Eyeworld

Reporting from the Asia-Pacific Academy of Ophthalmology (APAO) Congress 2016, March 24–27, Taipei, Taiwan EW MEETING REPORTER 178 pensation, and raised intraocular pressure). The issue of phakic IOLs in Asian eyes is the difference in anatomy, Dr. Rosman said. These eyes have shallower anterior cham- ber depth, shorter anterior cham- ber width, and shorter corneal arc depth. Phakic IOL measurements also differ because they are gener- ally based on Caucasian studies, he added. EW Editors' note: The speakers have no related financial interests. "A LASIK flap reduces the already limited adherence between host and graft." This increases the risk of dehiscence either at the time of surgery or following minor trauma. With femtosecond laser flap, the surgeon can program a reduced flap diameter in an attempt to be within the graft-host junction, which may reduce the risk of graft dehiscence. He suggested using femto LASIK first if the surgeon has access to a femto- second laser. However, if not, he said to use PRK with MMC. Editors' note: Dr. Chang has no related financial interests. Refractive surgery with intraocular lenses A second session on refractive sur- gery focused on intraocular lenses, with Jorge Alio, MD, PhD, Alicante, Spain, Hung-Yuan Lin, MD, Taipei, Taiwan, and Mohamad Rosman, MD, Singapore, chairing the session. Dr. Pallikaris presented on some of the options coming to the market for presbyopia, specifically high- lighting corneal inlays. In the last couple of years, corneal inlays have become quite popular, he said. There are currently 3 types of inlays: the Raindrop near vision inlay (ReVision Optics, Lake Forest, California), the Flexivue Microlens (Presbia, Dublin), and the KAMRA inlay (AcuFocus, Irvine, California). He noted that all of the inlays are ultimately reversible or removable. Elias Jarade, MD, Beirut, Leb- anon, highlighted phakic IOLs in keratoconus in his presentation. He said that 2 things to consider with keratoconus are halting progression and visual rehabilitation. For visual rehabilitation of keratoconus, the surgeon needs to consider non-interventional options vs. phakic IOL options, Dr. Jarade said. Indications for phakic IOLs include contact lens intolerance, anisometropia, image distortion due to high refractive errors mainly in high astigmatism, the patient not desiring eyeglasses, and quali- ty of life or occupational need. He discussed studies using ICL implan- tation for keratoconus. Dr. Rosman's presentation also focused on phakic IOLs, looking at ICLs in Asian eyes. There are a num- ber of pros and cons associated with phakic IOLs, he said. Pros include a wide treatment range, no tissue is permanently destroyed or removed from the cornea, they are removable or reversible, they provide superior quality of vision, they are safe and effective, and they offer excellent results and stability. However, cons to consider include the cost, risks with intraocular surgery, and more severe potential complications (like infection, cataracts, cornea decom- April 2016 View videos from APAO 2016: EWrePlay.org Clement Tham, MD, discusses treatment options for closed angle glaucoma. View videos from APAO 2016: EWrePlay.org Linda Tsai, MD, discusses the pros and cons of incorporating femtosecond laser- assisted cataract surgery into a surgical practice.

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