Eyeworld

JUN 2019

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

Issue link: https://digital.eyeworld.org/i/1123870

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JUNE 2019 | EYEWORLD | 29 O From The Voice of Ophthalmology Tal Raviv, MD, New York, with coach Iqbal "Ike" Ahmed, MD, Toronto, Canada, was voted the winner of the second season of The Voice of Ophthalmology for his presentation on endophthalmitis prophylaxis with intracameral antibiotics. Major points from Dr. Raviv's presentation included: • Several studies showed no additive effect of topical antibiotics after intracameral antibi- otics were used, and a 2016 AAO Preferred Practice Pattern supports the role of intraca- meral antibiotics. • With low adoption of intracameral antibi- otics among U.S. surgeons, concern could stem from there not being an FDA-approved product and the association of intracameral vancomycin with HORV. • Compounding pharmacies and the commer- cially available topical formulation of moxifloxacin are options for intracameral antibiotics. From the Charles D. Kelman Innovator's Lecture Collaborative innovation can happen between technologies where a particular technology can reach a certain level of adoption, then additional technologies further it, according to Ron Kurtz, MD. Dr. Kurtz described moving femtosecond laser technol- ogy into the realm of refractive cataract surgery. Refractive cataract surgery really began in the 1960s, driven by the large pool of patients who, thanks to Medicare, would not have had access to these innovations otherwise. Inno- vations included the first implantable IOLs, followed by phaco, viscoelastic, keratometry, biometry, and IOL power calculation formulas. Dr. Kurtz shared his efforts on the Light Adjustable Lens (RxSight). "I was intrigued by the ability to have an of- fice-based system that could optimize patient vision after the cataract had been removed," he said.

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