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Intracorneal lenses for the treatment of presbyopia using femtosecond laser ASCRS Best papers of session EW NEWS & OPINION 10 August 2011 To Register visit www.ophthalmologysummit.com FEATURING: The Ophthalmology /ŶŶŽǀĂƟŽŶ^ŚŽǁĐĂƐĞ ϮϱнWƌŝǀĂƚĞ;ĞǀŝĐĞΘWŚĂƌŵĂͿ ŽŵƉĂŶLJKWƌĞƐĞŶƚĂƟŽŶƐ For more information contact: Carissa Stavrakos, Executive Producer, International Business Forum, Inc. (516) 765-9005 ext. 310 or Carissa@ibfconferences.com Presented By: 3 R D A N N U A L I N N O V A T I O N S U M M I T O P H T H A L M O LO G Y October 20, 2011, Rosen Plaza Hotel, Orlando, FL Ğ Ś dŚ Ğ Ś ƚ Ŷ Ğ ƚ Ŷ Ž Đ Ő Ŷ Ɵ Ğ Ğ D Ă ǀ Ž Ŷ Ŷ / LJ Ő Ž ů Ž ŵ ů Ă Ś ƚ Ś Ɖ KƉ Ğ Ś ƚ Ś Ɖ Ž Ĩ ŽĨ ƚ Ŷ Ğ ŵ Ɖ Ž ů Ğ ǀ Ğ ĚĞ Ɖ džƉ Ğ Ě Ğ ƚ Ž Ŷ LJ ď Ě Ğ ƌ Ğ ǀ ŝ ů Ğ Ě Ɛ ŝƐ ƚ Ŷ ƚ ŝ Ŷ Ƶ Ϳ ^Ϳ / K ; ƚ ŝ ŵ ŵ Ƶ ^ Ŷ Ž Ɵ Ă ͕ Ɛ͕ Ő Ƶ ƌ Ěƌ ͕ Ɛ͕ ƚ Đ Ƶ Ě Ž ƌ Ɖ Đ ŝ ŵ ůŵ Ă Ś LJ ƌ ƚ Ɛ Ƶ Ě Ŷ ŝ ͕ Ă͕ ŝ ŵ Ğ Ě Ă Đ Ă Ŷ ŝŶ Ɛ ƚƐ ƌ Ğ Ɖ Ě Ŷ Ğ Ʃ Ʃ Ϭ ϭ Ϭ Ϯ ϰ ϯ Ĩ ƚ ů Ě ϱ Ϯ ϱ Ŷ ŝ Ɛ ƌƐ Ğ ĚĞ Ă Ğ ů Ɛ Ğ ͘ Ɛ Ğ Đ ŝ ǀ Ğ ĚĞ Ě Ŷ Ă Ő Ŷ ƟŶ Ɛ Ğ ǀ Ŷ ŝŶ Ğ ƌ Ă Đ Ś ƚ ů Ă Ğ Ś Ě Ŷ Ă ͕ LJ͕ Ɖ Ɛ Đ ŝ Ś Ɖ Ő Ă ƌ Ő Ž ŵ Ğ Ğ Ğ ŝ ƚ ϯ ϭ Ě ƚ ƚ ^ ^ h ϰ Ő Ő ϰ ϯ ŵ Ž ƌ Ĩ Ɛ Ğ ƌ ƚ Ă Ő Ğ ů Ğ Ě ϱ Ϯ ϱ Ɛ Ğ ŝ ƌ ƚ Ŷ Ƶ Ž ϯ ϭ Ě Ŷ Ă Ɛ Ğ ƚ Ă ƚ ^ ^ h ϰ Ŷ ŵ ŝ Ɛ ŝ ƚ ŝ ŵ ŵ Ƶ ^ Ɛ ŝ Ś dŚ Ŷ Ƶ ͘ d͘ Ʃ Ğ ŵ ŵ W ͘ D ͕ ͘ ͘ Ś W ͕ ͘ ͘ D r artne P s ture n e Clarus V Ve ͗ Ŷ Ă ŵ ƌ ŝ Ă Ś ƚ ŝ ŵ ŵ Ƶ ^ LJ Ğ D Ě ƌ Ă Ž LJ ƌ Ž Ɛ ŝ ǀ Ě ͕ Ğ Ś ƚ Ž ƚ ƌ Ž ŝ ƌ Ɖ LJ ůLJ Ğ ƚ Ă ŝ Ěŝ Ğ ŵ ŵ ͘ ƌ : ͕ ŵ Ă Ś Ő Ŷ ŝ ͘ , ͘ W > ͘ : ŵ Ă ŝ ů ů ŝ t Managing Dire tures n e t V Ve rsan e Ve ͗ Ɛ ƌ Ğ ď ŵ Ğ Ő Ś Ͳ Ž Ő Ŷ Ɵ Ğ Ğ D Ɖ K Ĩ ŽĨ LJ ŵ Ğ Ě Ă Đ Ŷ Ă Đ ŝ ƌ Ğ ŵ ͘ Ś W ͕ Ŭ Ŷ ŝ > or ct Managing Dire tures ͘ D ͕ Ŷ Ă ŵ ŝ ů < ů ŝ ' or ct Managing Dire artners t P s e rWe e t In ͗ Ɛ ƌ ŝ Ă Ś Ě ŝ Ě Ś ŝ ͘ Ŷ Ž Ɵ Ŷ Ğ ǀ Ŷ Ž LJ Ő Ž ů Ž ŵ ůŵ Ă Ś ƚ Ś Ɖ ͘ or artners Ŷ ŝ ŵ Ă Ě ͘ W LJ Ŷ Ž Ś ƚ Ŷ ssor of Oph e Adjunct Prof fe University of Illinois e, nc & Visual Scie thalmology at Global Head of Oph , VP, , De cturer, De Le ch, e t nen Ge vard Har v , thalmology, Oph Ŷ Ă ƌ Ŭ Ŷ Ğ ŵ Ƶ ů Ŭ ƌ Ă D ssor & Chairman, e Profe thal t of Oph Departmen rsity ord Unive anford Unive St Ɛ ƌ Ğ LJ Ŭ Ž Ž ƌ r artne P Ğ Į ƵĮ Ă Ɛ Ŷ ŝ Ŭ ƌ Ğ W ƌ Ğ Ŷ ŝ Ğ ů < ͘ ͘ D ͕ Ɛ thalmology ssor of Oph University of Illinois thalmology at t of n partme , De al School dic vard Me ͘ ͘ D ͕ nj ssor & Chairman, mology thal Ɛ ƌ Ğ LJ Θ Ě ů Ğ Ƶ : Ğ Ğ Ŷ Ğ Ő Ƶ r & Vic ounde F s, t Lab orSigh F Ŷ Ă ƌ ' ƚ ƌ Ğ ď Ž Z O and Preside CE Ă Đ ŝ Ő ƌ Ƶ ^ ů Ă ď Ž ů ' ď ŵ Ž > н Ś Đ Ɛ Ƶ Ă ƌ Ğ LJ Ƶ ' Ě ŝ ǀ Ă r artne P es nc e Scie V Lif fe Scie S ͘ ͘ D ͕ Ŷ Ă Ƶ e Chairman r & Vic C LL ƚ t, n O and Preside Ɛ Ɛ Ğ Ŷ ŝ Ɛ Ƶ ů Ă ď ͘ ͘ D ͕ ƌ͕ es Ž ƌ ƚ Ɛ Ě Ŷ ŝ > Ě ƌ Ă Ś Đ ŝ Z Ě Ŷ Ğ Ʃ Θ ƌ Ğ Ě Ŷ Ƶ Ž & Consult ye a E Eye sot Minne ͕ ŝ ď Ă Ŭ ƌ Ă D ŝ ƌ ď Ă ^ ĸ Kĸ ů Ă Đ ŝ Ě Ğ D Ĩ ĞĨ ŝ Ś t R&D siden e-Pre Sr Vic orie on Laborat Alc Ž nj nj Ă D ŵ ŝ : Ʃ Ž ď ď Ͳ ƚ Ŷ Ğ Ě ŝ Ɛ Ğ ƌ W Ě ŝ Ɛ Ğ ƌ W Ğ Đ ŝ s ƌ Ž ŝ Ŷ Ğ ^ ͘ ͘ D ͕ ŵ Ž Ŷ Ž Ğ Ő ƌ Ƶ ^ Ő Ŷ ŝ ts an Consult ͘ ͘ D ƌ Ğ Đ ĸ t R&D Inc. s, ͘ Đ Ŷ / Ɛ ĐƐ Ɵ Ɖ K ů Ă Đ ŝ Ě Ğ D Ʃ Ɛ Ğ ŝ ƌ Ž ƚ Ă ƌ Ž ď Ă > Ʃ Ž ď ď Ͳ ƚ Ŷ Ğ ͘ ͘ D ͕ ů Ğ ƚ Ă W ƌ ŝ ŵ Ă ^ O t & CE siden Pre ch e thoTe Oph ͕ Ɖ Ƶ Đ ƚ ŝ Ś t ͘ D Ʃ Ž Đ ^ R&D and CSO , EVP, Inc. rgan, Alle ͘ ͘ D ͕ o Re tion c To Register visit www ma or e inf o or mor F Carissa Stavrakos, Executive Producer (516) 765-9005 ext. 310 or Carissa@ibfconferences.com o Register visit www t: tac on tion c , International Business Forum, Inc. Carissa Stavrakos, Executive Producer (516) 765-9005 ext. 310 or Carissa@ibfconferences.com .ophthalmologysummit.com , International Business Forum, Inc. o Register visit www y: ed B t esen Pr .ophthalmologysummit.com Ioannis Pallikaris, M.D., Dimitrios Bouzoukis, M.D., George Kymionis, M.D., Aliki Limnopoulou, M.D., Sophia Panagopoulou, Ph.D. T he purpose of the paper was to investigate the visual outcomes and safety of intracorneal lenses (Flexivue Microlens, Presbia, Los Angeles, Calif.) for presbyopia implanted using the femtosecond laser (IntraLase, Abbott Medical Op- tics, Santa Ana, Calif.). The lens was implanted inside a corneal pocket created in the non-dominant eye of 20 emmetropic patients. Mean un- corrected visual acuity for near in- creased from 20/100 to 20/25, for distance decreased from 20/20 to 20/40 in the operated eye, and re- mained stable binocularly. An inter- esting observation was that distance vision was less influenced than in "classic" monovision. In fact, simu- lating pre-op the far vision using spectacles with the same refractive power of the inlay that was planned to be implanted demonstrated that far vision should be 20/100 instead of 20/40 post-op. This permits us to correct fully near vision in the non- dominant eye without influencing binocular far vision. Wavefront analysis demonstrated that the effect of the inlay was pupil dependent, in- creasing in near vision and decreas- ing in far, when the diameter of the pupil was decreased and increased, respectively. After surgery 92% re- ported no use of reading glasses and 8% reported use of reading glasses for less than half of their near activi- ties. In conclusion, intracorneal lenses for the treatment of presby- opia using the femtosecond laser provided a safe, efficient, and re- versible method for the treatment of presbyopia in emmetropes between 45 and 60 years old. Predictability of post-op QR codes EyeWorld.org

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