EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/387844
137 October 2014 EW MEETING REPORTER IOL power, and adjusting IOL power postoperatively. Dr. Donnenfeld also discussed the benefits of new technologies to help with patients who have had previous corneal refractive surgery. New technologies for measuring both the front and back of the eye and IOL calculators are valuable to surgeons. Additionally, surgeons may want to consider the use of intraoperative aberrometry. "I think this is a real game changer in post-refractive surgery patients," he said. Intraoperative aberrometry provides measurement of the true refractive power of the cornea, including the posterior sur- face. It also incorporates surgically induced astigmatism, compensates for ocular cyclotorsion, and measures the visual axis and not the center of the cornea. "It has refined my refractive results in post-refractive eyes," Dr. Donnenfeld said, adding that he is also interested in some new technologies being introduced, particularly a lenses that will allow adjustment of postoperative results by using UV light. Previous posterior vitrectomy: Tips for handling cataract cases Bonnie An Henderson, MD, Bos- ton, Mass., U.S., discussed handling cataract patients who have had a previous posterior vitrectomy. If the patient has had a vitrectomy, you should be aware of rapid onset of the cataract, segmental posterior subcapsular cataracts, and phaco- donesis or deep anterior chamber depth, she said. The cataract surgeon should also ask the retina specialist if the capsule was touched. "You should plan for zonular weakness regardless," Dr. Henderson said. Such planning includes making sure that you have capsular tension rings or capsular hooks on hand, and to be aware that an IOL may need to be placed in an alternate location. When choosing the best course of action, a surgeon also has to consider the severity of the zonular weakness. If problems do occur, make sure you do good cortical clean up, use an acrylic or PMMA IOL, and use postoperative medications for a longer duration, Dr. Henderson said. 'Combined Surgery for Cataract and Glaucoma' A symposium looked at combined surgery for cataract and glaucoma. The session was chaired by Simonetta Morselli, MD, Bassano del Grappa, Italy, and John Salmon, MD, Oxford, U.K. Bleb-less surgery in various situations was discussed, as was canalicular surgery. Finally, Boris Malyugin, MD, PhD, Moscow, Russia, presented some of the surgical challenges of combining microinvasive cataract surgery (MICS) and microinvasive glaucoma surgery (MIGS) techniques. Bleb-less surgery: Using phaco alone Paul Ursell, MD, Surrey, U.K., dis- cussed bleb-less surgery and using phaco alone. He focused on cataract surgery on patients with glaucoma but without actually doing any glaucoma surgery. "The take-home message is do the cataract surgery early in glaucoma patients," Dr. Ursell said. P L A N N I N G N E W PRACTICE SPACE? FLOOR PLAN EXAMPLES, INFO ON EFFICIENCY, S P A C E P L A N N I N G A N D P R O D U C T I V I T Y . SPACE PLANNING: A GUIDE TO THE EFFECTIVE O P H T H A L M I C F A C I L I T Y MONDAY OCTOBER 20, 2014 @ 3:15 PM AAOE COURSE 402 ACADEMY RESOURCE CENTER BOOTH 508 ACADEMY'S CONVERSATION WITH EXPERTS BOOTH 2001 "Practice Flow Solutions was the best investment I made in building our new office." Dr. Susan Everhart - Everhart Eye Associates Practice Flow Solutions is a niche design firm uniquely focusing on helping medical practice efficiencies by identifying and solving problems in patient, staff and doctor flow. Larry Brooks, AIA and Tim Griffin, AIA, the founders of Practice Flow Solutions, have over 40+ years of experience designing and advising medical practices. www.PracticeFlowSolutions.com F L O W A S S E S S M E N T S S P A C E A S S E S S M E N T S O F F I C E D E S I G N + ONSITE EFFICIENCY STUDIES + IDENTIF Y THE PROPER AMOUNT OF SPACE + MA XIMIZE YOUR WORKFLOW continued on page 138