Eyeworld

EW CATARACT 47 February 2015 WHAT IF YOU COULD REDUCE BY HALF THE NUMBER OF PATIENTS THAT FALL OUTSIDE OF YOUR ASTIGMATIC TARGET? †,1 © 2014 Novartis 12/14 ORA14059JAD-C system with VerifEye system with VerifEye THE CATARACT REFRACTIVE SUITE BY ALCON THE CATARACT REFRACTIVE SUITE BY ALCON THE CATARACT PMS 7656 PMS 7540 With streaming intraoperative aberrometry data in the OR, you can more confi dently choose and implant toric IOLs while improving your astigmatic outcomes. 2 † Intended target is defi ned as within 0.5 D of targeted astigmatism. 1. Alcon data on fi le. 2. Compared to conventional (preoperative) calculation of cylinder power and axis. YOUR ASTIGMATIC TARGET? †,1 With streaming intraoperative aberrometry data in the OR, you can more confi dently choose and implant toric IOLs while improving your astigmatic outcomes. 2 toric IOLs while improving your astigmatic outcomes. 2 toric IOLs while improving your astigmatic outcomes. 2. Compared to conventional (preoperative) calculation of cylinder power and axis. Real-time surgical validation that can reduce the number of patients that fall outside the intended astigmatic target by more than 50%. †,1 system with VerifEye+ ™ VALIDATION: ORA ™ System Validation Map system with VerifEye+ ™ ALCON CATARACT REFRACTIVE DIAGNOSTICS and expectations regarding their presbyopia-correcting IOL. It is especially helpful for patients who never experienced presbyopia prior to cataract surgery. In these instances I say the following: "In terms of your visual func- tion, you have to think of yourself like an Olympic-level skier who blows out a knee on a downhill run. You now need a knee replacement to replace your own natural joint. You will never ski at an Olympic level. You might never be able to ski recre- ationally. You will hopefully be able to walk with your family. The artifi- cial knee is a man-made technology that is not as good as your natural Concepts that we deal with everyday such as loss of accommodation, near point with myopia, or binocular balance can be so simple and intuitive to healthcare providers that it can actually be difficult to explain in an effective and timely manner to the patient. knee. The same is true for cataract surgery. Prior to you developing a cataract, your eye could function visually at an 'Olympic level.' With a replacement lens we can make you much better than you are with your cataract, but the IOL is a man-made technology like the artificial knee, and you cannot expect it to make you better than when you had your perfectly functioning natural lens." There are 2 advantages to this analogy: First, patients quickly understand the issues regarding technology limitations, and second, the analogy is striking enough that patients, if they have issues postop- eratively, remember this discussion. Hopefully these simple analo- gies will help you better educate and prepare your patients for surgery. EW Editors' note: Dr. Tipperman is affiliated with the Wills Eye Institute, Philadelphia. He has no financial interests related to this article. Contact information Tipperman: rtipperman@mindspring.com

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