Eyeworld

MAR 2011

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

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EW ASCRS PREVIEW 44 March 2011 such as serious but uncommon pre- sentations like glaucoma and more frequent complications like obscura- tion of the visual axis. A unique approach to pediatric cataracts taken by Marie-José Tassignon, M.D., Ph.D., head, department of ophthalmology, Antwerp University Hospital, Bel- gium, and full professor, faculty of medicine, University of Antwerp, will also be included in the course presentations. Dr. Tassignon has de- veloped a technique to get rid of posterior capsule opacification (PCO), which is a common compli- cation in children. With the use of her technique, her center has experi- enced zero PCO. Among other steps in her technique, Dr. Tassignon said she advocates that instead of per- forming a vitrectomy, surgeons should get a closer look at what is happening in the eye. They may find malformations that began at the child's embryonic stage, she said. A final session will address com- plicated pediatric cataracts, such as those with weak zonules or remov- ing cataracts in patients with Marfan syndrome, Dr. Abhay Vasavada said. Dr. Abhay Vasavada also expects to present some information from a recently completed clinical trial at his center during which investiga- tors randomized about 140 children into two groups to gauge the safety and effectiveness of IOL implanta- tion in children with cataracts. "I'm glad the trial is over, and it should give solid, robust evidence, but I don't know yet if it will be for or against implantation," he said. EW Editors' note: Dr. Tassignon is the de- veloper of the Tassignon lens (Morcher, Stuttgart, Germany) and receives royal- ties. Drs. Trivedi and Vasavada have no financial interests related to their com- ments. Contact information Tassignon: +32 3 821 33 77, Marie-jose.tassignon@uza.be Trivedi: trivedi@musc.edu Vasavada: +91-79-27492303, icirc@abhayvasavada.com San Diego, March 25-29, 2011 4UFXBSU$PVSU%FOWJMMF/+t64" ttXXXLBUFOBDPN Polishers for a clean capsule Katena Henderson MICS Capsule Polisher Henderson, Bonnie to cannula this fr cells emaining r capsular or posterior 2.2mm a ough thr 1.25mm ed textur Henderson MICS Capsule Polisher designed MD Henderson, any debride help , anterior the om fr surfaces nix for capsular nely The incision. disc-shaped wide Henderson MICS Capsule Polisher Shepher 1.25mm ed textur gentle permits tip u o r h t n o i t a g i r r i keeps port posterior chamber formed. d Polishing Cur Shepher disc-shaped wide while scrubbing gentle m m 3 . 0 s t i h g u anterior the keeps ette d Polishing Cur K3-1102 featur ette cur This which tip ring 2mm semi-sharp The sides. both polish to used e ar portions posterior ensur design ring The distributed is contact educing r ea, ar surface inadvertant capsule ruptur ole pr low a es featur on beveled is which edges semi-sharp and anterior the capsule. the of capsule that es ensur ger lar a over distributed of chance the educing e. inadvertant capsule ruptur f Posterior Capsule Polisher Kraf Kraff Posterior Capsule Polisher 1.75mm delicate This designed is ette cur cup emaining r any debride and surface posterior the on Irrigation capsule. port facing d downwar f Posterior Capsule Polisher closed 1.75mm polish to designed cells emaining the of surface the ough thr Irrigation the keeps port f Posterior Capsule Polisher port facing taut surface capsular contact distributed outer ring. keeps port evenly for taut the with contact K7-4880 Managing continued from page 42 by Vanessa Caceres EyeWorld Contributing Editor Improving presbyopic IOL outcomes Session covers soup to nuts of premium IOLs P repare for a lively discus- sion during the session Controversies in Presby- opia-Correcting IOL Sur- gery to be held Monday, March 28, from 1 to 2:30 p.m. at the ASCRS•ASOA Symposium and Con- gress. The session will take place in room 8 of the San Diego Conven- tion Center. This session, which has been held for several years at the sympo- sium, will be moderated by John F. Doane, M.D., cornea and refractive surgeon, Discover Vision Centers, Kansas City, Mo. A panel of seven ophthalmologists will discuss vari- ous cases and controversies in pres- byopia-correcting IOL surgery. One topic always discussed is patient selection, said Carlos Buznego, M.D., voluntary assistant professor of ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami. Dr. Buznego will be one of the pan- elists. "Patients with problems could be less than optimal candidates," he said. Pre-op and peri-op treatment of dry eye and the use of biometry are some of the factors discussed when evaluating potential candidates, said fellow panelist Karl G. Stonecipher, M.D., medical director, TLC, Greens- boro and Raleigh, N.C. Mixing presbyopic IOLs, as- pheric presbyopic IOLs, and en- hancement techniques to resolve residual refractive error were hot topics during last year's session, Dr. Doane said. Assisting patients who are un- happy with their results, how to manage patients with unilateral cataract, and how to manage decen- tered IOLs will be covered by the panel. Other topics that often arise are presbyopic IOL selection for patients in various occupations, such as pi- lots, and appropriate treatment for patients with macular diseases such as glaucoma, Dr. Buznego said. Although Dr. Doane anticipates the topics discussed at this year's meeting will be similar to those dis- cussed in the previous years, he said the session will include some time to discuss where various presbyopic IOL designs are in clinical trials. Take-home value Dr. Doane and some of the panelists said the session should offer some meaty take-home value to surgeons who are implanting presbyopic IOLs. continued on page 46

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