The Evolution of ICL: 30 Years of Innovation, UBM AI Sizing & the Future with ICLguru Pro

Описание: In this exclusive conversation, Dr. Roger Zaldivar and Dr. Roberto Zaldivar share over three decades of experience in Implantable Collamer Lens (ICL) surgery — from the earliest phakic lens procedures in the late 1980s to the development of modern AI-powered sizing with ICLguru Pro.

Dr. Roberto Zaldivar was among the first surgeons worldwide to implant the ICL in 1993 and co-designed key advancements, including improvements to lens fit and the central port.

Together, they discuss:
• The early evolution of phakic IOLs
• The development and impact of the central hole design
• Why sizing remains the most critical challenge in ICL surgery
• The risks of oversizing and undersizing (hypervault, rotation, pigment dispersion, anterior subcapsular opacity)
• Why vault prediction and rotational stability matter
• How standardized UBM imaging changed the field
• The role of AI and large-scale data learning
• The launch of ICLguru Pro and its clinical impact
With over 50,000 standardized UBM images and decades of postoperative data, ICLguru Pro integrates AI, anatomical understanding, and predictive modeling to enhance precision in ICL sizing — aiming to eliminate major outliers and improve surgeon confidence.
This discussion is essential viewing for refractive surgeons considering ICL as a primary vision correction procedure, whether you are early in your experience or have performed thousands of cases.

00:00 – Introduction: A Special Father-Son Conversation
01:15 – Early Days of Refractive Surgery (1987–1993)
03:10 – First ICL Implants & Global Evolution
04:40 – Designing the ICL Fit & Central Hole (1994)
07:00 – Why the Central Port Was a Breakthrough
08:40 – The Biggest Challenge: ICL Sizing
10:15 – Oversizing vs. Undersizing: Clinical Risks Explained
12:30 – The Future of ICL: Precision in Vault Prediction
14:10 – The Birth of the Guru Project
16:00 – Standardizing UBM Imaging with Sonomed
18:20 – AI Training: From Images to Predictive Algorithms
20:40 – Predicting Toric Rotation & Stability
22:45 – 50,000+ UBM Images: Building a Global Data Engine
24:15 – The Launch of ICLguru Pro
26:00 – Reducing Outliers & Improving Confidence
28:00 – Why 1% Complication Rate Still Matters
30:10 – Evolution from White-to-White to Anatomical Sizing
33:00 – How Guru Pro Changes Clinical Decision-Making
35:20 – Why Even 30,000+ Cases Still Need AI Guidance
37:40 – Who Should Use ICLguru? (Answer: Everyone)
40:00 – AI Is Not Enough: The Importance of Standardized Data
42:10 – Real-World Impact on Toric Rotation & Vault Outcomes
44:30 – Final Thoughts & Invitation for Demo