The YAG Laser as used in Ophthalmology

Laser technology has revolutionized many fields. In ophthalmology, laser systems are used to photocoagulate, cut, remove, and stretch eye tissues. New types of lasers and applications continue to develop. This article will focus on the Nd: YAG laser and its role in treating ophthalmic disorders.

The first LASER was constructed in 1960 at Huges Research Laboratories.  LASER stands for Light Amplification by Stimulated Emissions of Radiation. A laser contains material that releases photons. This process amplifies, so the emitted photons are in phase and produce monochromatic coherent high-intensity polarized light. The power modulates by altering the energy or time (P = E/t). Q-switching and mode-locking refer to increasing laser power methods using shutters that synchronize the light phase, compressing output in time.

The Nd: YAG laser is a unique solid-state laser that utilizes a neodymium-doped yttrium-aluminum-garnet crystal as the medium. It is pumped with a lamp or diode and commonly emits infrared light at 1064nm. It can be used in either a continuous or pulsed mode. Pulsing YAG lasers are typically Q-switched to achieve high-intensity pulses, which can be frequency doubled to emit the light at 532nm.

There are a variety of ophthalmic applications for YAG lasers. They are commonly used to treat posterior capsular opacification following cataract surgery. YAG laser can be used to create a peripheral iridotomy for patients with angle-closure glaucoma. Panretinal photocoagulation can be performed with frequency-doubled YAG lasers. A couple of other applications include the treatment of recurrent corneal erosions and vitreous floaters.

A more detailed description of some of these procedures follows:

Posterior capsulotomy: When a patient has a significant posterior capsular opacity or "secondary cataract," a YAG laser is often used to open the posterior capsule centrally. Patients are pretreated with iopidine or Alphagan-P to prevent an IOP spike. Then under topical anesthesia, the laser treatment is performed with a slit-lamp delivery system using an appropriate contact lens (i.e., Abraham capsulotomy YAG lens) to stabilize the eye and focus the laser beam. The energy setting depends on the capsular opacification density, but the specific starting point is 1-2mJ, and the energy is titrating according to the tissue response. The YAG laser causes photodisruption with the shock wave traveling anteriorly. Therefore, most lasers have a focus offset control to allow the surgeon to place the laser beam posterior (up to 250 microns) to the HeNe beam focus point on the capsule. This process helps prevent the intraocular lens (IOL) from pitting. Most surgeons will also place the initial laser spots off-center to avoid inadvertently damaging the IOL near the visual axis.

Anterior capsulotomy: The YAG laser is also utilizing to cut the capsule in other conditions. Capsular block syndrome occurs when there is retained viscoelastic in the capsular bag behind the IOL. This process causes a myopic shift and is evident on slit-lamp examination as an apparent space between the posterior IOL surface and the posterior capsule. A YAG laser uses this to puncture the anterior capsule peripheral to the IOL optic to allow the trapped material to drain. Alternatively, a posterior capsulotomy can be created to achieve the same result. Anterior capsular contraction syndrome or capsular phimosis may occur with a small capsulorhexis. Making radial anterior capsulotomies with a YAG laser effectively treats this condition.

Peripheral iridotomy: Lasers have long replaced surgical iridectomies for the treatment of angle-closure glaucoma. This non-invasive laser procedure is performed prophylactically in eyes with narrow or occludable angles. The laser energy needed ranges from 4-10mJ depending on the iris thickness. This laser creates an iridotomy more efficiently than a green laser. A peripheral iridotomy could also be beneficial in pigmentary glaucoma. 

Vitreolysis: YAG lasers are commonly used to treat aphakic and pseudophakic malignant glaucoma. YAG Laser vitreolysis can also be performed on strands of incarcerated vitreous in the anterior chamber that cause cystoid macular edema. Straightforward, thin vitreous wicks may be challenging to lyse, so it is best to pretreat with pilocarpine to induce miosis, stretch the incarcerated vitreous, and then use bursts 5-10mJ aimed at a pigmented area of the strand or near the wound. A change in the pupil shape back to round indicates successful vitreolysis.

ZEISS Visulas III 

The ZEISS VISULAS YAG III laser brings together optical experience, technological excellence, and an understanding of clinical applications. It is supremely focused, yet gentle cutting action has earned the device its reputation as the "sensitive scalpel" amongst secondary cataract lasers.

The high-precision Super-Gaussian beam of the VISULAS YAG III focuses on the optimum amount of energy onto the point of treatment. This process allows successful disruption to take place at just 2.5 mJ in air. In turn, this will enable you to offer precise treatment to your patients using a minimal amount of laser energy. The pulse frequency of 2.5 Hz also facilitates a fast workflow and short treatment times. 

The Fine adjustment of energy Offering twenty-two levels of energy attenuation, the VISULAS YAG III provides ample flexibility for various treatment techniques. The subtle gradations at the low end of the output range allow optimum laser energy regulation for your patients' minimally invasive treatment. 

The variable focus shift sets the focal point of the aiming beam precisely before, behind, or directly at the laser's focal point. Thanks to this safety feature, damage to the tissue and intraocular lens is now also a thing of the past. This process means greater comfort for your patients. 

 

Nidek YC-1800 YAG laser

Nidek YC1800

The Japanese company, NIDEK, also offered a YAG laser called the YC-1800. This ophthalmic photodisruptor provides the latest in innovative laser delivery and technologies. Simple operation and ultra adjustability make the YC-1800 YAG Laser system one of the best on the market. A few of the feature’s user praise is the high-resolution optics for hitting the exact laser-treatment location. The S-Switch allows easy changes of the parameters while holding the joystick, and the system is efficiently upgrading to the YAG/Green Combo system. 

Portable & User-Friendly Design

The "S-Switch" located on the joystick offers high operability, allowing doctors to change parameters while holding the joystick.

It also permits faster and easier operation and eliminates the need to pull away from oculars to make adjustments.

One-Touch Lock

The YC-1800 can effortlessly slide back and forth around the unit and can be fixed and released anywhere you like with the one-touch lock, offering improved safety.

Compact Design

The YC-1800 is Nidek's lightest ophthalmic photodisruptor, which can be easily transported. The compact design also allows greater flexibility in locating your armrest, which improves ergonomics.

Versatile Combo Laser

The YC-1800 can be paired with NIDEK's Green Laser Photocoagulator, allowing for the treatment of a broader range of patients.

Reliability and Safety

The YC-1800 has the new technology to control the pulse number under the CPU "D-Pulse," providing higher stability against environmental conditions.

 

 

Ellex Ultra Q

Uniquely efficient

A very efficient and fast microsurgical YAG laser, Ultra Q's unique cavity design allows you to perform capsulotomy and iridotomy procedures at more efficient power levels and with greater consistency.

IOL-friendly photodisruption

With an Ultra Gaussian beam profile, Ultra Q focuses more energy into the center of the beam profile — reducing the energy needed to perform capsulotomy and iridotomy effectively. 

Iridotomy for Phakic IOLs

Ultra Q enables you to perform precise iridotomy to prevent pupillary block before inserting a refractive IOL. The aperture must be large enough to guarantee a balanced aqueous flow without allowing light to transmit back to the pupil. Ultra Q's efficiency means that you can achieve this outcome in a single shot.

Ellex also offers a laser that is unique to the market, which is the Ultra Q Reflex. This laser is specifically designed for treating Vitreous Floaters. The effectiveness of Laser Floater Treatment (LFT) has been transformed through the development of Ellex's Reflex™ Technology platform, which includes TCI™ for on- and off-axis visualization, a precise aiming beam, and a superior energy beam profile — all within a unique slit lamp illumination tower with a mechanical prism design that converges and focuses your sightline, target illumination, and treatment beam into one optical path.

 

Conclusion

Laser Locators specializes in the preventative maintenance and refurbishment of all types of ophthalmic lasers, not just YAGs. Whether you are only looking to service an existing laser or want to take your practice to the next level, think of us first. 

Contact us today for a complimentary consultation on how you can improve your ophthalmic practice.

Sales@laserlocators.com

by Joey Colarulo, Vice President

About Joey Colarulo Laser Locators linkedin-button

Vice President

Joey has been the Vice President of Laser Locators since March 2015 and a Managing Partner since 2012. He joined the company in 2011.

Joey has significantly contributed to Laser Locators' growth, including the development of a full service and parts department. He has streamlined the sales and procurement departments by redeveloping processes and implementing new systems. Through Joey's efforts, Laser Locators has tripled its sales volume and added 13 new positions.

Joey has over 20 years of experience in global internet sales and marketing. His expertise in analyzing the marketplace and leverage the latest e-commerce technologies has enabled Joey to drive exponential sales growth year over year.

Originally from Philadelphia, Joey earned his Bachelor's degree in Financial Management and graduated Magna Cum Laude from Rowan University.

Outside of work, Joey is involved in the Westchase Charitable Foundation, a local non-profit that provides direct assistance to those in need. His interests include vintage BMWs and rare sports cards.

The History of the OCT

Optical Coherence Tomography, or 'OCT', is a technique for obtaining sub-surface images of opaque materials at a resolution equivalent to a low-power microscope. It is effectively optical ultrasound imaging from within tissue to provide cross-sectional images.

Ocular (or ophthalmic) OCT is used by ophthalmologists and Optometrists to obtain high-resolution images of the retina and anterior segment. OCT's capability to show cross-sections of tissue layers with micrometer resolution provides a straightforward method of assessing cellular organization,  axonal thickness in glaucoma, macular degeneration,diabetic macular edema, multiple sclerosis and other eye diseases or systemic pathologies which have ocular signs. Additionally, ophthalmologists leverage OCT to assess the vascular health of the retina via a technique called OCT angiography (OCTA).

Although the first OCT instruments became commercially available in 1996, clinical adoption was slow, and in 1999 only a total of ∼180 units were sold. A second generation instrument with improved ergonomics was introduced in 2000, but in 2001 only 400 instruments were sold. Concurrent with this, John Moore left Humphrey Zeiss, and the new management was considering abandoning OCT. Fortunately, Zeiss continued development, and the third generation instrument, Stratus OCT, was introduced in 2002. Stratus OCT had a similar resolution, but faster speeds of 400 A-scans per second, increasing image pixel density and quality. The technical, clinical, and market knowledge gained from the AOD prototype, Zeiss OCT1 and OCT2 systems, combined with the advances of Stratus OCT, drove OCT to become an essential clinical tool, with utilization and sales growing dramatically. By 2004, the estimated number of cumulative OCT imaging procedures worldwide surpassed 10 million.

Current Day OCTs 

While the Stratus is still widely used in the field, the newer Cirrus is the most popular OCT today and for a good reason. 

Cirrus 400 - the Basic

The ZEISS Cirrus OCT 400 is focused on the essential core OCT functionality at a very reasonable price point. Live OCT Fundus technology generates the fundus image using the OCT scanner only, rather than a line scanning ophthalmoscope. Both the Models 400 and 4000 offer the same features of glaucoma and retina analyses and are capable of (limited) anterior segment imaging.

CIRRUS OCT Model 400 shares the same modern integrated design, ease of use, and small footprint as the premium performance model 4000.

CIRRUS 400 captures a tightly packed, detail-rich cube of data in just seconds and allows you to visualize and analyze your patient's condition. Because the cube is populated with such high-density data, you can explore pathologies without requiring other scan patterns.

Cirrus 4000 - A Step Up

The ZEISS Cirrus HD-OCT 4000 enables examining the posterior and anterior of the eye at an extremely fine spatial scale. Surgical biopsy or contact with the eye is not needed. The Cirrus HD-OCT builds on the retinal imaging technology first introduced by ZEISS with the Stratus.

Utilizing the advanced imaging technology of spectral-domain OCT allows for 27,000 A-scans per second and better resolution than first-generation OCT technology. Cirrus acquires whole blocks of OCT image data, composed of hundreds of scans, in about the same time as Stratus acquires a six-line scan. You can view this data in three planes, or through three dimensions, giving you access to an extensive amount of retinal images in one scan.

Cirrus HD-OCT Model 500 & 5000 - Power and Performance

Advancing Smart OCT

ZEISS Cirrus HD-OCT is an advanced and smart OCT technology that offers state of the art retinal care. By using 3D microvascular visualization and non-invasive technology, Cirrus HD-OCT will improve your practice's quality of services and efficiency. It features cutting-edge visualization, tracking, and assessment tools to enhance your level of care.

The Cirrus HD-OCT is a clinical assessment tool that features industry-defining advancements. These are a few points to note on what the Zeiss Cirrus HD-OCTs has to offer.

The Cirrus HD-OCT Model 5000 has a feature called FastTrac, which is retina-tracking technology. Even while you are performing the OCT scan, the FastTrac system is tracking the retina.

The Cirrus HD-OCT 500 doesn't include FastTrac but includes a much faster scanner than previous systems, making it much easier to align a patient into the machine for accurate imaging.

What are the features of the Cirrus HD-OCT?

Innovative assessment options

Up to six progression maps are compared during analysis, with areas experiencing statistically significant change being color-coded for easier analysis. Along with the trend analysis of the rate of change, this assessment aspect will assist you in documenting macular and ONH/RNFL data to address and monitor glaucoma in your patients.

Patient-friendly Eye Tracking

Cirrus HD-OCT features Fastrack, which will reduce eye motion and increase focus on the same location over multiple visits. The single-pass alignment scanning and scan acquisition strategy allows Zeiss Cirrus HD-OCT to focus on an exact area. You will be able to track your patient's progress better, thanks to this feature.

Multiple visualizations for improved analysis

The Zeiss Cirrus HD-OCT offers the ability to analyze a single pathology through multiple views. This ensures a comprehensive analysis of a patient's condition, allowing you to identify and diagnose problems. You can view data from multiple angles due to the revolutionary 3-D imaging, advanced visualization, and fundus images. It also focuses on millions of data points and B-scans to image even the smallest pathology area.

 

Why Cirrus HD-OCT will improve your practice

Comprehensive data analysis

The multiple aspects of data presentation, including 3D imaging, advanced visualization, and OCT fundus imaging, allow for a comprehensive analysis of a patient's condition. You will be better able to monitor your patients, which will allow for more accurate results.

Ease of operation

These models are easy to use, even without a high skill level. It is designed for smart scans and reports to reduce the workload on your team. This allows for better workflow and efficient delivery of services since clinicians can operate it with minimal technical skill.

3D rendering

The 3D rendering provided by Zeiss Cirrus HD-OCT allows you to view multiple angles for better data assessment. It pairs with the auto center function for increased accuracy. 

Topcon OCTs

The Topcon 3D OCT-1 replaced the earlier model OCT 2000. The Topcon 3D OCT-1 Maestro System offers clinical utility by combining a high resolution non-mydriatic retinal camera with the Spectral Domain OCT technology. The touch screen and fully automated (alignment, focus, and capture) operation make the 3D OCT-1 Maestro a great diagnostic device for even the smallest practice. PinPoint Registration technology indicates the location of the OCT image within the fundus image.

The Topcon 3D OCT-1 replaced the earlier model OCT 2000. 

Heidelberg Spectralis OCT

An upgradeable ophthalmic diagnostic imaging device, the SPECTRALIS system combines scanning lase imaging with high-resolution OCT. A variety of imaging modules allow the system to perform ultra-widefield imaging along with laser angiography. The Glaucoma Premium Edition assess the optic nerve, the retinal nerve fiber, and the ganglion cells, and the AutoRescan feature monitors change over time. MultiColor Scanning Imaging uses three laser wavelengths to display distinct retina patterns not visible via conventional fundus photography. BluePeak is a scanning laser fundus imaging mode that maps metabolic stress in the retina using lipofuscin. The Widefield Imaging Module provides a 55-degree view for all SPECTRALIS fundus and OCT imaging modalities. The OCT2 module brings together fast scan speeds and TruTrack Eye Tracking to produce high-quality images. Scanning Laser Angiography can be executed using either fluorescein or ICG dye to capture high-resolution images and blood vessel videos. Both angiography modes can be used with the Ultra-Widefield Angiography Module that can capture single-shot images, even in the periphery.

 The Spectralis OCT is sold new in various configurations, which makes the used market very confusing once they are available as refurbished. We do our due diligence to ensure you know exactly what you are buying when a refurbished Spectralis OCT is offered by our company.  

We sell and service all types of OCTs. Please contact us for a complete consultative session should you need to buy, service, or repair an OCT. sales@laserlocators.com

About Joey Colarulo Laser Locators linkedin-button

Vice President

Joey has been the Vice President of Laser Locators since March 2015 and a Managing Partner since 2012. He joined the company in 2011.

Joey has significantly contributed to Laser Locators' growth, including the development of a full service and parts department. He has streamlined the sales and procurement departments by redeveloping processes and implementing new systems. Through Joey's efforts, Laser Locators has tripled its sales volume and added 13 new positions.

Joey has over 20 years of experience in global internet sales and marketing. His expertise in analyzing the marketplace and leverage the latest e-commerce technologies has enabled Joey to drive exponential sales growth year over year.

Originally from Philadelphia, Joey earned his Bachelor's degree in Financial Management and graduated Magna Cum Laude from Rowan University.

Outside of work, Joey is involved in the Westchase Charitable Foundation, a local non-profit that provides direct assistance to those in need. His interests include vintage BMWs and rare sports cards.

About Topographers

Topographers

Corneal topography is a computer-assisted diagnostic tool that creates a three-dimensional map of the surface curvature of the cornea. The cornea (the front window of the eye) is responsible for about 70 percent of the eye’s focusing power. An eye with normal vision has an evenly rounded cornea, but if the cornea is too flat, too steep, or unevenly curved, less than perfect vision results. The greatest advantage of corneal topography is its ability to detect irregular conditions invisible to most conventional testing.

Laser Locators offers high-quality corneal topographers from manufacturers such as Zeiss, Oculis, Bausch & Lomb, Alcon, and Ziemer. Our used ophthalmic equipment is refurbished, recalibrated, and recertified back to factory standards by trained technicians with extensive experience in the eyecare industry. Plus, our equipment warranties guarantee customer satisfaction with every purchase.

Ziemer Galilei G4

The GALILEI G4 integrates Placido disc topography and Dual-Scheimpflug tomography in one device. This combination of technologies allows for a complete analysis of both the anterior and the posterior corneal surface. The simultaneously recorded Dual-Scheimpflug images produce reliable pachymetry and posterior curvature data, whereas the Placido ring images provide highly accurate and central anterior corneal curvature data fitted to the anterior corneal surface.

The GALILEI G4 is a state-of-the-art topographer in our industry because unlike any other topographer, it utilizes a dual camera Dual-Scheimpflug system that is unique to this model.

Small to moderate eye motions that can lead to clinically relevant surface curvatures cannot be prevented especially in elderly patients or children. The GALILEI G4 comes with a patented iris tracker which compensates for eye motion. Different than other topography and tomography devices that align data to the pupil or the apex of the cornea, the GALILEI G4 aligns all data to the visual axis using the 1st Purkinje image. This ensures consistent alignment when comparing a series of consecutive measurements over time.

With its powerful ray-traced Total Corneal Wavefront solution, the GALILEI G4 precisely measures high order aberrations for highly predictable outcomes in cataract surgery. The high order aberration display helps to identify the most suitable IOL for every patient.

 

NIDEK OPD-Scan III Wavefront Aberrometer

The OPD-Scan III is an autorefractor, keratometer, pupillometer (up to 9.5mm), corneal topographer, and integrated wavefront aberrometer. The OPD-Scan III completes 20 diagnostic metrics in less than 10 seconds per eye (including angle kappa, HOAs, average pupil power, RMS value, and point spread function). Easy alignment and automatic capture of wavefront aberrometry data ensure accurate readings. Wavefront aberrometry data is gathered from available zones up to a 9.5mm area, adding the capability to provide for the calculation of mesopic refractions. Blue light, 33 ring, placido disc topography is gathered in one second. Mapping methods include OPD, visual acuity corneal topography/topographer, and more.

The OPD Scan III is unique because it is the only combination model to carry these unique features all into 1 very small, compact device.

 

Zeiss Atlas 9000

The Humphrey ATLAS 9000 System combines sophisticated analysis and advanced imaging into a highly intuitive, user-friendly platform. The ATLAS is ideal for primary care, contact lens fitting, pathology detection, and corneal refractive surgery management applications.

The Atlas 9000 is the 6th Generation offered by Zeiss, so the model has been perfected over the years.  The technology is Placido Disk with a patented Cone-of-Focus Alignment System.

SmartCapture Analysis Technology analyzes multiple images during alignment and automatically selects the highest quality image.

MasterFit II Contact Lens Software helps streamline the fitting of gas permeable (GP) lenses and guides you through difficult and specialty fits.

The software also allows data compatibility with previous generation ATLAS Corneal Topography Systems to facilitate data management and patient follow up.

ATLAS’s exceptionally small footprint integrates computers and monitors and minimizes required tablespace.

While limited to its features when comparing to a Galilei, Orbscan Iiz, or Pentacam, the Atlas remains an excellent value for a low-cost topographer for primary care and lens fitting.

 

Bausch & Lomb's Orbscan IIz

Bausch & Lomb’s Orbscan IIz is a fully integrated multidimensional diagnostic system that elevates diagnostics beyond mere topography. Unlike most standard topography systems which scan the surface of the eye at standard points, the Orbscan IIz acquires over 9000 data points in 1.5 seconds to meticulously map the entire corneal surface (11 mm), and analyze elevation and curvature measurements on both the anterior and posterior surfaces of the cornea.

Bausch & Lomb’s Orbscan IIz is a diagnostic system that maps the entire corneal surface and analyzes elevation and curvature measurements on both the front and back surfaces of the cornea.

These measurements are important in identifying conditions such as keratoconus, pre-keratoconus, and corneal thinning, as those with these conditions may not be good candidates for LASIK and other procedures. Orbscan IIz diagnostics are also used to optimize outcomes in both primary treatments and enhancements.

While the Orbscan Iiz has been in our industry for nearly 20 years, it still retains a large portion of the market.  The Orbscan Iiz was the gold standard for topography and LASIK screening for many years until newer technology entered the market.

 

Oculus Pentacam HR

The Pentacam HR is the most asked for non-laser related items in our entire inventory system.  Oculus has captured a large portion of the topography market since introducing this model to the industry in the late 2000s.

Within just two seconds the Pentacam HR supplies you with precise diagnostic data on the entire anterior eye segment. The degree of corneal or crystalline lens density is made visible by the light-scattering properties of the crystalline lens and is automatically quantified by the software. Measurement of the anterior and posterior corneal surfaces supplies the total refractive power as well as the thickness of the cornea over its entire area. The data on the posterior surface provides optimal assistance in the early detection of ectatic changes.

The rotating scan supplies a large number of data points in the center of the cornea. A supplementary pupil camera captures eye movements during the examination for subsequent automatic correction of measured data.

While there are also Basic and Classic models, only the HR model has a high-resolution camera that can be compared to the Galilei G4.

All versions of the Pentacam and the Galilei are exceptionally rare and desirable on the used market.

Unsure of which model is best for you? Contact us today for a complete consultation.

About Joey Colarulo Laser Locators linkedin-button

Vice President

Joey has been the Vice President of Laser Locators since March 2015 and a Managing Partner since 2012. He joined the company in 2011.

Joey has significantly contributed to Laser Locators' growth, including the development of a full service and parts department. He has streamlined the sales and procurement departments by redeveloping processes and implementing new systems. Through Joey's efforts, Laser Locators has tripled its sales volume and added 13 new positions.

Joey has over 20 years of experience in global internet sales and marketing. His expertise in analyzing the marketplace and leverage the latest e-commerce technologies has enabled Joey to drive exponential sales growth year over year.

Originally from Philadelphia, Joey earned his Bachelor's degree in Financial Management and graduated Magna Cum Laude from Rowan University.

Outside of work, Joey is involved in the Westchase Charitable Foundation, a local non-profit that provides direct assistance to those in need. His interests include vintage BMWs and rare sports cards.

 

 

What is the Norlase LEAF

What is the Norlase LEAF

The Norlase LEAFâ„¢ will give ophthalmologists the flexibility in a green laser they have long desired. This system requires minimal set-up and requires very little space as compared to other lasers.

This innovative laser attaches to an existing slit lamp so it doesn’t require additional carts or table space.

Most importantly, this system has a fiberless design which reduces the need for repairs.

The Norlase LEAFâ„¢ has a very interesting design we could change the layout of the ophthalmologist's office as we know it. We will be keeping an eye on the rollout of this system and report our findings once we have had a chance to mount and fire it.

I am excited to try this laser and wish I was able to check it out at AAO San Francisco in 2019, which seems like it was so long ago.  While the design is probably every ophthalmologist dream for a retinal laser, I am curious to see how robust the adapter is being it would have so many electronics and the laser diode self-contained within it. Another interesting feature is that the tablet operates via voice command and blue tooth.

In theory not having a fiber cable would drastically reduce the maintenance costs assuming the laser stays within alignment.  I have years of experience with other lasers that are self-contained within the delivery adapter, if this design is successful I can see so many other manufacturers following suit, and perhaps we will then see YAG and SLT lasers of the same design.  It is no secret that the Haag Streit BM900 and BQ900s are the best slit lamps our industry offers, it's been that way for years.  If Ophthalmologists can use them to do all laser treatments, this would be game-changing to the laser world.

For more information, visit the Norlase LEAF site.

Please contact us when you are ready to upgrade any of your ophthalmic equipment so that we can assist you in remarketing your used devices.

Industry News:

https://eyewire.news/articles/norlase-enters-ophthalmic-market-with-launch-of-leaf-ultra-compact-green-laser-photocoagulator/

About Joey Colarulo Laser Locators linkedin-button

Vice President

Joey has been the Vice President of Laser Locators since March 2015 and a Managing Partner since 2012. He joined the company in 2011.

Joey has significantly contributed to Laser Locators' growth, including the development of a full service and parts department. He has streamlined the sales and procurement departments by redeveloping processes and implementing new systems. Through Joey's efforts, Laser Locators has tripled its sales volume and added 13 new positions.

Joey has over 20 years of experience in global internet sales and marketing. His expertise in analyzing the marketplace and leverage the latest e-commerce technologies has enabled Joey to drive exponential sales growth year over year.

Originally from Philadelphia, Joey earned his Bachelor's degree in Financial Management and graduated Magna Cum Laude from Rowan University.

Outside of work, Joey is involved in the Westchase Charitable Foundation, a local non-profit that provides direct assistance to those in need. His interests include vintage BMWs and rare sports cards.

Laser Locators Celebrates a ‘Sweet Sixteen’

Laser Locators

This month, Laser Locators will have its 16th anniversary, which we will celebrate as our "Sweet Sixteen." Like any sweet sixteen, this celebration will look back at our growth and achievements over the past 16 years and also to our future.

From humble beginnings, we have grown Laser Locators into an industry leader. Over the past 16 years, we have grown to offer unmatched service and equipment to the ophthalmic and optometric industries. We have built our 12,000 square-foot headquarters, which we have staffed with some of the most skilled and dedicated employees in their fields. Our dedicated staff works tirelessly to ensure that we exceed our client's expectations, whether we are selling a replacement part, conducting a repair, or providing new and refurbished equipment. Our staff can also offer consultative services for those seeking to open new offices or expand their existing office capabilities.

It was only about five years ago when we purchased and renovated our existing headquarters. When we purchased the building, we were uncertain about what we would do with all the space. Joey Colarulo recalls, "Sean O'Donnell and I discussed the possibility of renting the additional space to tenants. I remember suggesting that we could turn it into a gym. However, it wasn't long after we completed the move that we found ourselves with a full warehouse."

Earlier this year, we broke ground on a new 15,000 square-foot building to house additional warehouse and office space. The new building will aid in the expansion of our inventory and service department. The new warehouse will allow our staff to have ample room to organize our parts inventory and house all the tools required to service and refurbish equipment. You can see our progress on the new building here.

We want to thank all of the loyal customers who have entrusted Laser Locators over the past sixteen years. Your patronage and guidance have helped us to become an industry leader. With your help, we have been able to stay abreast of industry changes and provide the equipment and service needed. We look forward to continuing to support your practices in the coming years.

About Joey Colarulo Laser Locators linkedin-button

Vice President

Joey has been the Vice President of Laser Locators since March 2015 and a Managing Partner since 2012. He joined the company in 2011.

Joey has significantly contributed to Laser Locators' growth, including the development of a full service and parts department. He has streamlined the sales and procurement departments by redeveloping processes and implementing new systems. Through Joey's efforts, Laser Locators has tripled its sales volume and added 13 new positions.

Joey has over 20 years of experience in global internet sales and marketing. His expertise in analyzing the marketplace and leverage the latest e-commerce technologies has enabled Joey to drive exponential sales growth year over year.

Originally from Philadelphia, Joey earned his Bachelor's degree in Financial Management and graduated Magna Cum Laude from Rowan University.

Outside of work, Joey is involved in the Westchase Charitable Foundation, a local non-profit that provides direct assistance to those in need. His interests include vintage BMWs and rare sports cards.