Eyeworld

by Title Contact Name: email Heading Name title SUMMER 2024 | EYEWORLD | 3 by Sumit "Sam" Garg, MD Chief Medical Editor I wish for … many things. We all make wishes, both consciously and uncon- sciously, throughout the day. I wish the Lakers would have beaten the Nuggets in the first round of the NBA playoffs. I also wish for a better golf swing—sadly both things haven't come true. With respect to our professional lives, many of us make wishes relevant to ophthalmology, such as out- comes for our patients, how our schedules work out, and to make meaningful impact on our communities. Wishful thinking spurs innovation, changes in clinical and surgical practice, and charitable initiatives, among other things. As someone who has the opportunity to teach future generations of ophthalmologists, an adage that I was taught is that if you think that you should do something, do it! Otherwise, you may wish that you would have. Often as surgeons, we try to push through and "wish" we would have done whatever we thought about: place iris retractors, suture the cataract wound, optimize the ocular surface prior to surgery, take the time to fully explain ex- pectations to a patient prior to surgery when in the middle of a busy clinic. Many times, nothing negative happens in these scenarios, but once in a while, you may be burned and wish that you could rewind and take a mulligan. This issue highlights advancements and wish lists from our Editorial Board: refractive surgery hyperopic treat- ments and lenticule extraction; genetic testing that drives personalized medicine; updates in dry eye medications with hope for better coverage; glaucoma pearls from an expert panel; updates on viral keratitis; and much more. Coming off of a productive ASCRS Annual Meeting, I am excited about the health of our organization. We had a strong turnout from our membership (despite the weath- er). We continue to strive to meet the evolving educational, skills transfer, philanthropic, and advocacy needs of the membership. With a strong foundation and a bright future, I wish for continued excellence for our organization, and health, happiness, and prosperity for all of you. As always, if you have any suggestions for topics, improvements, etc., please feel free to reach out to me at gargs@uci.edu. Advancements and wish lists CENTURION ® VISION SYSTEM IMPORTANT PRODUCT INFORMATION CAUTION: Federal (USA) law restricts this device to sale by, or on the order of, a physician. As part of a properly maintained surgical environment, it is recommended that a backup IOL Injector be made available in the event the AutoSert ® IOL Injector Handpiece does not perform as expected. INDICATION: The Centurion ® Vision System is indicated for emulsification, separation, irrigation, and aspiration of cataracts, residual cortical material and lens epithelial cells, vitreous aspiration and cutting associated with anterior vitrectomy, bipolar coagulation, and intraocular lens injection. The AutoSert ® IOL Injector Handpiece is intended to deliver qualified AcrySof ® intraocular lenses into the eye following cataract removal. The AutoSert ® IOL Injector Handpiece achieves the functionality of injection of intraocular lenses. The AutoSert ® IOL Injector Handpiece is indicated for use with the AcrySof ® lenses SN6OWF, SN6AD1, SN6AT3 through SN6AT9, as well as approved AcrySof ® lenses that are specifically indicated for use with this inserter, as indicated in the approved labeling of those lenses. WARNINGS: Appropriate use of Centurion ® Vision System parameters and accessories is important for successful procedures. Use of low vacuum limits, low flow rates, low bottle heights, high power settings, extended power usage, power usage during occlusion conditions (beeping tones), failure to sufficiently aspirate viscoelastic prior to using power, excessively tight incisions, and combinations of the above actions may result in significant temperature increases at incision site and inside the eye, and lead to severe thermal eye tissue damage. Good clinical practice dictates the testing for adequate irrigation and aspiration flow prior to entering the eye. Ensure that tubings are not occluded or pinched during any phase of operation. The consumables used in conjunction with ALCON ® instrument products constitute a complete surgical system. Use of consumables and handpieces other than those manufactured by Alcon may affect system performance and create potential hazards. AEs/COMPLICATIONS: Inadvertent actuation of Prime or Tune while a handpiece is in the eye can create a hazardous condition that may result in patient injury. During any ultrasonic procedure, metal particles may result from inadvertent touching of the ultrasonic tip with a second instrument. Another potential source of metal particles resulting from any ultrasonic handpiece may be the result of ultrasonic energy causing micro abrasion of the ultrasonic tip. ATTENTION: Refer to the Directions for Use and Operator's Manual for a complete listing of indications, warnings, cautions and notes. © 2023 Alcon Inc. US-CNT-2300030 References: 1. Suzuki H, et al. Effect of bottle height on the corneal endothelium during phacoemulsification. J Cataract Refract Surg. 2009;35:2014-2017. 2. Vasavada V, et al. Real-time dynamic intraocular pressure fluctuations during microcoaxial phacoemulsification using different aspiration flow rates and their impact on early postoperative outcomes: A randomized clinical trial. J Refract Surg. 2014;30(8):534-540. 3. Vasavada AR, et al. Impact of high and low aspiration parameters on postoperative outcomes of phacoemulsification: Randomized clinical trial. J Cataract Refract Surg. 2010;36:588-593. 4. Kokubun, T. et al. The protective effect of normal-IOP cataract surgery on the corneal endothelium, The 26th Annual Meeting of the Japanese Ophthalmological Society. 5. Miller KM, et al. Experimental study of occlusion break surge volume in 3 different phacoemulsification systems. J Cataract Refract Surg. 2021:47;1466. 6. Vasavada V et al. Real-time dynamic changes in intraocular pressure after occlusion break: Comparing 2 phacoemulsification systems. J Cataract Refract Surg. 2021;47:1205. 7. Jirásková N & Stepanov A. Our experience with Active Sentry and Centurion Ozil handpieces. Czech and Slovak Ophthalmology. 2021;77(1):18-21.

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