EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/1021247
WAVEFRONT DIAGNOSTICS FORUM | PART 2: What wavefront data do you use to select EDOF IOLs for patients? 800-874-5274 | marco.com OPD-SCAN III Integrated Wavefront with criteria to qualify patient for EDOF IOLs A LIVE SYMPOSIUM DISCUSSING THE BENEFITS DERIVED FROM INTEGRATED WAVEFRONT TECHNOLOGY TO VIEW THE POWER FORUM III: PART 2 LINK: https://vimeo.com/261142214 ▲ The OPD-Scan III lets me know if I have to correct any astigmatism. Angle alpha and angle kappa lets me know I'm in that zone where it's safe to use EDOF lenses. And the placido disk mires show me if the ocular surface is healthy– or identify the patients with poor ocular surfaces that will not have great outcomes. Mitch Jackson, MD Jackson Eye, IL There are cases that I miss the opportunity to avoid. That's the case with any multi-focal or extended depth of focus lens; there will be patients who will not necessarily be the best candidate and you're not always going to be able to predict that ahead of time. This advanced OPD can lessen the number of patients who may be disappointed. Neda Shamie, MD Maloney Vision Institute, CA There are fewer halo and glare issues with EDOF lenses than their predecessor, multi-focal IOLs. However, I still look at the higher order aberration map on my OPD-Scan III because if that cornea is not healthy, if it has a lot of higher order aberrations, they may not be a good candidate for the EDOF lens. I use these maps to reinforce the points I am discussing. Cynthia Matossian, MD Matossian Eye Associates, NJ Though the EDOF is a more forgiving technology, remember that it's reverse engineering the cornea. It's more forgiving if you have regular astigmatism or if you have a little bit of macular pathology, but if you have any type of corneal edema, these are the patients who are going to surprise you. By simply observing the OPD placido rings, you can really stay out of trouble. Toby Tyson, MD Tyson Eye, FL When we're looking at the true multi-focal lenses, the stronger their ADD, the tighter your tolerance has to be for angle alpha and angle kappa and as you get lower power, you get a little bit more leeway with the EDOF lenses. The OPD is essential for this data… we depend on it and we've really been impressed by it. Larry Patterson, MD Eye Centers of Tennessee