
– the device
Experience the freedom of glasses in advance
What RALV stands for

Experience IOL
before surgery
RALV is not a simulator, it stands for Real Artificial Lens Vision. Patients look through real IOLs and get an authentic impression of their vision after surgery.

Discover potential for improvement
Patients experience firsthand how their visual performance improves as a result of refractive lens exchange. Digitally assisted measurements provide support.

Compare IOLs with each other
RALV can easily be loaded with different IOLs. The direct comparison gives patients confidence in choosing the best individual IOL.
RALV makes possible what was once unthinkable: patients look through real IOLs and gain a realistic impression of the vision that can be achieved after the operation. The post-operative visual performance becomes precisely predictable and measurable even before the procedure. Authentic. Painless and risk-free. 100 percent focus on your patient.
The device innovation RALV from the Austrian medical device manufacturer DEZIMAL Medical Engineering is distributed in Germany by 1stQ.
RALV Features
(illustrations © DEZIMAL GmbH, 2023)
(illustrations © DEZIMAL GmbH, 2023)
(illustrations © DEZIMAL GmbH, 2023)
Would you like to find out more?

100% focus on happy patients
- Experience the achievable vision in advance
- Safe planning of your patients’ freedom from spectacles
- Customized IOL selection according to individual preferences
- Reliable patient selection and identification of suitable RLE candidates (1stQ)
- High-end visualization and education of RLE patients with interactive apps (1stQ)
What doctors say about RALV

Experience RALV live
and find out more about the possibilities.
Questions about RALV®
RALV features a complex lens system into which real IOLs can be inserted. These IOLs are housed in so-called IOL shuttles, which can be easily placed into the device with a simple hand movement. The lens system neutralizes the refractive power of the patient’s natural lens, allowing presbyopic patients to look through the real IOL when using the device.
Any common IOLs, regardless of manufacturer, design, material or optics, can be tested with RALV. Two-lens procedure – such as Liberty² from 1stQ – can also be experienced.
In general, RALV is suitable for CLE candidates and patients with mild cataracts, up to visual acuity 0.8. The physiological statusof the eye, in particular any other eye diseases affecting visual acuity, must always be considered. The patient should have a clear desire to be spectacle-free.
RALV is not a simulator. RALV enables real and authentic vision through real IOLs. Unlike simulators, RALV takes into account the individual factors of the entire eye, from the cornea to the retina, as well as perception in the brain.
No, RALV does not replace the necessary RLE diagnostics. RALV is an additional service that allows patients to make a self-determined decision about their IOL for the first time.
The idea for RALV arose from the need to give patients 100% confidence before lens replacement surgery even begins. Rüdiger Dworschak, the project’s conceptualizer and mentor, summarizes this briefly as “Vision 100%”. In times of downaging and the smartphone generation, CLE/RLE are the order of the day for increasingly younger patients. RALV is the solution for this demanding group.
In addition to optimal patient care in everyday clinical practice, there are two other main areas of application: scientific IOL studies without implantation and testing IOL designs for manufacturers and science. If you are interested in these uses, please contact the manufacturer DEZIMAL GmbH, office@dezimal.me


IOL Experience with RALV
RALV makes it possible to experience the vision achievable after refractive lens exchange even before the procedure, playing a central role in the 1stQ IOL experience.
Download materials about RALV
Leading product – strong partnership
RALV is a product of DEZIMAL GmbH. DEZIMAL Medical Engineering is a spin-off of ACMIT GmbH (Austrian Center for Medical Innovation and Technology), with a focus on medical engineering and biomedical product development for ophthalmology. DEZIMAL is manufacturer and distributor of RALV®. All rights reserved by DEZIMAL GmbH.
1stQ and ACMIT have been working on joint projects since 2012, pursuing a vision of 100 % predictability in refractive lens exchange. As an IOL specialist with over 30 years of experience in lens surgery, 1stQ has been involved from the outset in the development of RALV® as a consultant. The market launch of RALV in mid-2024 by DEZIMAL GmbH was a milestone in the completion of the “Vision 100%”.
