Eyeworld

35 EW REFRACTIVE SURGERY July 2015 resulting in high patient satisfaction rates—an outcome everyone will be happy about. EW References 1. DFU, Tecnis Multifocal 1-Piece IOL, Models ZKB00 and ZLB00, and DFU, Tecnis Multifocal 1-Piece IOL, Model ZMB00. 2. Zhao H, Mainster MA. The effect of chromatic dispersion on pseudophakic optical performance. Br J Ophthalmol. 2007;91(9):1225–1229. 3. Tecnis Foldable Posterior Chamber Intraocular Lenses (package insert). Abbott Medical Optics Inc. 4. Mainster MA. Violet and blue light blocking intraocular lenses: photoprotection versus photoreception. Br J Ophthalmol. 2006;90:784–792. 5. Nixon DR. New technologies for premium outcomes: next generation phaco and Tecnis 1-Piece IOL. Presented at the 25th Congress of the ESCRS, 2007, Stockholm, Sweden. 6. Calculated based on Holladay I formula. Holladay JT, Prager TC, Chandler TY, Musgrove KH, Lewis JW, Ruiz RS. A three-part system for refining intraocular lens power calculations. J Cataract Refract Surg. 1988;14(1):17–24. Editors' note: Dr. Dell is in private practice at Dell Laser Consultants in Austin, Texas. He has financial inter- ests with Abbott Medical Optics. Contact information Dell: steven@dellmd.com nondominant eye, and then the +4.0 add in the contralateral eye. By combining the 2, we achieve all 3 ranges of vision. While there is over- lap with these lenses, my patients report a clear improvement in close vision with the +4.0 D compared to the +2.75 D. My surgical protocol is to operate on the nondominant eye first and implant the +4.0 D lens. I explain to the patient that midrange vision will be a point of relative weakness compared to distance and near vision; however, we will fill in the gap when we implant the +2.75 D lens in the dominant eye approx- imately a week later. This protocol works well in situations where both cataracts are about the same size. If there is significant asymmetry between the cataracts, I will operate on the worst eye first. Getting started To conquer any trepidation of im- plementing the new multifocal add power lenses into a surgical practice, I recommend selecting patients with low hyperopia. Due to their tenden- cy toward overall poor uncorrected vision, these patients are more likely to be accepting of almost any result. Additionally, I suggest starting with the +2.75 D lens due to the 97% satisfaction rate. 1 Incorporating the low add power IOL options allows for unique patient customization, Premier Edge ® Safety Knives X Patented and ergonomically designed safety shield with ribbed thumb- grip supports one-handed operation and ambidextrous usability © 2015 OASIS Medical, Inc. OASIS name and logo are registered trademarks of OASIS Medical, Inc. 514 S. Vermont Ave, Glendora, CA 91741 LIT-SURG-AD 4.2015 GENTLE & EFFECTIVE EXPANSION. X Available in 7.0mm and 6.25mm for an unimpeded view during complicated small pupil surgeries SAFETY & EFFICIENCY DIAMOND-LIKE PERFORMANCE. X Proprietary technology with the latest specialty blade edge processing Find out more about how we can help your practice. (800) 528-9786 (USA Toll Free) 909-305-5400 customerservice@oasismedical.com www.oasismedical.com OASIS ® Iris Expander Feather ® Scalpels NEW DESIGN " To conquer any trepidation of implementing the new multifocal add power lenses into a surgical practice, I recommend selecting patients with low hyperopia. Due to their tendency toward overall poor uncorrected vision, these patients are more likely to be accepting of almost any result. "

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