Eyeworld

AUG 2018

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

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EW CATARACT 27 August 2018 iridex.com/cyclog6 • info@iridex.com © 2018 IRIDEX. All rights reserved. IRIDEX, the IRIDEX logo, Cyclo G6, MicroPulse, MicroPulse P3, G-Probe Illuminate, and G-Probe are trademarks or registered trademarks of IRIDEX AD0184.B 07.2018 MicroPulse P3 For MicroPulse mode and early to advanced glaucoma therapies. For continuous wave mode and advanced glaucoma therapies. G-Probe G-Probe Illuminate CYCLO G6 ™ GLAUCOMA LASER SYSTEM One laser, three probes for a wide range of glaucoma cases. With continuous wave and IRIDEX-patented MicroPulse® technology, which allows repeatable and non- incisional treatment. More than 1,000 Cyclo G6 systems have been shipped worldwide and more than 80,000 patients suffering from glaucoma have been treated. Trade-in and limited-time specials available by Rich Daly EyeWorld Contributing Writer mydriatic drops. The anterior cham- ber was shallow at about 2 mm, and biometry showed a slightly longer axial length of 24 mm. Preop steps The 80-year-old female patient presented for cataract surgery with a best corrected vision of 20/100. One surgeon describes steps he took to overcome possible complications in a complex case T he frequency with which pseudoexfoliation cases arise in cataract surgery does not reduce the chal- lenge that they present. "Every ophthalmologist does many of these cases every year, and they're tough," said Uday Devgan, MD, chief of ophthalmology, Olive View-UCLA Medical Center, pro- fessor at UCLA, and Devgan Eye Surgery, Los Angeles. Pseudoexfoliation is present in 5–10% of cataract cases but presents more frequently in certain popula- tions, such as those of Scandinavian descent, he said. Pseudoexfoliation is associated with glaucoma, iris abnormali- ties, and zonular weakness, all of which can cause difficulty during phacoemulsification. Proper prepa- ration and early intervention can make surgery easier for the surgeon and safer for the patient. Dr. Devgan described the preop, intraop, and postop approaches he used in a recent case to minimize the risk of complications. Overcoming challenges in pseudoexfoliation cataract surgery I n this "Cataract editor's corner of the world," we delve into the nuances of cataract surgery in an eye with pseudoexfoliation syndrome. As many of us are aware, these can be challenging cases intraoperatively, and they also require prop- er preoperative diagnostics and sometimes postoperative care. Uday Devgan, MD, skillfully drives us through these nuances. With meticulous planning and intraopera- tive techniques, he shows us how to take a potentially tough case and make it more manageable. It is great to be able to learn tips and tricks from our colleagues. Rosa Braga-Mele, MD, Cataract editor A slit lamp examination of her anterior segment revealed a 3+ nu- clear sclerotic cataract and a 4 mm maximum dilation after three sets of continued on page 28 Cataract editor's corner of the world

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