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Device Nomogram Integration

EVERY DEVICE. EVERY SETTING. ONE INTELLIGENT NOMOGRAM.

Written by the RLES AI clinical rules team · Last updated: 27 August 2026

Register your clinic’s devices once. From then on every analysis applies the published nomograms and specifications of your platforms — and values are never, under any circumstance, substituted from another device.

EXCIMER LASERS WITH LOADED PROFILES

  • Alcon WaveLight EX500 — full specification (fixed 9.0 mm ablation diameter geometry), Contoura/T-CAT mapping
  • SCHWIND AMARIS 1050RS / 750S / 500E — dose-dependent transition zones, ORK-CAM corneal and ocular wavefront paths
  • B+L Technolas TENEO 317 — full official IFU (SW 1.50): PROSCAN/OCTAVIUS/ZYOPTIX HD/SUPRACOR modes, OZ 4.50–8.50 mm, licence-aware
  • Zeiss MEL 90 & MEL 80 — Triple-A / TSA-ASA, TOSCA & WASCA personalisation via CRS-Master; Excelsius MICRON M7 family

MICROKERATOMES

  • Med-Logics ML7 — full ring/vacuum/blade nomogram, all eight manufacturer rules implemented
  • Moria M2 & One Use-Plus SBK — manufacturer tables (with the steepest-K vs average-K input distinction enforced), plastic and metal rings
  • Bausch + Lomb Hansatome & Zyoptix XP — keratometry-based ring selection, measured flap-thickness data
  • Hinge-direction capability per device is binding: a keratome that only cuts superior hinges is never asked for a temporal one

FEMTOSECOND LASERS

  • Zeiss VisuMax 500 / 800 — femtosecond flaps and lenticule procedures (SMILE / SMILE Pro)
  • Johnson & Johnson ELITA™ Femtosecond Laser System — lenticule extraction with the SILK™ procedure (Smooth Incision Lenticule Keratomileusis) and LASIK flaps
  • Alcon WaveLight FS200 — the femtosecond arm of the WaveLight Refractive Suite, paired with the EX500 excimer
  • J&J IntraLase FS60 / iFS 150 · Ziemer LDV Z6 / Z8 — programmed flap thickness, no keratome nomogram needed
  • Femtosecond tunnel capability is checked per device before any CAIRS/ICRS plan — a platform without a tunnel indication is never assumed to have one

DIAGNOSTICS: DEVICE-AGNOSTIC BY DESIGN

Printed outputs of all major diagnostic platforms are read and processed — photographed or exported straight into the RLES AI Mobile Interface, organised here by examination type:

TOMOGRAPHY & TOPOGRAPHY

  • Scheimpflug / OCT tomography: Oculus Pentacam / Pentacam AXL · CSO Sirius / SIRIUS+ · CSO MS-39 · Ziemer Galilei G4 / G6 · Tomey CASIA2
  • Placido topography: Zeiss ATLAS · Tomey TMS · CSO Antares · Nidek OPD-Scan III · Medmont · Keratron

OPTICAL BIOMETRY

  • Zeiss IOLMaster 500 / 700 · Haag-Streit Lenstar LS900 / Eyestar 900 · Heidelberg ANTERION · Alcon ARGOS · Tomey OA-2000 · Nidek AL-Scan · Topcon Aladdin
  • Immersion ultrasound is accepted in dense cataract, where optical biometry fails

ABERROMETRY & TG CAPTURE

  • Alcon Topolyzer VARIO · SCHWIND Peramis · B+L Zywave · Alcon Sightmap · Zeiss WASCA

CORNEAL BIOMECHANICS

  • Oculus Corvis ST (CBI / TBI) · Reichert ORA

OCT — MACULA & EPITHELIAL MAPPING

  • Zeiss Cirrus · Heidelberg Spectralis · Topcon · Optovue / Solix · Optopol REVO

SPECULAR MICROSCOPY

  • Konan · Tomey EM series · Nidek CEM-530 — endothelial cell density, CV and hexagonality

AUTOREFRACTORS & EXAM NOTES

  • All brands — including handwritten clinical records, always echoed back for the surgeon's confirmation before use

Device-specific reading cards catch each platform's known pitfalls (dual keratometry zones, measurement-plane differences), and an off-catalogue model is no obstacle: values are read from its printout, and capability is never guessed. Setup guides at manual level exist for the Peramis–ORK-CAM, Topolyzer–Contoura, MEL–CRS-Master and TENEO–Zyoptix workflows.

FREQUENTLY ASKED QUESTIONS

What happens if my device has no loaded nomogram?
The device is recorded and printed on the report, but RLES AI never substitutes another machine’s values — it states openly that the profile is not loaded and asks for the manufacturer’s guidance.
Which diagnostic outputs can RLES AI read?
Tomographers, topographers, optical biometers, aberrometers, biomechanics platforms, specular microscopes, OCT and autorefractor printouts — including photographed and handwritten documents, with mandatory surgeon confirmation.
SEE IT ON YOUR OWN CASES.
RLES AI runs as a mobile interface on your phone — nothing to install from a store, reports in minutes. The final clinical decision always rests with the surgeon.

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