AI-Assisted Planning for Refractive Laser Eye Surgery
RLES AI reads your diagnostic printouts, screens dozens of risk parameters, applies your devices' own nomograms and delivers a signature-ready surgical plan — in minutes, over a simple WhatsApp message.
READS THE DATAPentacam, Sirius, MS-39 & more — from photos
SCREENS THE RISKDozens of parameters, hidden risks detected
APPLIES THE NOMOGRAMYour device, your settings
REPORTS THE PLANSignature-ready PDF report
ONE PLAN, WORTH A THOUSAND SURGERIES.
AI PRECISION. SURGEON DECISION. THE BEST OUTCOME.
How It Works
YOUR AI ASSISTANT AT YOUR SIDE.
As easy as a WhatsApp message. No forms, no software, no learning curve — between consultations or on your way out of the OR, RLES AI is with you.
STEP 1
Photo of Reports
Send photos or PDFs of the patient's topography, pachymetry, autorefraction and exam notes.
STEP 2
AI Analysis
Every value is read with its source, assigned to the correct eye, and run through the full safety engine.
STEP 3
Plan in Minutes
A branded, signature-ready PDF planning report is produced and delivered on the same line.
✓
NO FORMS. No paperwork. Just send and go.
✓
NO SOFTWARE. No installations. No learning curve.
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NO EXTRA TIME. Expert-level analysis within minutes.
Complete Platform
EVERY FLAWLESS SURGERY BEGINS WITH A FLAWLESS PLAN.
Fourteen integrated modules cover the full journey of the refractive patient — from first screening to lifelong follow-up. Every recommendation is explainable, literature-backed, and always leaves the final decision with the surgeon.
Laser Surgery Planning
The Core Module
Pre-operative planning for SMILE · LASIK · iLASIK · Q-LASIK · PRK · T-PRK. All six procedures are tested against their own procedure-specific safety floors, your devices' nomograms are applied, and a signature-ready planning report is produced.
Tissue budget: PTA, RSB and RCT with procedure-specific floors
Post-op keratometry prediction and the binding 36–49 D window
Optical-zone alternatives with their trade-offs
Missing data is never assumed normal — it is named
Keratoconus & Ectasia Screening
Early Detection
Advanced multi-index analysis — BAD-D, ART, Kmax, ISK, IVA, CBI/TBI, posterior elevation — with a decision matrix and correlation-aware counting that never treats derived indices as independent evidence.
Borderline eyes trigger a clinical verification set (retinoscopy, biomicroscopy)
Runs even when device software says “Normal”
Risk stratification you can defend
Contact-Lens Warpage Detection
Finds What Devices Miss
Finds deformed corneas that device software labels “Normal”. Nine indicators are screened together; oedema-inflated pachymetry — which silently flatters PTA, RSB and RCT all at once — is caught before it can mislead a plan.
Multi-indicator analysis with lens-history interrogation
3D surface reconstruction in every warpage analysis
No ablation is planned on unstable maps
Precision WFG / TG Planning
Alpins Vectors · ORA · Vector Planning
Plans by the source of astigmatism, not just the manifest cylinder. Alpins double-angle analysis separates corneal and lenticular components; when the mismatch (ORA) is significant, a 60/40 vector-planning target protects the patient's long-term outcome.
Device–mode mapping: Contoura, ORK-CAM, TOSCA/WASCA and more
“Values to enter on the planning screen” — directly transferable
Double-angle vector diagrams for each eye
Complication Prevention & Analysis
Before and After the OR
A prevention engine that detects the preconditions of free flap, buttonhole and ectasia at the planning stage — plus a confidential in-clinic analysis module that investigates adverse events with mimic tables, severity grading and root-cause analysis.
PTA/RSB/RCT floors · hinge planning · warpage screen
Root cause includes device condition and calibration
Understanding and prevention — not blame
Enhancement Retreatment Planning
Different Problem. Different Planning.
Tissue has already been spent and the cornea carries a previous lamellar plane. RLES AI checks refractive stability, calculates the cumulative tissue budget and recommends the safest route for each eye.
Re-lift vs surface ablation vs CIRCLE — time and tissue based
Re-cutting an old flap plane is never proposed
ICL pathway opens when tissue says no
Phakic ICL Referral
EVO / EVO+ Candidacy
When an eye is not suitable for laser, RLES AI shows the next best option — automatically. Indication ranges, age, endothelium and the notorious ACD measurement trap are all verified.
ACD confirmed from the endothelium — epithelial readings corrected
Myopia −0.5 to −20.0 D · hyperopia (CE) +0.5 to +16.0 D
Clear, signature-ready referral reasoning
Keratoconus Treatment Planning
CXL · CAIRS · ICRS
After detection comes the pathway: progression is assessed by consensus criteria, the CXL protocol is chosen by corneal thickness, and ring options are planned with brand-specific nomograms and femtosecond tunnel capability checks.
CAIRS and ICRS with brand-specific tunnel geometry
DALK/PK referral when limits are passed
Dry Eye Syndrome Analysis
TFOS DEWS II Framework
Detect. Classify. Optimize. Full two-arm DEWS II diagnosis with subtype and severity — plus an automatic tear-film signature screen that runs silently on every single topography you send.
False-KC patterns caused by tear film are unmasked
No plan is finalised on an unstable surface
Presbyopia Planning
PRESBYOND · PresbyMAX · Monovision
AI-assisted candidate screening, personalized targets and expectation management for every presbyopic strategy — each plan run through the same tissue safety engine.
Dominance and tolerance testing, CL-trial guidance
Age-based near targets; full monovision not advised
Method comparison with published tolerance data
Refractive Passport & IOL Support
The Data Today. The Right IOL Tomorrow.
A one-page, bilingual, signed document the patient keeps for life — and history-based IOL support at cataract age. Standard formulas are not used on post-refractive eyes; hyperopic surprise is prevented with the right inputs.
Formula priority: Barrett True-K → Haigis-L → Shammas-PL
Consistency check against today's measurements
Verified inputs and reasoning — not just a number
Outcome Registry & Personal Nomogram
Grow With Every Case
Post-op results are recorded with a short message; efficacy, safety and predictability indices accumulate into your personal nomogram — and an adjustment is proposed only when your own statistics can defend it.
Alpins TIA · SIA · DV · CI · IOS on every astigmatic case
Proposals gated by 95% confidence intervals
Rolling window catches device drift early
Patient Information Report
Plain Language. Real Trust.
Once your decision is final, RLES AI writes a plain-language summary for the patient: why the treatment was found suitable, what the day looks like, the rules to follow and the follow-up calendar — reviewed and handed over by you.
Never a recommendation to the patient — your decision, explained
XAI — Explainable AI
It Teaches the Why
RLES AI does not just answer; it explains the rule, the formula and the literature behind every recommendation. Which index is borderline and why. Why the hinge goes in that direction. Why the optical zone takes that value.
Up-to-date literature support for every decision
A teaching and consulting tool for residents and specialists
Your knowledge deepens with every case
Built-In Protection
SAFETY ENGINE
Every plan — no exceptions — passes through binding safety floors before it reaches your signature. Designed to catch the one case before it ever reaches the operating room.
PTA SAFETYPercent tissue altered with a Kmax-dependent ceiling — the steeper the cornea, the tighter the limit.
RSB SAFETYResidual stromal bed floors specific to each procedure — LASIK, lenticule and surface each have their own.
RCT SAFETYResidual corneal thickness controlled independently of the flap — only reducing ablation repairs it.
POST-OP K WINDOWPredicted keratometry must stay within 36–49 D — every cornea's correction ceiling is computed.
MAXIMUM TREATABLE CORRECTIONNomogram and device limits respected for every single plan.
AGE & STABILITY RULESAge bands, 12-month refractive stability and medication/chronic-disease screening on every case.
EVERY DEVICE. EVERY SETTING. ONE INTELLIGENT NOMOGRAM.
Register your clinic's devices once. From then on, every analysis applies the published nomograms and specifications of your platform — values are never substituted from another device.
EXCIMER LASERS
Alcon WaveLight EX500 — full specification, Contoura / T-CAT mapping
THE RIGHT DEVICE. THE RIGHT SETTING. THE RIGHT OUTCOME.
TWO EXPERTS FOR YOUR PATIENTS' EYES: THE SURGEON AND RLES AI.
RLES AI never rules that surgery “cannot be done”. It shows the floors, the reasons and the ways out — the decision always rests with the surgeon.
About
A DEVELOPMENT OF MCD TECHNOLOGIES INVESTMENT INC.
RLES AI® is a development and investment of MCD Technologies Investment Inc. — built rule by rule with founding refractive surgeons, verified against published device nomograms and current literature, and delivered as clinical decision support: for professional use, with the final clinical decision always resting with the surgeon.
Full platform launch: November 2026 — this page is an introduction while we complete onboarding for early-access clinics.
Early Access
REQUEST INFORMATION
Tell us who you are and we will get back to you with details, demo access and early-adopter conditions.
