EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/137624
A S C R S World view Presbyopia solutions on the horizon P resbyopia: the final frontier. It's a topic that's of great interest to our patients, to industry and entrepreneurs. It's a topic that's never been hotter, yet the ideal solution (vision at all distances replicating the accommodation of a 20-year-old) continues to elude us. Our current solutions require compromises, which vary depending on the technology and mode of action. In 2013, Baby Boomers have just begun to Kerry D. Solomon, MD, enter the Medicare population. These folks have refractive editor disposable income, they lead active lives, and they are into "consumerism"—they are actively pursuing technologies that will improve their quality of life. Presbyopic correction at the time of cataract surgery is a prime example of technologies that, with the right patient selection, can improve the quality of patients' lives. Our role, which is becoming more commonplace in daily practice, is to provide enough education to our consumerism-based presbyopes so they can make good decisions about their presbyopic options at the time of cataract surgery. This issue of EyeWorld focuses on presbyopia, from a domestic and global perspective. We have excellent presbyopia-correcting IOLs in the U.S. Yet, it's always important to have an understanding about what technologies our international colleagues have access to. We have also reviewed a few of the technologies that are still in development. Monovision continues to be an important presbyopic solution. It works quite well in a large percentage of patients, and many people have already adapted to monovision through contact lens wear. Monovision is a viable solution for both LASIK/PRK surgical candidates as well as those people seeking distance and near vision at the time of cataract surgery. In this issue, we are fortunate to have John Hovanesian, MD, Ralph Chu, MD, and Vance Thompson, MD, share pearls on their success with monovision. Multifocal IOLs continue to be a successful solution for presbyopia worldwide. These technologies provide excellent distance and near vision. We are pleased to provide some insight into patient selection and management of co-morbidities from a global perspective from a group of real experts in the field. John Berdahl, MD, Richard Mackool Sr., MD, and Richard Mackool Jr., MD, and Rick Wolfe, FRACS, share their thoughts and expertise in this incredibly important area. Ocular surface rehabilitation is key for success of any refractive procedure, including presbyopic correction IOLs. In this issue, we have the distinct pleasure of learning from a team of ocular surface disease experts, Gary Foulks, MD, Robert Latkany, MD, Esen K. Akpek, MD, and Alan Carlson, MD. They share what they are currently doing for their patients to rehabilitate the ocular surface. We also learn about technologies not available in the United States from Michael Lawless, MD, David Kent, MD, and Marc E. Wei, MBBS, FRANZCO. Finally, Louis "Skip" Nichamin, MD, and Eric Donnenfeld, MD, present insight into exciting new technologies on the horizon that show great promise to advance the field of presbyopic correction. Presbyopia has never been hotter, and the future looks incredibly bright for our patients looking for solutions today and tomorrow. Kerry D. Solomon, MD, refractive editor The official publication of the American Society of Cataract & Refractive Surgery June 2013 Volume 18 • No. 6 P U B L I S H I N G S TA F F Publisher Matt Young don@eyeworld.org Enette Ngoei Donald R. Long Editorial Editor Jena Passut jena@eyeworld.org Managing Editor Stacy Majewicz stacy@eyeworld.org Senior Staff Writer Erin Boyle erin@eyeworld.org Malaysia Dublin, Ireland Rich Daly Arlington, Virginia Senior Contributing Writer Maxine Lipner Nyack, New York Advertising Sales ASCRSMedia 4000 Legato Road Suite 700 Fairfax, VA 22033 ellen@eyeworld.org 703-591-2220 fax: 703-591-0614 eyeworld@eyeworld.org www.eyeworld.org Production Advertising Sales Graphic Designer Jeff Brownstein Julio Guerrero jeff@eyeworld.org julio@eyeworld.org 703-788-5745 Production Manager Paul Zelin Staff Writer Ellen Stodola Cathy Stern cathy@eyeworld.org 703-383-5702 Production Assistant Daniela Galeano daniela@eyeworld.org Contributing Writers Vanessa Caceres Lakeland, Florida Michelle Dalton Reading, Pennsylvania paul@eyeworld.org 703-383-5729 Classified Sales Cathy Stern cathy@eyeworld.org 703-383-5702 EyeWorld Special Projects and Events Jessica Donohoe jessica@eyeworld.org 703-591-2220 ASCRS Publisher: EYEWORLD (ISSN 1089-0084) is published monthly by ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033-4055; telephone: 703-591-2220; fax: 703-591-0614. 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