EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
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EW MEETING REPORTER 90 Reporting from the 2015 ASCRS•ASOA Symposium & Congress, April 17–21, 2015 San Diego the most exciting new technology of the year. Editors' note: Dr. Henderson has financial interests with opokine. 'Hot Off the Press' highlights top papers from entire meeting In the "Hot Off the Press" session, the final session of the 2015 ASCRS• ASOA Symposium & Congress, John Vukich, MD, Madison, Wis.; John Hovanesian, MD, Laguna Hills, Ca- lif.; Eric Donnenfeld, MD, Rockville Centre, N.Y., Bonnie Henderson, MD, Boston; Reay Brown, MD, Atlanta; and David Chang, MD, Los Altos, Calif., commented on presentations highlighting some of the best papers from the meeting as a whole. Ehud Assia, MD, Tel-Aviv, Israel, presented on a paper from Jay Pepose, MD, PhD, St. Louis, that compared depth of focus and meso- pic contrast sensitivity in a small ap- erture corneal inlay, accommodating IOL, and in multifocal patients. The purpose of the study was to com- pare monocular defocus curves and binocular mesopic contrast sensitiv- ity. The study included the KAMRA inlay (AcuFocus, Irvine, Calif.), the Crystalens AO (Bausch + Lomb, Bridgewater, N.J.), the ReSTOR 3.0 (Alcon, Fort Worth, Texas), and the Tecnis Multifocal (Abbott Medical Optics, Abbott Park, Ill.). American Academy of Dermatology in March 2015. Dr. Henderson said the ointment could be an adjunct to refractive surgery. In a "Best Advice" round where she went one-on-one against Stephen Slade, MD, Houston, Dr. Henderson recommended doing macular OCT on all patients, citing a significant number of macular pathologies she would have missed if she had not started doing OCT screening of her patients. Dr. Slade recommended rap- id psychological profiling for all patients, in which he said the best way to keep all patients satisfied and complaint-free is to learn more about them. Dr. Donnenfeld decided to fore- go the audience vote and dubbed Dr. Henderson "Rookie of the Year." In the lone category that Dr. Henderson did not win, Kerry Solomon, MD, Mt. Pleasant, S.C., won audience approval for his pearl for the management of astigmatism: using multiple measuring devices in every case. "No single measuring device will be correct all of the time," Dr. Solomon said. "Use multiple mea- surements, look for consistency and use your best judgment." Dr. Donnenfeld announced that 2 devices were approved during the meeting: the AcuFocus Kamra corneal inlay (AcuFocus, Irvine, Calif.) and the ReSTOR 2.5 low add multifocal IOL (Alcon, Fort Worth, Texas). The latest generation of IOLs including these low add IOLs that have recently entered the market, he said, are "not the same IOLs" that ophthalmologists may be accus- tomed to. In terms of multifocality, he said, "what we learned was wrong." Previously, lenses sought to keep images further apart, letting the brain cancel out the blurrier image. Instead, he said, these lenses place images close together, reducing halos and glare. However, against these new presbyopia-correcting technolo- gies and femtosecond laser-assist- ed refractive cataract surgery, the audience voted for microinvasive glaucoma surgery (MIGS) devices as The study was a retrospective comparison of 6-month data from a prospective, 3-arm study on IOLs and 6-month data from a prospec- tive, clinical trial on the KAMRA inlay. Binocular mesopic contrast sensitivity was measured with and without glare. Inlay patients showed continuous functional vision of 20/40 or better over 4.0 D, and they showed better functional vision at intermediate dioptric ranges when compared to the 3 IOLs. Dr. Assia said the paper conclud- ed that patients implanted monoc- ularly with a small aperture inlay achieved better mesopic contrast sensitivity with and without glare than patients implanted with either the accommodating or multifo- cal IOLs with correction. Defocus curve results showed that the small aperture inlay provided the broad- est continuous range of functional vision (considered 20/40 or better). Pairing a small amount of myo- pia with the small aperture inlay provides significantly improved near and intermediate performance comparable to or better than the 3 IOLs. The multifocal IOLs had better near vision at 40 cm, but at the cost of significantly reduced contrast and increased scatter. "Overall, the inlay performed best at an intermediate range," he said. EW May 2015 View videos from Tuesday at 2015 ASCRS•ASOA: EWrePlay.org Sumit "Sam" Garg, MD, Irvine, Calif., compares techniques for anterior chamber infl tion at the time of intraoperative aberrometry. Supported by