Eyeworld

C References Text goes here by Name APRIL 2019 | EYEWORLD | 69 near vision than I think I can provide with an EDOF IOL, I will offer a Tecnis multifocal IOL, in particular the +3.25 add (ZLB00) version, which provides an ideal reading distance for many patients." In Dr. Wong's practice, while 95% of the presbyopia-cor- recting IOLs they implant are EDOF, they also go further to incorporate multifocals. In select cases, they implant a multifo- cal IOL in the second eye after implanting an EDOF IOL in the first. "By placing a multifocal lens in the second eye, we can use the bimodal strength of the multifocal lens to give excellent far and near vision from the second eye while the Symfony lens placed in the first eye gives great far and mid- range vision," he said. Dr. Wong also finds EDOF IOLs useful when implanted bilaterally for monovision, with most patients tolerant of a 0.50 D myopic offset between the eyes. "The first eye is usually plano to –0.25 SEQ and the second eye is usually –0.25 to –0.75 D SEQ with the Symfony allowing great uncorrected far/mid and near vision," he said. Dr. Yeu also successfully uses the Symfony for monovi- sion, but only offsets the non-dominant eye by –0.50 to –0.75, and only reserves this for patients who tolerated traditional monovision in soft contact lenses prior to cataracts form- ing. This micro-monovision "provides an excellent range of intermediate through near vision in the near eye, as compared to distance and either intermediate or near." For the dominant eye, these patients may get another Symfony IOL but also do well with a monofocal IOL, which "often obviates any con- cerns for scotopic dysphotopsias." EDOF IOLs can expand a practice to include post-refrac- tive cases. "Because the Symfony lens works well in eyes that have had prior LASIK and RK—which represents 35–40% of our surgical population—it has expanded the patient base of candidates who can optimize their vision with lens implant surgery," Dr. Wong said. "We regularly implant EDOF lenses in patients with LASIK and up to 18 cut RK. The results have been fantastic to date." "Prior to the introduction of EDOF lenses, we used multifocal lenses extensively with great results," Dr. Wong said. "The EDOF results have exceeded the results we could achieve with the multifocal lenses overall." Look to Stephens for anterior and posterior micro-instruments. I N S T R U M E N T S | S I N G L E U S E | D R Y E Y E | B I O L O G I C S Stephens Instruments | 2500 Sandersville Rd | Lexington KY 40511 USA Toll Free ( USA ) 800.354.7848 | info@stephensinst.com | stephensinst.com © 2019 Stephens Instruments. All rights reserved. Microsure Instruments are an excellent choice for anterior and posterior microsurgery. Available with 23ga and 25ga stainless steel tips and lightweight titanium grips, they offer the precision and durability needed for delicate procedures. All of our instruments are backed by a limited lifetime warranty. You can feel confident in the high quality and superior service that Stephens is known for. Stephens – more than instruments. 23GA & 25GA NOW AVAILABLE visit us at ASCRS booth #1513 ST5-7035 Utrata Capsulorhexis ST5-7000 Straight Serrated Jaws ST7-1715 Curved Scissors

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