Eyeworld

JAN 2016

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

Issue link: http://digital.eyeworld.org/i/618732

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11 EW NEWS & OPINION Headline byline goes here plus fade January 2016 T he 2016 ASCRS•ASOA Symposium & Congress will feature internation- ally renowned presenters during the general sessions. The meeting will be held May 6–10, 2016, in New Orleans. ASCRS•ASOA Joint Government Relations General Session On Friday, May 6, the ASCRS•ASOA Joint Government Relations General Session will feature Constitutional law scholar Jonathan Turley, JD. Pro- fessor Turley warns Congress has left so much decision-making authority to regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS), they now operate on an equal footing as a "fourth branch" of government. During this thought-provoking general session, Professor Turley will explore how the regulatory power of the fourth branch affects healthcare and other industries and what he thinks should be done to remedy it. Professor Turley is a national- ly recognized legal commentator, widely regarded as a champion of the rule of law. His passion, wit and depth of knowledge have made him a repeated guest on Sunday talk shows. Professor Turley's articles on legal and policy issues appear regularly in national publications with hundreds of articles in such newspapers as the New York Times, Washington Post, Los Angeles Times, and Wall Street Journal. He is a col- umnist for USA Today. ASCRS Opening General Session On Saturday, the ASCRS Opening General Session will kick off with presentations by ASCRS President Robert Cionni, MD, and incoming President Kerry Solomon, MD. Dr. Solomon will introduce the 2016 Honored Guests Awardees, Paul Ernest, MD, and Hiroko Bissen- Miyajima, MD, PhD. Drs. Ernest and Bissen-Miyajima will be present- ed the prestigious award in recog- nition of their significant contri- butions to the advancement of the field of ophthalmology. Specializing in cataract surgery and lifestyle lens implants, Dr. Ernest has been voted one of the top 100 doctors in the country several times over. Dr. Bissen-Miyajima is department chair and professor of ophthalmology at Tokyo Dental College Suidobashi Hospital, Tokyo. She specializes in cataract and refractive surgery. Over her 20-year career, she has built a reputation as a skillful surgeon, well known around the globe as a major investigator for multifocal intraocular lenses and for leading the way in femtosecond laser-assisted cataract surgery. Following the ASCRS Ophthal- mology Hall of Fame ceremony, the Opening General Session will close out with physician/scientist Doyle Stulting, MD, PhD, being awarded the Binkhorst Medal. He will present a lecture titled "Predicting and Treat- ing Corneal Ectasia." Since 1975, the Binkhorst Medal has been awarded to the world's most prominent ophthalmologists whose careers have made signifi- cant contributions to the science and practice of ophthalmology. During his distinguished career, Dr. Stulting's work has established him as a foremost leader in the field of ophthalmology and a primary force in the surgical management of com- plex cataracts, corneal disease, and intraocular lens complications. ASOA Opening General Session The ASOA Opening General Session will be held on Saturday, May 7, as well. Mike Rayburn, CSP, CPAE, will be the presenter. As a Hall of Fame international keynote speaker, author, comedian, and world-class guitarist, Mr. Rayburn is an inspi- rational thought leader and one of the most in-demand and unconven- tional keynote artists in the world. Drawing from his success as an en- trepreneur as well as a Carnegie Hall headliner, Mr. Rayburn is a master at increasing profitability and im- pact by inspiring teams to become possibility thinkers and virtuoso performers. In the journal . . . Effect of a multimedia-assisted informed consent procedure on the information gain, satisfaction and anxiety of cataract surgery patients Saskia M. Tipotsch-Maca, MD, Ralph M. Varsits, MD, Christian Ginzel, MD, Pia V. Vecsei-Marlovits, MD, MSc, MBA Can the way practitioners approach the informed consent practice have an impact on patient anxiety levels? In this prospective randomized trial, inves- tigators considered whether using a multimedia presentation preoperatively to aid with informed consent increased patient knowledge about cataract surgery and decreased anxiety levels. They also considered how this pre- sentation impacted satisfaction with the informed consent process. In this study, 64 patients received information about informed consent by reading a brochure in conjunction with a standardized face-to-face discussion, while another 59 viewed a computer-animated video. Investigators determined that while both groups did well when tested with a questionnaire, those that watched the video retained a bit more knowledge at 82% versus just 72% for those who received information via the standard approach. Older individuals tended not to do as well; however, this decrease in scores wasn't as great for those who watched the video. Both groups tended to be anxious about the surgery, with the video group scoring a 63.8 in their tendency for anxiety and the control group a 65.5. Investigators concluded that a greater amount of information is likely to be retained with a multimedia presenta- tion rather than a standardized approach, even with increasing age. Paired-eye comparison of corneal endothelial cell counts after unilateral iris-claw phakic intraocular lens implantation Merce Morral, MD, PhD, José L. Güell, MD, PhD, Mostafa A. El Husseiny, MD, Daniel Elies, MD, Oscar Gris, MD, PhD, Felicidad Manero, MD In this retrospective study, investigators considered how endothelial cell density fared with implantation of the iris-claw phakic intraocular lens (pIOL). The 29 patients in each group here had implantation of the pIOL in 1 eye and had either been treated with corneal refractive surgery in the other or had undergone no surgery at all. At the 10-year postoperative mark investigators found that for those in group 1 the mean endothelial cell loss for eyes receiving the pIOL was 6.41% versus 5.59% for the fellow eye that had undergone refractive surgery. Meanwhile, in group 2 endothelial cell loss for the pIOL was 7.84% versus 6.74% for the fellow eye with no surgery. At no time point did investigators find any significant endothelial cell loss. Investigators concluded that up to 10 years after implantation there was no significant corneal endothelial cell loss that resulted when compared with either unoperated eyes or those that had undergone refractive surgery. Long-term changes in intraocular lens position and corneal curvature after cataract surgery and their effect on refraction Stijn Klijn, MD, Victor Arni D.P. Sicam, PhD, Nicolaas J. Reus, MD, PhD Investigators in this prospective study set out to determine whether shifts in IOL position or changes in the cornea accounted for long-term acuity fluctuations after cataract surgery. Each of the 59 eyes included here had undergone implantation of the AcrySof SA60AT, a hydrophobic acrylic 1-piece IOL, as part of routine cataract surgery. Investigators determined that over a 1-year period there was a median refractive shift of 0.25 D. They found that between the 1-month and 1-year postoperative period, there was a statistically significant posterior shift of 0.033 mms. However, there was no correlation found between this and refractive shift. Instead they found that the median calculated refractive effect of 0.17 D resulting from natural corneal curvature fluctuations showed a correlation with measured refractive shift. Investigators concluded that it wasn't IOL position shift that was to blame for long-term changes in refraction after cataract surgery, but rather natural fluctuations in corneal curvature. Such natural fluctuations may limit accuracy of refractive outcomes. January 2016 General sessions at the ASCRS•ASOA Symposium & Congress will feature a plethora of experts by Chris Daniels Director of Marketing and Communications ASCRS update continued on page 12

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