Eyeworld

119 EW FEATURE March 2015 Refractive options and Bausch + Lomb (Bridgewater, N.J.). Dr. Serafano has financial interests with Alcon. Contact information Dell: steven@dellmd.com Serafano: serafano@verizon.net patients are most satisfied with their distance vision at 1-year postop, with an average score of 8.3 on a scale from 1 to 10. More than half of surgeons gave their patients a score of 9 or 10 on their satisfaction with distance vision. Respondents said patients are least satisfied with their intermediate vision at 1-year postop, with an average score of 6.1, more than 2 points below distance vision. Fewer than 15% of respon- dents gave their patients a score of 9 or 10 on their satisfaction with their intermediate vision. The difference in responses between U.S. and non- U.S. surgeons was not statistically significant. "Multifocals typically have provided good distance and good near vision with weaker intermedi- ate vision," Dr. Dell said. "Until very recently, we have not had access to multifocals in the U.S. that provid- ed good uncorrected intermediate vision. However, one of the newly approved versions of the TECNIS Multifocal [Abbott Medical Optics, AMO, Abbott Park, Ill.], the ZKB00 IOL, provides excellent vision at about 20 inches. The other newly approved Tecnis Multifocal IOL, the ZLB00 [AMO], focuses at about 16 inches." Donald Serafano, MD, Eye Phy- sicians of Long Beach, Long Beach, Calif., agreed with this assessment. "When multifocals came out there was a big effort to have good reading vision, and this sacrificed intermediate vision," Dr. Serafano said. "Now, new multifocals are taking into account intermediate and are backing off on reading at 12 to 16 inches. When the ReSTOR 2.5 [Alcon, Fort Worth, Texas] becomes available in the United States, this will take into account patients who want intermediate." Additionally, the new extended range of vision lens from AMO, the Tecnis Symfony, may offer improved intermediate vision. "These potential game-chang- ing IOLs may change the way we approach intermediate vision. An example of this type of lens is the Symfony," Dr. Dell said. "This IOL physically resembles a multifocal, but it is not a multifocal. Rather, this lens uses 3 principal optical strate- gies to achieve its near performance: a diffractive optic to expand a single focal zone as opposed to creating multiple foci, spherical aberration control, and chromatic aberra- tion control. The net result is that distance quality seems to equal that of a monofocal, while intermediate vision is excellent." EW Editors' note: Dr. Dell has financial interests with Abbott Medical Optics The EXTO chair was designed to fill the growing need of doctors for a safe and stable Lasik surger y platform – with easy patient access and exit. The EXTO chair is the first chair that enables the physician to blend the Femto and Excimer lasers together – into one smooth operation. Dexta. The ultimate in patient positioning. Since 1966. Dexta Corporation 962 Kaiser Road Napa, CA 94558 Ph: (707) 255-2454 Fx: (707) 255-8520 Call Toll Free: 1-800-733-3982 Email: promotions@dexta.com Visit our website: www.dexta.com ASCRS SHOW – BOOTH #2511 – CALL FOR SHOW SPECIALS Numerous safety features minimize acc- idental movement and ensure patient safety. The EXTO's XYZ joystick control is the ultimate in precision patient positioning. The EXTO is the first chair to blend two lasers into one smooth, efficient operation. The EXTO is the ultimate in easy patient access and exit. Global Trends in Ophthalmology ™ Copyright © 2015 Global Trends in Ophthalmology and the American Society of Cataract & Refractive Surgery. All rights reserved.

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