Eyeworld

MARCH 2021 | EYEWORLD | 25 by Liz Hillman Editorial Co-Director refractive error, and refractive IOL exchange pearls. Adjunct Refractive Cataract Technology – What Do I Really Need? Module 7 looked at technology like biometry, ocular surface diagnosis and treatment options, corneal evaluation technologies, FLACS, Zepto (Centricity Vision), operating microscopes, sustained-release drug delivery, and drop-free cataract surgery. Real World Case Studies in Patient IOL Selection and Management Module 8 featured case studies involving cataract surgery in the setting of post-LASIK ectasia, a miserable multifocal IOL patient, a keratoconic eye with apical corneal scar, phaco in an eye with a phakic IOL, discontentment with near vision after an EDOF IOL, issues with a presbyopia-correcting lens post-hyperopic LASIK, extruded haptic, and a former myope disappointed in loss of near vision. What's Ahead in 2021 and Beyond? Topics in Module 9 included immediately se- quential bilateral cataract surgery (ISBCS), ISBCS and adjustable IOLs, EDOF IOLS (TECNIS Synergy and TECNIS Eyhance [John- son & Johnson Vision]), the IC-8 small aperture IOL (AcuFocus), pharmacologic EDOF with miotic agents, trifocal and EDOF IOLs in the pipeline, an update on accommodating IOLs, refractive index shaping, and more. In addition to the CME modules, 20/Happy featured non-CME, company-supported, online events that complimented what was learned in the CME program. The corporate modules are now viewable on demand and were supported by Alcon, Allergan, Bausch + Lomb, Carl Zeiss Meditec, Johnson & Johnson Vision, Novartis, Ocular Therapeutix, RxSight, Tarsus, and Tracey Technologies. PanOptix (Alcon), and the Light Adjustable Lens (RxSight). Optics and clinical performance of currently available IOLs were also featured. Patient Evaluation and Selection – The Key to Refractive IOL Success Module 3 offered tips for patient evaluation and selection, including obtaining lifestyle history, psychometrics and patient selection, corneal wavefront aberrometry, topography, role of the ocular surface, corneal issues, glaucoma, macu- lar evaluation, and post-refractive challenges. Patient Education and Counseling – Being Effective and Efficient Module 4 addressed "a topic that we don't speak enough about," Dr. Chang said, "and that's how to be really efficient and effective when we're trying to do patient education and counseling." Psychology of the refractive patient, preop con- sultation and education, presbyopia-correcting IOLs, explaining monovision vs. presbyopia-cor- recting IOLs, astigmatism correction, FLACS, informed consent, costs/value proposition, and the dissatisfied postop patient were discussed. Office Management – The Premium IOL Practice Module 5 showcased the various considerations that a premium refractive cataract practice has from a management perspective—preop planning and preparation, compliance and pa- tient-shared billing, payment and financing, fees for enhancement, the Light Adjustable Lens, and your practice presence online. Managing Complications and Patient Dissatisfaction – Taming Our Fears Module 6 reviewed management of compli- cations and patient dissatisfaction. Discussion covered the postop evaluation, communication pearls, toric IOL surprise, capsule complications, dysphotopsias, poor performance with diffrac- tive IOLs, a decision tree, managing residual For more information about the program and access for current registrants, visit https://ascrs. org/20happy.

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