EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/387844
EW MEETING REPORTER 136 October 2014 Mitomycin-C in excimer refractive surgery Laura De Benito-Llopis, MD, PhD, Madrid, Spain, presented on the use of mitomycin-C (MMC) in excimer refractive surgery at the corneal refractive surgery symposium. She discussed cases that might see the most benefit from using MMC. Particularly for surface ablation after corneal surgeries, without using MMC, there is a high incidence of haze. But use of MMC in these cases improves UCVA, BSCVA, and refraction, Dr. De Benito-Llopis said. These are usually patients who have aberrated corneas, and the predict- ability of these procedures is never going to be what you would expect in a virgin eye. You should use MMC for surface ablation after corneal surgeries. She advised surgeons to give patients realistic expectations, and to be sure of what the patient is complaining about. CSCRS highlights cataract surgery in difficult eye The Combined Symposium of Cataract and Refractive Societies (CSCRS) highlighted cataract surgery in difficult eyes. Chairperson Roberto Bellucci, MD, Verona, Italy, represented ESCRS, while Graham Barrett, MD, Perth, Aus- tralia, represented APACRS, Edward J. Holland, MD, Cincinnati, Ohio, U.S., represented ASCRS, and Maria Jose Cosentino, MD, Buenos Aires, Argentina, represented ALACCSA. They also acted as co-chairs. Topics covered included pre- vious corneal refractive surgery, previous corneal transplants, and previous posterior vitrectomy. Dr. Barrett discussed dealing with posterior polar cataracts, which he said are often congenital and rep- resent degenerative lens fibers at the posterior pole. He shared his ABCDs for management of posterior polar cataracts, which include advising pa- tients of the risk, bold hydrodelinea- tion, cautious hydrodissection, and do not allow the anterior chamber to shallow. Previous corneal refractive surgery: Tips for handling cataract cases Eric D. Donnenfeld, MD, Rockville Centre, N.Y., U.S. addressed the topic of cataract surgery in those eyes that have undergone previous corneal refractive surgery. These are a particular challenge to all of us, he said, because it is more difficult to achieve emmetropia in these eyes, and patients expect and demand unaided visual acuity. Calculating IOL power in these patients presents several challenges. First, there is significant change in the anterior corneal surface ker- atometry that changes dramatically over small regions. Second, the ratio of the anterior corneal refractive surface in the posterior corneal re- fracting surface is not accurate. Also, the effective lens position cannot be predicated with the new corne- al curvature, Dr. Donnenfeld said. Potential solutions for this include accurately measuring anterior and posterior corneal refractive power and effective lens position, intra- operatively confirming the correct View it now: ESCRS 2014 ... EWrePlay.org Gunther Grabner, MD, discusses whether the femtosecond laser will become a mainstay of cataract surgery. Reporting from the 2014 European Society of Cataract & Refractive Surgeons (ESCRS) Congress, London NEW Our Family of Pre-Loaded CTRs Has Expanded Malyugin/Cionni & Henderson Capsular Tension Rings Now Pre-Loaded in Morcher EyeJets Malyugin/Cionni CTR • Eyelet at curved end is sutured to sclera • Unique design facilitates smooth introduction into capsule • The only injectable Cionni type CTR Henderson CTR • Scalloped design facilitates cortical removal • Maintains the desired stretch of the capsular bag Standard CTRs • Stabilize the capsule during surgery • Available in three sizes to accommodate various capsule bags Henderson CTR TYPE 10C Standard CTRs TYPES 14, 14A, 14C Malyugin/Cionni CTR TYPE 10G 800.932.4202 Visit FCI-Ophthalmics.com to watch the EyeJet informational video. For more information about our Pre-Loaded CTRs, please call us at 800-932-4202 Exclusively from