Eyeworld

FEB 2014

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

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E W CATARACT 42 February 2014 satisfaction. Careful consideration and education is required to weigh the variations in design and material composition against the desired outcome. The key to premium outcomes is a comprehensive under- standing of how the differences in biomaterials and design alterations factor into successful outcomes. For my patients, I prefer a hy- drophobic acrylic IOL with a 360 posterior square edge on the optic, a negative spherical aberration value, and a high Abbe number. I select a lens free of glistenings with UV light blocking, but without blue light blocking. Currently, the Tecnis family of lenses (Abbott Medical Optics, Santa Ana, Calif.) is my first choice. EW References 1. Beiko, George HH. Personalized correction of spherical aberration in cataract surgery. Cataract Refract Surg. 2007;33(8):1455-60. 2. Schwiegerling J. Theoretical limits to visual performance. Surv Ophthalmology. 2000;45(2):139-146. 3. Zhao H, Mainster MA. The effect of chro- matic dispersion on pseudophakic optical performance. Br J Ophthalmol. 2007;91(9): 1225-1229. 4. Negishi K, Ohnumna K, Hirayama N, Noda T. Effect of chromatic aberration on contrast sensitivity in pseudophakic eyes. Arch Oph- thalmol. 2001;119:1154-1158. 5. Mainster MA. Violet and blue light blocking intraocular lenses: Photoprotection vs. pho- toreception. Br J Ophthalmol. 2006;90:784- 792. 6. Owsley C, McGwin G, Scilley K, Girkin CA, Phillips JM, Searcey K. Perceived barriers to care and attitudes about vision and eye care: Focus groups with older African Americans and eye care providers. Invest Ophth Vis Sci. 2006;47(4):2797-2802. 7. Asplund R, Lindblad BE. The development of sleep in persons undergoing cataract surgery. Arch Gerontol Geriatr 2002;35:179-187. 8. Asplund R, Lindblad BE. Sleep and sleepi- n ess 1 and 9 months after cataract surgery. Arch Gerontol Geriatr 2004; 38:69-75. 9. Zaidl FH, Hull JT, Peirson SN, et al. Short- wavelength light sensitivity of circadian, papillary, and visual awareness in humans lacking an outer retina. Current Biology. 2007;17: 2122-2128. 10. Lok, C. Seeing without seeing. Nature. 2011;469:284-285. 1 1. Lockley SW, Evans EE, Scheer FA, Brainard GC, Czeisler CA, Aeschbach D. Short-wave- length sensitivity for the direct effects of light on alertness, vigilance, and the waking electroencephalogram in humans. Sleep. 2006:29(2):161–168. 12. Werner L. Causes of intraocular lens opacification or discoloration. J Cataract Refract Surg. Apr;33(4):713-726. 1 3. Fellman M, Werner L, Liu ET, et al. Calcifi- cation of a hydrophilic acrylic intraocular lens after Descemet-stripping endothelial kerato- plasty: case report and laboratory analyses. J Cataract Refract Surg. 2013; 39:799-803. 14. Walker NJ. Calcification of hydrophilic acrylic intraocular lenses in combined pha- covitrectomy surgery. J Cataract Refract Surg. 2010;36(8):1427-31. 15. Johansson B. Clinical consequences of acrylic intraocular lens material and design: Nd:YAG-laser capsulotomy rates in 3 x 300 eyes 5 years after phacoemulsification. Br J Ophthalmol. 2010;94(4):450-455. 16. Matsushima H. Whitening (sub-surface nano glistening). International Society for Intraocular Lens Safety (I.S.I.S). www.iol- safety.com/issues-under-discussion/glisten- ings/letters-of-opinion/146-hiroyuki-matsushi ma-md-phd-on-whitening.html. Accessed December 12, 2013. 17. Miyata K, Honbo M, Otani S, Nejima R, Minami K. Effect of visual acuity of increased surface light scattering in intraocular lenses. J Cat Refract Surg. 2012; 38(2):221-226. 18. Boettner EA, Wolter JR. Transmission of the ocular media. Invest Ophthalmol. 1962;1:776-783. Editors' note: Dr. Beiko is an assistant clinical professor at McMaster Univer- sity, Ontario, Canada, and a lecturer at the University of Toronto. He has financial interests with Abbott Medical Optics, Croma (Leobendorf, Austria), Bausch + Lomb (Rochester, N.Y.), and Novartis (Basel, Switzerland). Contact information Beiko: george.beiko@sympatico.ca Comparison of transmission of blue light in the natural crystalline lens and different current IOLs 1 8 S ource: George H.H. Beiko, BM, BCh, FRCS(C) Impact continued from page 40 38-45 Cataract_EW February 2014-DL2_Layout 1 1/30/14 10:18 AM Page 42

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