Eyeworld

JAN 2019

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

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3 EW ASCRS NEWS January 2019 Garg said. There will be sessions on cataract complications, innovations in cataract surgery, and interesting cases. Dr. Garg added that there will be several sessions dedicated to videos of cataract surgery and associated surgeries. Other talks will highlight the ocular surface and corneal diseases. This year's Alan Crandall Lec- ture will be given by Garry Condon, MD, on pseudoexfoliation. "We've set aside a lot of time for interaction and discussion because I think that's one of the highlights of the meeting," Dr. Garg said. The format provides an intimate pro- gram with time for exploration of what's presented to whatever extent is needed from the audience. The Surgical Summit will feature an impressive lineup of faculty members, with many returning from previous meetings and a number of new faces. "We decided to rotate faculty more," Dr. Koch said. Colleagues who have attended in prior years will see faculty members they hav- en't seen in a few years or have nev- er seen at this meeting, he added. The small meeting format lends itself well for both presentations and discussion. Dr. Garg said that sessions will span the morning, with a break in the afternoon for attend- ees to enjoy the city and slopes, and they will reconvene in the evening. "I think after you come to a meeting like this, you realize the value of the small format," Dr. Garg said. Interacting with colleagues and peers is just as important as interact- ing with faculty, he added. "Every year, I carry home a whole series of pearls that I find invaluable," Dr. Koch said. He added that not only is the Surgical Summit a great meeting, but the setting is exquisite. "We have a The meeting returns to The Chateaux Deer Valley, January 31–February 2 T he 2019 Surgical Summit will be held January 31– February 2 in Park City, Utah at The Chateaux Deer Valley. Program chairs Sumit "Sam" Garg, MD, Irvine, California, and Douglas Koch, MD, Houston, spoke with EyeWorld about what to expect from this year's meeting. "We crafted the program this year with even more emphasis on case problem solving and complex surgical situations, and special em- phasis on the nuances and subtleties of doing premium cataract surgery," Dr. Koch said. "We're at the point where there are so many excellent choices available (and many more to come) that it's appropriate to get people to share experiences on selecting the best patients and how to combine lenses." There will also be an empha- sis on new glaucoma procedures, particularly in the MIGS area, and what surgeons can do to introduce those or expand their use for their combined cataract and glaucoma patients. Dr. Koch added that there will be a lot of information on man- agement of complex glaucoma and cornea cases. "We tailor this meeting to pro- vide attendees with a lot of pearls they can apply to their practices the first day they go home," he said. The discussion at the meeting is "one of the real gems. We encour- age people to bring cases that they want to ask us about," Dr. Koch said, adding that audience participation is great at the meeting. "We've tried to keep the themes of previous successful meetings," Dr. Surgical Summit program to feature a variety of presentations © 2018 Novartis 1/18 US-RES-17-E-3227 References 1. Alcon Data on File (Jul 2016). 2. AcrySof ® IQ ReSTOR ® +2.5 D Multifocal Toric IOL Di- rections for Use. 3. Vega F, Alba-Bueno F, Millán MS, Varon C, Gil MA, Buil JA. Halo and through-focus performance of four diffractive multifocal intraocular lenses. Invest Ophthal- mol Vis Sci. 2015;56(6):3967-3975 (study conducted with corneal model eye with 0.28µ spherical aberration). 4. Wirtitsch MG, Findl O, Menapace R, et al. Effect of haptic design on change in axial lens position after cataract surgery. J Cataract Refract Surg. 2004;30(1):45- 51 5. Visser N, Bauer NJ, Nuijts RM. Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cata- ract Refract Surg. 2013;39(4):624-637. 6. Potvin R, Kramer BA, Hardten DR, Berdahl JP. Toric intraocular lens orientation and residual refractive astigmatism: an analysis. Clin Ophthalmol. 2016;10;1829-1836. AcrySof ® IQ ReSTOR ® Family of Multifocal IOLs Important Product Infor- mation CAUTION: Federal (USA) law restricts this device to the sale by or on the order of a physi- cian. INDICATIONS: The AcrySof ® IQ ReSTOR ® Posterior Chamber Intraocular Multifocal IOLs include AcrySof ® IQ ReSTOR ® and AcrySof ® ReSTOR ® Toric and are intended for pri- mary implantation for the visual correction of aphakia secondary to removal of a catarac- tous lens in adult patients with and without presbyopia, who desire near, intermediate and distance vision with increased spectacle independence. In addition, the AcrySof ® IQ ReSTOR ® Toric IOL is intended to correct pre-existing astigmatism. The lenses are intended to be placed in the capsular bag. WARNINGS/PRECAUTIONS: Careful preoperative evaluation and sound clinical judgment should be used by the surgeon to decide the risk/ benefit ratio before implanting a lens in a patient with any of the conditions described in the Directions for Use labeling for each IOL. Physicians should target emmetropia, and ensure that IOL centration is achieved. Care should be taken to remove viscoelastic from the eye at the close of surgery. The ReSTOR ® Toric IOL should not be implanted if the posterior capsule is ruptured, if the zonules are damaged, or if a primary posterior capsulotomy is planned. Rotation can reduce astigmatic correction; if necessary lens repositioning should occur as early as possible prior to lens encapsulation. Some patients may experience visual disturbances and/or discomfort due to multifocality, especially under dim light conditions. A reduction in contrast sensitivity may occur in low light conditions. Visual symptoms may be significant enough that the patient will request explant of the multifocal IOL. Spectacle independence rates vary; some patients may need glasses when reading small print or looking at small objects. Posterior capsule opacification (PCO), when present, may develop earlier into clinically significant PCO with multifocal IOLs. Prior to surgery, physicians should provide prospective patients with a copy of the Patient Information Brochure available from Alcon informing them of possible risks and benefits associated with the AcrySof ® IQ ReSTOR ® IOLs. Do not resterilize; do not store over 45° C; use only sterile irrigating solu- tions such as BSS ® or BSS PLUS ® Sterile Intraocular Irrigating Solutions. ATTENTION: Reference the Directions for Use labeling for each IOL for a complete listing of indications, warnings and precautions. 100705_US-RES-17-E-3227_PI.indd 1 2/12/18 2:34 PM by Ellen Stodola EyeWorld Senior Staff Writer/Digital Editor whole core of surgeons who come back every year both because they learn a lot and because it's such an enjoyable experience for them and their family," he said. EW Contact information Garg: gargs@uci.edu Koch: dkoch@bcm.edu

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