EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/115557
March 2013 standard of care with less frequent monitoring," Mr. Holmes said. "We are also evaluating it on other conditions like central retinal vein occlusion [CRVO], diabetic macular edema [DME], and myopic choroidal neovascularization [myopic CNV] to address unmet medical needs especially prevalent in Asian patients." • Bayer HealthCare has been collaborating with the Singapore Eye Research Institute since January 2010 as well as the Singapore Advanced Imaging Laboratory for Ocular Research to further research on Eylea using, in part, cutting-edge computer imaging. "Singapore is a well-established regional hub with international and regional connectivity for Bayer to collaborate with a diverse pool of talents, capabilities, and partners across Asia-Pacific," Mr. Holmes said. "We hope to expand our presence in Asia and bring innovative therapies to patients with rare disease." Remaining challenges for Singapore Glen Burgess, commercial director for surgical, Asia-Pacific, Bausch + Lomb, lived in Singapore for many years before moving back to Sydney. He observed many great advantages to Singapore—access to Asian markets, government support, communications and transportation infrastructure—but he recognizes that there's a long way to go to become the next California. Mr. Burgess looks back at the historical development of innova- tion in ophthalmology to review where the ophthalmic world's research and development hubs have been. • Femtosecond and excimer lasers: Southern California and Germany (VISX, LenSx, Bausch + Lomb/ Technolas, Zeiss/Meditec, Schwind, Wavelight) • Instrumentation: St. Louis (Storz) • Other optical innovation: New York (Bausch + Lomb, Reichert), Fort Worth (Alcon) Bausch + Lomb has hubs in some of these places, but Mr. Burgess also referred to competitor locations. His observations mostly have to do with where research is usually done: "in-house, close to home." As an example, he asked, what if you're looking to start up a company to design a new excimer laser? Where would you go? Probably not to Singapore. You'd go to Santa Clara or Germany, where original excimer laser expertise is located and readily available. Ultimately, Mr. Burgess views Singapore as a service economy like Hong Kong, enabling a company to do business in nearby markets. So, if a true eyecare business hub is centered around innovation, where might the next one emerge? Maybe China. "A lot of ophthalmology companies do have manufacturing sites in China," he said. "The demand is so big. Economies of scale almost arrive immediately just to satisfy the local market." Then again, Mr. Burgess knows certain competitors are manufactur- San Francisco fun fact ing in Singapore, and he thinks back to the issue of labor quality. "You may have access to a lower average cost of labor [in China or elsewhere], but is it the correctly trained and qualified labor you want for those particular sites?" he asked rhetorically. No answer was needed. Thoughts in the room were on Singapore, once again. EW EW International Editors' note: The sources have financial interests with their respective companies. Contact information Burgess: Glen.burgess@bausch.com Dunlap: tom.dunlap@hoya.com Holmes: charles.holmes@bayer.com Raman: ven.raman@zeiss.com Roy: lipika.roy@bausch.com TORIC/LRI MARKERS S9-2033 Pre-Operative Alignment Marker For marking patient on gurney or at slit lamp prior to procedure • Three fine marking points at 3, 6 and 9 for accurate reference • Properly angled handle allows an unimposing approach to patient S9-2060 Mendez Style Degree Gauge Intra-operative ring for aligning to steep axis and defining LRI points • Large 11.7mm internal diameter provides for maximum visualization • Beveled surface reduces reflections form microscope lighting • Crisp laser etched markings every 5˚ for greater marking accuracy S9-2065 Axis Marker Works inside the Degree Gauge to mark prime meridian (steep axis) for LRIs and Toric alignment. • Fits inside Degree Gauge perfectly • Crisp edges create a fine demarcation • Length of marks accommodates both limbal and corneal marking S9-2050 LRI Marker Provides crisp marks at commonly used LRI Positions • Fits inside Degree Gauge perfectly • Creates symmetrical, opposing marks for 30˚, 45˚ and 60˚ incisions • Fine arc connects degree endpoints for easy, acurate incisions San Francisco cable cars are the only moving National Historic Landmark, and 9.7 million people take a nine mile per hour ride on them each year. Source: gocalifornia.about.com 135 2500 Sandersville Rd., Lexington, KY 40511 USA Phone: 800-354-7848, 859-259-4924 Fax: 859-259-4926 E-Mail: stephensinst@aol.com www.stephensinst.com