Eyeworld

Reporting from the 2016 World Ophthalmology Congress, February 5–9, Guadalajara, Mexico EW MEETING REPORTER 130 March 2016 refractive surgery among physicians is successful. Latin America wins gold in WOC Olympics event The 2016 Summer Olympic games in Rio de Janeiro, Brazil, may not be until later this year, but Latin America has already taken home the gold medal—that is, the gold medal for the inaugural "Cataract Surgery Olympics: WOC Mexico." The lively, interactive session featured four teams representing four regions of the world: Latin America, North America, Europe/the Middle East, and Asia-Pacific. Members of each team present- ed a challenging surgical case and discussed how they solved those challenges. A panel of judges—1 from each region—rated each team on a scale of 1 to 5. In addition to the judges, the audience was able to vote on the surgeon who had the best teaching case and the best surgeon overall. Team members wore colorful sports jerseys to represent their region—the Latin American con- tingent even wore soccer (fútbol) shorts. Ultimately, the Latin American team—featuring L. Felipe Vejarano, MD, Colombia; Eduardo Chávez, MD, Mexico City; Eduardo Soria- no, MD, São Paulo, Brazil; and Luis Izquierdo, MD, Lima, Peru—took Dr. Krueger did a study that sur- veyed all MDs receiving laser vision correction at the Cleveland Clinic by a single surgeon in the last 11 years (from 2000 to 2011). He looked at 429 eyes, and for the patient satis- faction survey, 226 patients were enrolled and emailed. Overall, there was a 58% response rate, Dr. Krueger said, with responses coming back from 132. Of these respondents, 28% were surgeons, 43% performed procedures that were not surgery, and 29% did not perform procedures or surgery. Questions in the survey asked the physicians to determine how satisfied they were with their proce- dure. The vast majority, 95%, were either satisfied or very satisfied with their vision without glasses or con- tact lenses, and 96% said that given their experience and outcome, they would repeat the procedure. Compared to vision prior to surgery, 84.3% said that their quality of vision was better or much better than before. Thirty nine percent said that they were able to perform pro- cedures better or much better than before. A high percentage, 90%, said their vision after refractive surgery has not limited their ability to work. While there were a few "trou- bling results," Dr. Krueger said that there were only 7 dissatisfied patients. Of these, 5 said they would not do the procedure again, while 2 said they would despite being dissatisfied. Looking forward, he said "these quality of life outcomes, although good, could be better." The study outlines the success of LASIK since its beginning, Dr. Krueger said, and it includes data with microker- atomes and conventional profiles. He indicated that he is continuing to look into results on this topic and is currently reviewing outcomes of physicians over the past 5 years with a single platform of wavefront-opti- mized femto LASIK. Despite their demands, physi- cians experience good outcomes, satisfaction, and quality of life improvements, Dr. Krueger said. Improvement in the quality of their work also leads to better patient care. Overall, his results show that home the gold medal for their pre- sentations. Dr. Izquierdo also won the audience vote for best teaching case based on his presentation "Trust Nobody," in which he performed cataract surgery on a 58-year-old female and inadvertently implanted a +16 D IOL that was not what the patient required. When the patient returned to surgery to have her lens explanted, Dr. Izquierdo checked the IOL that was about to be implant- ed—once again, it was the wrong one. By the time he received the right lens, a +5 D, and went to im- plant it, the lens haptic broke. Then, when the lens opened, posterior capsule rupture occurred. Dr. Izquierdo demonstrated in his presentation how he handled this difficult case. The silver medal went to the team from Europe/the Middle East, which included Boris Malyugin, MD, Moscow, Richard Packard, MD, London, Maria-Jose Tassignon, MD, Antwerp, Belgium, and Yehia Salah El Din, MD, Cairo, Egypt. The bronze medal was awarded to the North American team, which included Ike Ahmed, MD, Toronto, Samuel Masket, MD, Los Angeles, Sonia Yoo, MD, Miami, and George Beiko, MD, St. Catharines, Canada. Dr. Ahmed's presentation of a case involving iridodialysis and pupil repair won the audience award for best surgeon. View videos from WOC 2016: EWrePlay.org Warren Hill, MD, discusses the central role of contrast sensitivity in visual function and its implications in IOL selection.

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