Ziemer Ophthalmic Systems AG
CLEAR Supra - Header

CLEAR Supra

The latest evolution of our proven KLEx application for patient-tailored lenticule extraction. With enhanced ease of use, superb precision and intuitive workflow, CLEAR Supra expands treatment options. It is designed to preserve natural visual quality as much as possible and positions your clinic as a leader in modern refractive surgery.

The Next-Generation, Patient-Tailored Lenticule Extraction.

Redefining Modern Lenticule Surgery with CLEAR Supra

CLEAR Supra is a completely new and proprietary lenticule application for refractive correction. This minimally invasive procedure offers a wide choice of precise centration and cyclotorsion compensation options and more convenience for a guided lenticule extraction, combined with the highest safety standards.  

As the Swiss leader in femtosecond laser technology Ziemer designed CLEAR Supra has to deliver precision to your patients, even for patients requiring higher astigmatic corrections, resulting in a larger eligible candidate group. Saving you time and building patient trust, workflow efficiency and patient safety remain paramount as the Z8 femtosecond laser platform enables, if necessary, post-docking centration and fully automated cyclotorsion compensation with the surgeon renowned stable vacuum.

CLEAR Supra - Consultation Situation

CLEAR Supra – The Lenticule procedure explained

Explore the CLEAR Supra Benefits:

  • Unique Q-value individualized treatment
  • Does not require nomograms for astigmatism correction
  • Centration and cyclotorsion compensation after docking (if needed)
  • Trusted vacuum as known in Ziemer systems
  • Guiding tunnels for easy lenticule separation
  • Multi incision options
  • Intra-operative OCT (optional)
  • Proprietary scan pattern with overlapping spots
  • Low Energy Concept
THE FEMTO Z8 NEO. The outstanding multipurpose FEMTO laser platform for refractive, therapeutic and cataract surgery.

The latest version introduces four major features: 

  • Data transfer now includes automatic field completion based on the imported FlowSuite CLEAR Supra Plan, streamlining setup and reducing manual input.
  • Fully automated cyclotorsion compensation and centration on the visual axis using the imported GALILEI ColorZ iris image, enabling a more precise and efficient workflow.
  • Improved overall cutting pattern (~9 secs faster) with optimized laser power distribution.
  • Reduction of approximately 20% in vacuum pressure for a more gentle treatment while still ensuring Ziemer’s renowned stable suction system.

Precision. Simplicity. Excellence.

Straightforward Precision in Lenticule Centration and Cyclotorsion Compensation

CLEAR Supra enables automatic treatment centration on the visual axis and incorporates cyclotorsion compensation through advanced iris pattern recognition technology, contributing to highly predictable astigmatism correction, even in challenging high myopic astigmatism cases.

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Seamless Workflow with Ziemer FlowSuite

Ziemer FlowSuite seamlessly connects diagnostic and surgical laser devices into a unified ecosystem, enhancing surgical performance, minimizing human-derived errors, and streamlining workflow efficiency for the entire team.

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Customized Lenticule Profile for Exceptional Visual Quality

Incorporating individual Q-value into the lenticule profile preserves the natural corneal shape, minimizes changes in corneal asphericity, reduces induction of spherical aberration, and potentially enhances visual quality.

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Optimized Interface. Reliable Suction. Predictable Outcomes.

The flat applanation interface is precisely engineered to align with the corneal surface, minimizing the risk of treatment misalignment. Together with accurate centration and intraoperative OCT control, this design enhances the precision of refractive correction.

Powered by Ziemer’s trusted vacuum technology, stable suction provides surgeons with confidence and control throughout the CLEAR procedure, ensuring ease of use, even with anxious or uncooperative patients. The result is a safe, smooth, and predictable experience for patients, surgeons, and staff.

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Superior Laser Technology for Fast Recovery

The FEMTO Z8 uses low pulse energy with overlapping spots to create smooth, continuous incisions. This allows for particularly gentle tissue separation with minimal manual intervention. The gentle lasertissue interaction, combined with low energy levels, ensures minimal tissiue response. Together, these factors potentially support a faster visual recovery.

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Frequently Asked Questions

How is CLEAR Supra different from other lenticule procedures?

CLEAR Supra is the only procedure that uses individualized Q-value planning. This preserves corneal shape and natural vision quality.

 

Can CLEAR Supra correct high astigmatism?

Yes. CLEAR Supra treats regular and high myopic astigmatism with high accuracy and predictability , without the need for nomograms.

 

How does the CLEAR Supra improve workflow?

CLEAR Supra, together with FlowSuite, introduces automated data transfer, iris-based centration and cyclotorsion compensation and a faster cutting pattern, as well as reduced vacuum pressure. These enhancements boost efficiency, precision and surgical comfort.

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Contact Ziemer or our local distributor partner
to get more information.

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References

1 Company Internal Data
2 ESCRS materials 2024, FP20.01

CLEAR Supra is CE marked but not yet FDA cleared for use in the United States. For other countries, availability may be restricted due to regulatory requirements. Please contact Ziemer for details.