Eyeworld

JUN 2012

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

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A SC RS World view The official publication of the American Society of Cataract & Refractive Surgery June 2012 Publisher Donald R. Long dlong@eyeworld.org Editorial Editor Stephanie Graham stephanie@eyeworld.org Assistant Editor Stacy Majewicz smajewicz@eyeworld.org EyeWorld Staff Writers Faith Hayden faith@eyeworld.org Jena Passut jena@eyeworld.org Production Graphic Designer Julio Guerrero jguerrero@eyeworld.org Production Manager Cathy Stern cstern@eyeworld.org 703-383-5702 Production Assistant Karen Salerni ksalerni@eyeworld.org Contributing Editors Vanessa Caceres Lakeland, Florida Michelle Dalton Reading, Pennsylvania Rich Daly Arlington, Virginia Volume 17 • No. 6 PUBLISHING STAFF Enette Ngoei Singapore Matt Young Malaysia Senior Contributing Editor Maxine Lipner Nyack, New York Advertising Sales ASCRSMedia 4000 Legato Road Suite 700 Fairfax, VA 22033 703-591-2220 fax: 703-591-0614 eyeworld@eyeworld.org www.eyeworld.org Advertising Sales Managers Jeff Brownstein jbrownstein@eyeworld.org 703-788-5745 Paul Zelin pzelin@eyeworld.org 703-383-5729 Classified Sales Cathy Stern cstern@eyeworld.org 703-383-5702 EyeWorld Special Projects and Events Jessica Donohoe jdonohoe@eyeworld.org 703-591-2220 I John A. Vukich, M.D., international editor n today's world, information travels at the speed of light. New techniques and innovations are influenced by the work of surgeons from around the world. We commonly see this at major meetings where some of the most interesting and novel presentations are from international surgeons. In this issue of EyeWorld, we reach beyond our boarders to examine how the practice of oph- thalmology is evolving. We have sought out some of the leading clinicians from Asia, the Middle East, and Russia to discuss their experi- ence and preferred practice patterns. Some of the ideas are controversial; some are a necessary adaptation to the local conditions. What all of these practices have in common is the desire to provide the best possible care for their patients. Corneal crosslinking has gained widespread acceptance around the world. While not yet available in the U.S., it has become an accepted standard of care for patients with keratoconus and corneal ectasia. Could there be a place for crosslinking as a routine addition to corneal refractive surgery? In Japan one large clinic has introduced crosslinking as an option for all LASIK patients. In this issue you can read about the lively debate this has brought about on three continents. Glaucoma is a global problem and a particular challenge in develop- ing countries. EyeWorld has sought out experts from Nepal, Ethiopia, and Saudi Arabia to discuss their preferred techniques of managing glaucoma. Medication remains the first line of treatment in most places, but there are challenges with any chronic therapy. Glaucoma specialists in Saudi Arabia and Nepal may favor beta blockers over prostaglandins, but they also have to take into account the economic realities of chronic treat- ment. Surgical intervention is the first line for glaucoma therapy in many areas, and in this issue we examine what the current trends are. In a global economy that is driven by technology, we increasingly ASCRS Publisher: EYEWORLD (ISSN 1089-0084) is published monthly by ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; telephone: 703-591-2220; fax: 703-591-0614. Printed in the U.S. Editorial Offices: EYEWORLD News Service, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: eyeworld@eyeworld.org. Advertising Offices: ASCRSMedia, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: eyeworld@eyeworld.org. Copyright 2012, ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Letters to the editor and other unsolicited material are assumed intended for publication and are subject to editorial review and acceptance. Subscriptions: Requests should be addressed to the publisher. Annual subscription prices: Individual: 1 year, $120; 2 years, $220; 3 years, $320. Institutional: 1 year, $250; 2 years, $330; 3 years, $425. Foreign: 1 year, $240, 2 years $470, 3 years, $700. Back copies: Subject to availability. Contact the publisher. Cost per copy is $15; $30 foreign. All orders for individual or back copies must be accompanied by payment. Requests to reprint, use, or republish: Requests to reprint or use material published herein should be made in writing only to Cathy Stern, EYEWORLD, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: eyeworld@eyeworld.org. EYEWORLD reprints: To order reprints of material published in EYEWORLD, contact Cathy Stern, EYEWORLD, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: cstern@eyeworld.org or your salesperson. Change of address: Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses and label from recent issue. The publisher cannot accept responsibility for undelivered copies. POSTMASTER: Send change of address to EYEWORLD, 4000 Legato Road, Suite 700, Fairfax, VA 22033. Periodical postage paid at Fairfax, VA 22033 and at additional mailing offices. The ideas and opinions expressed in EYEWORLD do not necessarily reflect those of the editors, publisher, or its advertisers. find that the latest innovations are developed overseas. In a must-read article, EyeWorld interviews some of the leading corporate executives, venture capitalists, and physician innovators about the status of bringing new technology to our patients. Learn how cost, regulation, and politics affect our practice and importantly our future options. As always, EyeWorld strives to examine all sides of the important issues facing ophthalmologists. We hope you enjoy the lively viewpoints expressed from the four corners of the globe. John A. Vukich, M.D., international editor EyeWorld @EWNews Follow EyeWorld on Twitter at twitter.com/EWNews Are you a fan of EyeWorld? Like us on Facebook at Find us on social media facebook.com/EyeWorldMagazine The view beyond our borders

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