Size lenses with confidence using ICL Guru, the advanced AI-powered ICL sizing calculator that estimates the ideal post-surgical lens vault for a patient and accurately predicts the lens vault and resultant angle for each available ICL size.
ICL Guru utilizes next-generation modeling and image analysis of well-aligned high-resolution UBM images to automatically assess 25+ parameters that feed into its sophisticated deep-learning AI model. The information is presented in an easily-interpreted report that helps surgeons select the right lens size, the first time, every time.
Accurate Results.
Clear Guidance.
Insightful results are reported by ICL Guru for each lens size in a graph (showing ideal vault and predicted ranges) and a table (showing predicted central and peripheral vault and angle), both color-coded for quick and easy interpretation.
The accuracy of ICL Guru is unprecedented. A recent study of over 300 EVO ICL patients showed that the majority of patients had less than a 100 micron difference between the predicted and actual post-surgical lens vault and no cases requiring explant and resizing.* The results truly represent the next generation in lens sizing leading ICL Guru to quickly become the standard of care for leading surgeons.
*Difference between predicted and actual lens vault based on data obtained in a multi-practice, multi-nation prospective study of 347 EVO ICL patients co-authored by Roberto Zaldivar, MD and others.
"Evaluating the Predictive Accuracy of an AI-Based Tool for Postoperative Vault Estimation in Phakic Intraocular Lens Implantation" Clinical Ophthalmology, Volume 2025:19, Pages 1945—1956
Accurate Results Require
Accurate Images.
It is critically important that UBM images be consistently well-aligned to provide accurate measurements. In fact, ICL Guru requires such well-aligned high-resolution UBM images and will only perform calculations on scans that meet the requisite standards. Discover key aspects of UBM alignment...
Historically, such imaging could only be reliably obtained by skilled and experienced ultrasonographers. To make UBM more accessible, ensure well-aligned images, and provide efficient workflow, Sonomed Escalon has leveraged AI to develop an exclusive user interface called UBMAI.
Intelligent Imaging
for Optimal Results.
Sonomed Escalon has long been established as the gold standard in UBM imaging and has worked extensively with the Zaldivar Institute to develop the UBM imaging standards needed for ICL Guru to reliably perform accurate calculations. Sonomed Escalon Leo systems now provide three exclusive UBMAI tools plus automated ICL Guru interface to help users quickly and confidently obtain well-aligned images to meet those high standards.
Eye Tracking
Align Assist
Auto Capture
Auto ICL Guru Interface
Eye Tracking
UBMAI Tool
Exclusive image analysis performed on each UBM scan frame with alignment assessment and measurement of several anterior segment anatomical values. Excellent feedback as to the proper alignment and position of UBM imaging provided in real-time, the single most important factor in obtaining quality scans.
Corneal epithelium, corneal endothelium, and posterior lens surface auto-identified
Real-time measurements displayed for corneal thickness, ACD, lens thickness, pupil diameter, angle-to-angle, and sulcus-to-sulcus
Measurements only provided with properly-aligned scans to ensure accuracy and provide instant user feedback
Align Assist
UBMAI Tool
The sensitivity, high frequency, and application of a UBM transducer absolutely requires proper alignment of the scan so that the iris plane is horizontal and within the primary focal zone. On-screen display of scan alignment quality with indication of vertical positioning, tilt, and overall alignment provides immediate and intuitive feedback and direction to the user to help them capture excellent aligned scans quickly and easily.
Indication of focal zone
Indication of vertical positioning
Indication of horizontal alignment / tilt
Numerical scan quality indices
Overall scan alignment quality indicated by red, yellow, and green color-coding
Auto Capture
UBMAI Tool
Breakthrough feature used in conjunction with ICL Guru where the VuMAX HD or VuPad automatically selects the best acceptable scan frames, compiling into a composite clip to ensure maximum accuracy of the lens sizing nomogram, simplifying the scan capture process, and minimizing overall scanning time.
Auto ICL Guru Interface
UBMAI Tool
“I am ecstatic with my results and frankly the speed and efficiency at which I am able to get my patients into surgery”
With the click of a button once imaging has been obtained, UBMAI automatically compiles the best images, uploads patient imaging files and related data, creates patient record and auto populates information (patient demographics and ACD, ATA, and aRise measures), and launches the user directly into the ICL Guru web interface. Simple, quick, and efficient, yielding time savings, preventing errors, and ensuring the very best results.
Surgeons Sharing Experiences...
Growing Confidence, Growing ICL Implant Volume
Branden Cummings MD
Wellington Eye Clinic
Integrating the Sonomed Escalon UBM and ICL Guru has transformed our ICL practice. Our confidence in recommending ICL to suitable refractive patients has grown dramatically and since adopting this technology, our ICL volume has doubled. The inbuilt scan quality assessment software allows our ophthalmic technicians to consistently produce high-quality UBM scans, which has streamlined preoperative assessment and improved team engagement. We also now confidently tailor anaesthesia strategies—patients who tolerate UBM well are excellent candidates for oral sedation, while those who don’t can be steered towards GA. Most notably, the precision of the ICL Guru has empowered us to perform bilateral ICL surgeries under GA with full confidence in vault and angle predictions. This combination has elevated our clinical decision-making and patient outcomes in a very real and measurable way.
Successful ICL Implants in Patients Previously Considered Ineligible
Devy Mandagi MD
Siputra-SMG Eye Clinic
I use the Sonomed VuPad with ICL Guru. My experience using it has been outstanding. It has significantly enhanced the value of my practice and set it apart from others. I've successfully implanted ICLs in patients who were previously considered ineligible for LASIK or ICL at other centers due to non-ideal ACD and WTW measurements. This has been a great help to the patients, and you can see the joy radiating from their faces afterwards. Thanks to Sonomed VuPad and ICL Guru.
Superior UBM Imaging Leading to Superior Results
Isaac Porter MD
Porter Ophthalmology
The Sonomed Escalon VuPad UBM stands out due to its combination of high-resolution imaging and advanced AI capabilities. These features make it provide the detailed measurements needed for successful EVO ICL procedures. At Porter Ophthalmology, we choose the VuPad UBM because it allows us to offer the highest standard of care.
Valuable Insight Even for Very Experienced Surgeons
Francis Price Jr MD
Price Vision Group
We have found ICL Guru extremely helpful with predicting the appropriate vault of our ICL implants. We have used Sonomed Escalon UBM for sizing using sulcus-to-sulcus measurements for years but would still occasionally get outliers that were too low or too high of a vault. The ICL Guru has dramatically improved our results. Interestingly, there have been times when we thought the calculator was off based on what we would have thought before, but those cases did very well after using the ICL Guru recommended sizes. It has been a huge improvement and great for our patient outcomes.
Ever-Improving Accuracy...
ICL Guru is already the most advanced and accurate ICL sizing calculator available. Moreover, the deep-learning AI model continually improves accuracy, giving surgeons continually improving returns and results, and further ensuring the right lens size is selected, the first time, every time.
It’s easy to see why Sonomed Escalon UBM solutions are far superior to any other available option when it comes to using ICL Guru.
Why Sonomed Escalon?
The Standard for ICL Guru
The ICL Guru development team has collaborated with Sonomed Escalon to develop the UBM standards upon which ICL Guru relies; All data from the foundational clinical studies has been based on Sonomed Escalon images
Exclusive Anterior Segment Measurements Auto-Populate
Sonomed Escalon systems are the only UBM that will automatically capture key anterior segment measurement used and validated by ICL Guru (ACD, ATA, and aRise) and auto-populate directly into the ICL Guru interface
Exclusive UBM AI Tools
Image quality is so very important when using ICL Guru and Sonomed Escalon UBM systems are the only ones with UBM AI tools to assist users in reliably and quickly getting well-aligned images for the most accurate results
More Affordable
More Value
Sonomed Escalon UBM systems are typically significantly less expensive than other available options, and when combined with so many time-saving features and highest accuracy, generate maximum value for client practices
Exclusive ICL Guru Interface
Sonomed Escalon UBM systems save serious time by ensuring images meet quality standards of ICL Guru for calculation and with automated upload to ICL Guru at the click of a button directly within the UBM software
The Choice
Is Clear
Easiest to use, most time-efficient workflow, best images, most accurate, highest value, and the standard upon which ICL Guru was developed… the more apt question is likely why anything other than Sonomed Escalon?
You've Got Options.
Sonomed Escalon provides two options with the Leo UBMAI tools to help users quickly and confidently obtain well-aligned images and efficiently upload and process accurate results in ICL Guru.
Take the Next Step.
Ready to pre-operatively size ICL lenses with accuracy, confidence, and efficiency? Contact us to schedule a personalized demo and discover how UBMAI + ICL Guru can help you select the right lens size, the first time, every time.
PHONE
+ 516-354-0900
