EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
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EW AAO CHICAGO 2014 48 AAO Preview • October 18–21, 2014 October 2014 Cataract subspecialty offerings at AAO by Lauren Lipuma EyeWorld Staff Writer C ataract offerings at the American Academy of Ophthalmology (AAO) annual meeting will provide both a broad perspective and an in-depth analy- sis of practices in the subspecialty. Cataract symposia will focus on trends from an international as well as domestic perspective, including clinical decision making and surgical challenges, according to information from the AAO website. Sunday session On Sunday, Oct. 19, AAO and the European Society of Ophthalmology (SOE) will jointly present "A View Across the Pond: Current Cataract and IOL Practices in Europe and the United States." In this sympo- sium, experts will discuss several key differences in cataract surgery and IOL implantation between Europe and the U.S. Top surgeons from both continents will present their view- points regarding aspects of cataract surgery including management of subluxated lenses, presbyopia-cor- recting IOLs, antibiotic prophylaxis, and governmental approval of new innovations. Bonnie An Henderson, MD, Boston, and Jan-Tjeerd H.N. de Faber, MD, Rotterdam, the Netherlands, will chair the session. Physicians will discuss scleral- fixated IOLs, the FDA approval process, antibiotic prophylaxis, and multifocal IOLs in the U.S. Europe-based physicians will discuss trifocal IOLs, IOLs in children, and antibiotic prophylaxis in Europe, among other topics. Monday sessions A morning case-based video ses- sion titled "Spotlight on Cataracts: Clinical Decision Making with Cataract Complications Video Case Studies—'You Make the Call'" will be held on Monday, Oct. 20. David F. Chang, MD, Los Altos, Calif., and William J. Fishkind, MD, FACS, Salt Lake City, will chair the session, where 21 cataract experts will discuss the prevention and management of cataract surgical complications. Speakers will present 7 video case presentations covering unhap- py multifocal IOL patients, recurrent microhyphema, misaligned toric IOLs, diffuse zonulopathy, "catarocks" and crowded anteri- or chambers, and rapid cataract post-vitrectomy. A panel discussion will follow each case study, and top surgeons will share pearls for man- aging such cases. The session will conclude with the 10th annual Kel- man Lecture, "Entrepreneurship in Clinical Research," given by Randall J. Olson, MD, Salt Lake City. In the afternoon, AAO will present a combined symposium with ASCRS, titled "Challenges in Cataract Surgery: Gems to Take Home and Treasure." This session will feature a series of expert speak- ers who will discuss the most signifi- cant challenges in cataract surgery. Each talk will be followed by an interactive panel discussion. The speakers will discuss topics including ocular surface disease, astigmatism management, post-refractive calcu- lations, corneal dystrophies, glau- coma, iris defects, dense cataracts, dislocated IOLs, and retinal pathol- ogies. Edward J. Holland, MD, Cincinnati, and Stephen S. Lane, MD, Stillwater, Minn., will chair the session. Also on Monday, "The Great Debate: Cornea" symposium will be of interest to cataract specialists as panelists will engage in a debate of the merits of combining cataract sur- gery with endothelial keratoplasty. Surgeons will argue about whether to perform the procedures separate- ly or combine them, and opposing surgeons will have the opportunity to make rebuttals. Following the arguments, the audience will have a chance to vote for their surgical choice. Christopher J. Rapuano, MD, Philadelphia, will chair the session. Tuesday sessions On Tuesday, Oct. 21, AAO will present the "Ophthalmic Premier League" team video competition focused on managing cataract complications. Each member of a 4-person team will have 4 minutes to present his or her most challeng- ing cataract complication through videos. Discussions of each case will follow the video presentations, and at the end of the session, the audience will vote for their favorite team. The winning team will be awarded the AAO-OPL trophy. Amar Agarwal, MD, Chennai, India, and Richard L. Lindstrom, MD, Minne- apolis, will chair the symposium. Rounding out Tuesday's sympo- sia, "Decision Making in Contem- porary Refractive Surgery" will aid lens- and cornea-based surgeons in decision making when it comes to refractive surgery. George O. Waring IV, MD, Charleston, S.C., will give an introductory talk on corneal and lens-based refractive surgery, and James C. Loden, MD, Goodletts- ville, Tenn., and Burkhard Dick, MD, Bochum, Germany, will speak about non laser-assisted and laser-as- sisted cataract surgery, respectively. Dr. Waring and Renato Ambrosio Jr., MD, Rio de Janeiro, will chair the session. EW © 2014 Novartis 2/14 VRN14003JAD-B PI IMPORTANT SAFET Y INFORMATION FOR THE VERION™ REFERENCE UNIT AND VERION™ DIGITAL MARKER CAUTION: Federal (USA) law restricts this device to sale by, or on the order of, a physician. INTENDED USES: The VERION ™ Reference Unit is a preoperative measurement device that captures and utilizes a high-resolution reference image of a patient's eye in order to determine the radii and corneal curvature of steep and flat axes, limbal position and diameter, pupil position and diameter, and corneal reflex position. In addition, the VERION ™ Reference Unit provides preoperative surgical planning functions that utilize the reference image and preoperative measurements to assist with planning cataract surgical procedures, including the number and location of incisions and the appropriate intraocular lens using existing formulas. The VERION ™ Reference Unit also supports the export of the high-resolution reference image, preoperative measurement data, and surgical plans for use with the VERION ™ Digital Marker and other compatible devices through the use of a USB memory stick. The VERION ™ Digital Marker links to compatible surgical microscopes to display concurrently the reference and microscope images, allowing the surgeon to account for lateral and rotational eye movements. In addition, the planned capsulorhexis position and radius, IOL positioning, and implantation axis from the VERION ™ Reference Unit surgical plan can be overlaid on a computer screen or the physician's microscope view. CONTRAINDICATIONS: The following conditions may affect the accuracy of surgical plans prepared with the VERION ™ Reference Unit: a pseudophakic eye, eye fixation problems, a non-intact cornea, or an irregular cornea. In addition, patients should refrain from wearing contact lenses during the reference measurement as this may interfere with the accuracy of the measurements. Only trained personnel familiar with the process of IOL power calculation and astigmatism correction planning should use the VERION ™ Reference Unit. Poor quality or inadequate biometer measurements will affect the accuracy of surgical plans prepared with the VERION ™ Reference Unit. The following contraindications may affect the proper functioning of the VERION ™ Digital Marker: changes in a patient's eye between preoperative measurement and surgery, an irregular elliptic limbus (e.g., due to eye fixation during surgery, and bleeding or bloated conjunctiva due to anesthesia). In addition, the use of eye drops that constrict sclera vessels before or during surgery should be avoided. WARNINGS: Only properly trained personnel should operate the VERION ™ Reference Unit and VERION ™ Digital Marker. Only use the provided medical power supplies and data communication cable. The power supplies for the VERION ™ Reference Unit and the VERION ™ Digital Marker must be uninterruptible. Do not use these devices in combination with an extension cord. Do not cover any of the component devices while turned on. Only use a VERION ™ USB stick to transfer data. The VERION ™ USB stick should only be connected to the VERION ™ Reference Unit, the VERION ™ Digital Marker, and other compatible devices. Do not disconnect the VERION ™ USB stick from the VERION ™ Reference Unit during shutdown of the system. The VERION ™ Reference Unit uses infrared light. Unless necessary, medical personnel and patients should avoid direct eye exposure to the emitted or reflected beam. PRECAUTIONS: To ensure the accuracy of VERION ™ Reference Unit measurements, device calibration and the reference measurement should be conducted in dimmed ambient light conditions. Only use the VERION ™ Digital Marker in conjunction with compatible surgical microscopes. ATTENTION: Refer to the user manuals for the VERION ™ Reference Unit and the VERION ™ Digital Marker for a complete description of proper use and maintenance of these devices, as well as a complete list of contraindications, warnings and precautions.