FEB 2014

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

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Page 107 of 114

E W MEETING REPORTER 1 05 Mitchell A. Jackson, MD, Lake Villa, Ill., discussed the U.S. Food and Drug Administration's guide- l ines for certain cases undergoing LASIK. "LASIK volumes are not what they used to be, and a lot of sur- geons are thinking, how can I expand my LASIK practice? There's always these controversial/con- traindicated cases," Dr. Jackson said. According to the FDA, LASIK s urgery can aggravate dry eye dis- ease, and for large pupils, evaluation should be performed in a dark room. In glaucoma cases, including glau- coma suspects, the safety and effec- tiveness of LASIK has not yet been defined. He also discussed the parameters for performing LASIK in CVD and a utoimmune disease, including what to do in these cases and dry eye: "If patients are well controlled, and if you think they may have Sjogren's, I would screen them for it," he said. "Utilize better diagnostics and thera- peutic options available from the outset." In glaucoma patients, a thor- ough baseline evaluation is "criti- cal," he said. In cases of large pupils, he recommended performing tests for good measurement preopera- tively. Editors' note: Dr. Jackson has no financial interests related to this presentation. Corneal inlays provide promising results Corneal inlays will be "clearly part of our future when they're approved here in the U.S.," said John A. Hovanesian, MD, Los Angeles. Dr. Hovanesian discussed corneal inlay technologies for the correction of presbyopia, including the KAMRA (AcuFocus, Irvine, Calif.) and the Raindrop (ReVision Optics, Lake Forest, Calif.), which he said are nearing possible approval in the U.S., at his talk "Update on corneal inlays for presbyopia." "Realistically, corneal inlays are going to take a large part of this [presbyopia] market in the future," Dr. Hovanesian said. T h e s p eci al i s t s i n s i n g l e- u s e. www.malosa.com • LASIK / LASEK / ReLEx / PRK • Phaco • Oculoplastics • IVT • Strabismus • Sub-Tenons ... "Malosa's single-use instruments and procedure packs provide optimal patient safety and brand new, flawless instruments for every eye." Prof. Dan Z Reinstein, MD MA(Cantab) FRCSC DABO FRCOphth FEBO - The London Vision Clinic • Brand new instruments, every time. • Zero cross-contamination risk. • Increased patient throughput. View our online brochure. Complete range of Instruments and Procedure Packs for all Ophthalmic specialties. Over 350 Instruments & 400 Packs for all specialties. ASCRS BOOTH 205Ñ207 Eyeworld Mockups 100114 indd 1 15/01/2014 09:34 Against a darker iris and a larger pupil, the KAMRA corneal inlay is less visible; however, if viewed from t he side in a lighter iris, it can be seen, he said. "It's still a low-profile device," he said. On average, patients are in the J2, or a little less, range following implantation. The Raindrop corneal inlay is a transparent device, about 2 mm in diameter, and is made of hydrogel. It is a 30-micron inlay that goes under a flap. "What it does is alter the ante- r ior corneal curvature. It has a sort of multifocal effect," Dr. Hovanesian said. An important pearl when using the Raindrop is to not hydrate too much because "it would be fairly easy if you are laying the LASIK flap down to hydrate that thing away and you'd lose it," Dr. Hovanesian s aid. Centration in all inlays is key, he said. Results with the Raindrop are s imilar to the KAMRA, with the Raindrop achieving J1. "Interestingly, these two inlays, although they work very differently, produce very similar visual results," he said. EW Editors' note: Dr. Hovanesian has fi- nancial interests with ReVision Optics. February 2014 98-105 MR Hawaii_EW February 2014-DL2_Layout 1 1/30/14 11:57 AM Page 105

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