SCHWIND TheraCare
Refining and combining personalized therapeutic cornea solutions
SCHWIND TheraCare brings together advanced diagnostic devices, intelligent planning software, and high-precision laser systems into a unified therapeutic toolbox. This integrated platform empowers clinicians to diagnose, plan, visualize and treat a wide spectrum of corneal disorders – offering individualized, safe, and effective solutions that help restore visual quality to normal levels.
DIAGNOSTICS
The foundation of personalization
SCHWIND’s therapeutic care is supported by a robust diagnostic suite that drives treatment personalization and outcomes.
The SCHWIND MS-39, SCHWIND SIRIUS+ and SCHWIND PERAMIS contactless diagnostic systems offer an impressively wide range of comprehensive diagnostics for corneal surgery.* Equipped with high-resolution technologies, they provide comprehensive support for the individual treatment decision – whether with corneal and ocular wavefront data, pachymetry or epithelial data (OCT-based). The systems impress with ergonomically well thought out detail functions, a high level of user-friendliness and a swift connection to the SCHWIND laser systems.
These diagnostic systems seamlessly integrate with the SCHWIND laser systems, enabling detailed treatment planning based on objective, multimodal data. Together, they form an important step of the workflow: understanding each patient's unique corneal structure.
TREATMENT SUPPORT
Intelligent planning for desired therapeutic results
PTK-CAM featuring PTK Mask
The SCHWIND PTK-CAM module supports treatments for corneal degeneration, dystrophy and erosion, as well as superficial and deep corneal scars.
PTK Mask, a software-guided selection of corneal areas to be treated in accordance with individual map information provided by diagnostic data import. This offering serves as a more convenient solution to existing but manually designed approaches.1-4 Free-form ablation areas are generated providing for a tissue-saving therapeutic ablation, especially interesting in pathological (thin) corneas. Although the result includes partial correction of refractive errors and of high order aberrations, the overall corneal shape will be recentered and the corneal curvature gradient is reduced.5
PTK-CAM is based on phototherapeutic keratectomy (PTK) and addresses superficial refractive-neutral ablation, as well as deep ablation for penetrating laser-assisted keratoplasty with the KPL option.
Naumann-Rings for Laser-Assisted Keratoplasty
Along with SCHWIND AMARIS, Naumann-Rings are intended to be used for preparation of corneal grafts as well as the corresponding recipient cornea by means of providing a mask for laser ablation of the corneal tissue for penetrating keratoplasty. By minimizing mechanical stress, they reduce postoperative astigmatism and improve visual outcomes.6, 7
Simulate outcomes, educate patients
SCHWIND Foresight - Visualize before you treat
The SCHWIND platform includes SCHWIND Foresight, an intuitive software solution to visualise the effect on the cornea of each individual surgery treatment upon planning. Foresight creates a virtual replica of the individual patient's cornea. Based on it, surgeons can dry run surgery, reflect their planning and educate their patients about the planned ablation profile and the expected outcome.
LASERS
Advanced laser therapies for targeted care
SCHWIND ATOS for intrastromal procedures
SCHWIND ATOS enables customized corneal tunnel creation for ring segment implantation (e. g., ICRS) in keratoconus and other corneal disorders.
The system supports individual planning to create various tunnel geometries, allowing for up to two incisions per segment. Its advanced eye tracking, guided docking, and cyclotorsion compensation ensures centration throughout the procedure.
SCHWIND AMARIS
Renowned for precision and speed, AMARIS delivers wide range of therapeutic and refractive treatments enabled by SCHWIND CAM8. Traditional refractive techniques (e. g. PRK, TransPRK (SmartSurfACE)),
can also be applied therapeutically when appropriate,3 helping to restore quality of vision, improve visual acuity or even corneal clarity if necessary.
CORNEAL CROSSLINKING
C-eye and SCHWIND AMARIS
C-eye* puts modern CXL technology together with SCHWIND AMARIS. The crosslinking treatment is possible immediately after laser ablation, without needing to reposition the patient. A variety of pre-programmed CXL protocols – both epi-on and epi-off – as well as PACK-CXL protocols is offered for convenience. A thickness-adjusted irradiation profile delivers more energy in the corneal periphery, providing an optimized CXL effect.
If there is a laser treatment following CXL, the SCHWIND AMARIS adjusts the change in ablation behaviour9 with a specially adapted profile.
SCHWIND TheraCare
Find out more about refining and combining personalized therapeutic cornea solutions.
- Manufacturer of the diagnostic devices and C-eye: C.S.O S.R.L. – COSTRUZIONE STRUMENTI OFTALMICI 50018 Scandicci (Firenze) ITALY – V. Degli Stagnacci 12 / E
- Intracorneal Ring Segments Followed by Simultaneous Topography-Guided Removal of Epithelium and Stroma With Accelerated Collagen Cross-Linking For Keratoconus (I-TRESK/CXL). Shetty R, Israni NA, Ramuka S, Dadachanji Z, Roy AS, Mehra R, Lalgudi VG. Asia Pac J Ophthalmol (Phila). 2020 Dec 22;10(2):152-160.
- Topography-based customized trans-epithelial phototherapeutic keratectomy for anterior corneal scar removal. Shetty R, Shroff R, Chhabra A, Arora R, Lalgudi VG. Eur J Ophthalmol. 2021 May;31(3):1437-1443.
- Simultaneous Topography-Guided PRK / CXL Versus Topography-Assisted PTK/CXL: 1-Year Prospective Outcomes in Keratoconic Eyes. Shetty R, Ahuja P, D'Souza S, Khamar P, Paritekar P, Dadachanji Z, Sinha Roy A. J Refract Surg. 2021 Aug;37(8):562-569.
- Customized Ablation Area PTK as a Technique for Salzmann's Degeneration and Other Focal Stromal Pathologies. Chacra LM, Arba-Mosquera S, Awwad ST. J Refract Surg. 2020 May 1;36(5):340-344.
- Clipped Topography-Guided Treatments: A Different Approach to Custom Corrections. Manja Krämer, Anastasios Charonis, Samuel Arba-Mosquera. J Refract Surg. 2024 Dec;40(12):e1003-e1014. Epub 2024 Dec 1.
- PKP for Keratoconus From Hand / Motor Trephine to Excimer Laser and Back to Femtosecond Laser. Seitz B, Szentmáry N, Langenbucher A, Hager T, Viestenz A, Janunts E, El-Husseiny M. Klinische Monatsblätter für Augenheilkunde. 233(6):727-36. June 2016.
- Nonmechanical corneal trephination with the excimer laser improves outcome after penetrating keratoplasty. Berthold Seitz, MD, EBOD, Achim Langenbucher, PhD, Murat M. Kus, MD, Michael Küchle, MD, Gottfried O. H. Naumann, MD; Ophthalmology, 1999, 106(6):1156-1165.
- The SCHWIND AMARIS Total-Tech Laser as An All-Rounder in Refractive Surgery. Arbelaez MC, Arba Mosquera S. Middle East Afr J Ophthalmol. 2009 Jan;16(1):46-53.
- Determination of the excimer laser ablation rate in previously cross-linked corneas. Richoz O, Arba Mosquera S, Kling S, Hammer A, Magnago T, Bosch MM, Hafezi F. J Refract Surg. 2014 Sep;30(9):628-32.
Selected functionalities and features are available only in combination with certain hardware and software deliverables.
