisition of accurate measurements every time.2,13

     

    Correlation of keratometry measurements between ARGOS® Biometer and competitor biometers2,13

    A bar graph comparing the correlation of keratometry measurements across three different biometers. The ARGOS Biometer’s keratometry measurements showed high correlation with IOLMaster 700, IOLMaster 500, and Lenstar biometers.

    The ARGOS® Biometer keratometry measurements show high correlation with IOLMaster* 500, IOLMaster* 700 and LENSTAR*.2,13.

     

    *Trademarks are the property of their respective owners.

    Segmented Axial Length


    “The ARGOS® [Biometer] uses segmented method to measure the eye - it measures each segment of the eye in its precise velocity. That makes a difference especially in very long and very short eyes.” - H. John Shammas, MD, Medical Director, Shammas Eye Medical Centre

    An illustration of an eye showing how the ARGOS Biometer uses the swept-source laser to detect reflections of each interface of the eye to calculate the total axial length. A table comparing the refractive error in eyes measured with the ARGOS Biometer compared to eyes whose axial length was calculated using the simulated CRI method. A higher percentage of eyes measured with the ARGOS Biometer were within 0.50D of target refraction.
     
     
    A blue icon of a finger touching a button.
    A blue icon of a finger touching a button.

    One-Touch Planning with Alcon Vision Planner

     

     


    Easy One-Touch Planning and IOL Power Calculations with Alcon Vision Planner5,6

    The ARGOS® Biometer and integrated Alcon Vision Planner makes the process of surgery planning and IOL power calculation easier.* This comprehensive tool eliminates the need for complicated online and manual calculations while continuing to optimise patient outcomes with Image Guidance by Alcon®.5

     

    *Compared to VERION™ Reference Unit.


    Alcon Vision Planner:

    • Utilises Image Guidance by Alcon® for astigmatism management and surgery planning5
    • Offers advanced IOL power calculation with the ability to easily compare formulas and IOLs on the same page
    • Provides built-in optimisation algorithms to support ongoing personalisation of your SIA and A-constants5

    The Alcon Vision Planner uses the following formulas5:

    •  Barrett Toric Calculator
    •  Barrett Universal II
    •  Barrett True K
    •  Barrett True K Toric
    •  Barrett Total K*
    •  SRK-T
    •  Holladay I/II
    •  Holladay R
    •  Haigis
    •  Hoffer-Q

     

    *Barrett Total K formula can be used if posterior keratometry is manually entered into the planning software

    An image of a computer screen showing the user interface of the Alcon Vision Planner with measurement data on the left and an image of the patient eye on the right.
     

     

    A blue icon of an arrow pointing at a gear
    A blue icon of an arrow pointing at a gear

    Image-Guided Integration

    An image showing different surgical devices made by Alcon. The ARGOS Biometer, LenSx Laser System, LuxOR Revalia Ophthalmic Microscope, Verion Digital Marker, Centurion Vision System, ORA SYSTEM Intraoperative Abberometer.

    Discover the image-guided precision of astigmatism correction with the ARGOS® Biometer, integrated with the Alcon Cataract Refractive Suite

    The ARGOS® Biometer captures a reference image of each patient’s unique eye during measurement. With seamless end-to-end integration between the clinic and the OR, it transfers the reference image to the Digital Markers together with the surgical plan, enabling real-time navigation using the patient's unique iris and limbal landmarks as a guide for precise execution of your surgical plan.5

     

    Image Guidance by Alcon®1-8:

    • Reduces risk of transcription errors
    • Accurately accounts for cyclotorsion
    • Reduces variability from manual marking
    • Enhances surgical precision
    An image of an eye close up with a digital overlay showing angles and incision locations.

    Integration with the Digital Marker Microscope helps you execute your patient’s surgical plan with digital accuracy15:

    • Navigate and track every step of your surgery in real time using your patient’s unique eye landmarks
    • Cyclotorsion control
    • Step-by-step procedural navigation using CENTURION® foot-pedal control
    An image of two layers showing the eye and the user interface of how the eye is measured using the ARGOS Biometer
    Enhance your LenSx® Laser experience with seamless image-guided incision planning, execution and capsulorhexis positioning.16*

     

     

    *Requires VERION™ Digital Marker L (with LenSx®).

    An image of Alcon’s LenSx Laser System on a gradient white and blue background

    Alcon Cataract Refractive Suite

     

    The Alcon Cataract Refractive Suite allows you to experience complete integration for intelligent planning and empowered execution with enhanced precision at every step.

    Discover Alcon Services

     

    Supported by World-Class Service Centered on You

    An image of man and woman wearing lab coats. The man is showing the woman something on a tablet.
    An image of man and woman wearing lab coats. The man is showing the woman something on a tablet.

    Reach

    The Largest Network

     

    1000+ Clinical and technical

    experts worldwide

    An image of man and woman wearing a black and blue scrubs. They are both looking at something on a tablet.
    An image of man and woman wearing a black and blue scrubs. They are both looking at something on a tablet.

    Expertise

    The Most Experienced Specialists

     

    Alcon Technical Specialists

    100+ Hours of training and certification


    Alcon Clinical Specialists

    15+ Years of ophthalmic and medical experience

    An image of man and woman wearing and blue scrubs. They are both looking at something on a tablet.
    An image of man and woman wearing and blue scrubs. They are both looking at something on a tablet.

    Partnership

    Training & Collaboration

    Every Step of the Way

     

    Installation

    Training

    Ongoing Support

    Clinical Support

    Tamaoki A, Kojima T, Hasegawa A, et al. Clinical evaluation of a new swept-source optical coherence biometer that uses individual refractive indices to measure axial length in cataract patients

     

    Comparing the new SS-OCT biometer ARGOS (OCTB1), which uses individual refractive indices to measure axial length, with the IOLMaster 700 (OCTB2) and OA-2000 (OLCR), which use equivalent refractive index

    Shammas HJ, Ortiz S, Shammas MC, Kim SH, Chong C. Biometry measurements using a new large-coherence-length swept-source optical coherence tomographer

     

    Evaluating the repeatability and reproducibility of the measurements obtained with the ARGOS and to compare them with the results obtained with the IOLMaster 500

    An Y, Kim H, Joo C-K. Accuracy of Predicting Refractive Outcomes Using Swept-source Optical Coherence Tomography in Nuclear Cataracts

     

    Evaluating the accuracy of predicting refractive outcomes of swept-source optical coherence tomography based on biometry (ARGOS; Movu Inc., Santa Clara, CA, USA) in nuclear cataracts

    Shammas HJ, Shammas MC, Jivrajka RV, Cooke DL, Potvin R. Effects on IOL Power Calculation and Expected Clinical Outcomes of Axial Length Measurements Based on Multiple vs Single Refractive Indices

     

    Comparing axial length measurements based on multiple specific refractive indices for each segment of the eye to those obtained using a single refractive index for the entire eye and to evaluate the subsequent effects on IOL power calculation

    Technical Specifications5

    Technical Specifications table

    Instructions for Use (IFU)

     

    For a full list of indications, contraindications and warnings, please visit ifu.alcon.com and refer to the relevant product’s instructions for use.

    Visit IFU Database

    Alcon Experience Academy

     

    For relevant training content from industry thought leaders

    Visit AEA Portal

    References:

    1. Tamaoki A, Kojima T, Hasegawa A, et al. Clinical evaluation of a new swept-source optical coherence biometer that uses individual refractive indices to measure axial length in cataract patients. Ophthalmic Res. 2019;19:1-13.

    2. Shammas HJ, Ortiz S, Shammas MC, et al. Biometry measurements using a new large-coherence-length swept-source optical coherence tomographer. J Cataract Refract Surg. 2016;42:50-61.

    3. Hussaindeen JR, Mariam EG, Arunachalam S, et al. Comparison of axial length using a new swept-source optical coherence tomography-based biometer. PLoS ONE. 2018;13(12):e0209356.

    4. ZEISS IOLMaster 700 510k Submission 2015.

    5. ARGOS® Biometer User Manual. 2019.

    6. VERION™ Reference Unit User Manual Part I. 2019.

    7. Whang W, Yoo Y, Kang M, et al. Predictive accuracy of partial coherence interferometry and swept-source optical coherence tomography for intraocular lens power calculation. Sci Rep. 2018;8(1):13732.

    8. Shammas HJ, Shammas MC, Jivrajka RV, Cooke DL, Potvin R. Effects on IOL power calculation and expected clinical outcomes of axial length measurements based on multiple vs single refractive indices. Clin Ophthalmol. 2020;14:1511-1519.

    9. Alcon Data on File 2019, report # SD-18-0001-670-01.

    10. MOVU ARGOS® 510(k) Summary 2019.

    11. Santec Letter of Declaration. Jan 15, 2021.

    12. An Y, Kim H, Joo C-K. Accuracy of predicting refractive outcomes using swept-source optical coherence tomography in nuclear cataracts. J Korean Ophthalmol Soc. 2019;60(11):1043-1049.

    13. Omoto MK, Torii H, Masui S, Ayaki M, Tsubota K, Negishi K. Ocular biometry and refractive outcomes using two swept-source optical coherence tomography-based biometers with segmental or equivalent refractive indices. Sci Rep. 2019;9:6557.

    14. Akman A, Asena L, Güngör SG. Evaluation and comparison of the new swept source OCT-based IOLMaster 700 with the IOLMaster 500. Br J Ophthalmol. 2016;100:1201-1205.

    15. VERION™ Digital Marker M User Manual. 2018.

    16. VERION™ Digital Marker L User Manual. 2017. 

     

    Please refer to relevant product operator’s manual for complete list of indications, contraindications and warnings

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