Eyeworld

113 EW FEATURE April 2016 • New technology in cataract surgery integrated systems that are trying to get all the preoperative informa- tion and put it into one place in the with it in every part of the pro- cess. It helps to use the technology frequently to allow the team to de- velop a rhythm and streamline the process. By using it frequently and not just on special cases, surgeons will become comfortable with the technology and improve results. In order for the ORA to work properly, the patient's preoperative measurements and IOL calculations must be entered into an online da- tabase. This creates an opportunity for human error, such as transcrip- tion error, patient data errors, and incorrect eye error when entering information. Dr. MacDonald said surgeons have to be diligent to make sure correct data is being used. Electronic health records are another aspect to monitor when using a new technology such as aberrometry. Always check for the patient's name and date of birth when using test results and confirm medical record numbers before using the data, Dr. MacDonald said. "I think aberrometry is an evolving science for us, and I think the advantage to using it now is we're getting comfortable with this real-time evaluation. But it's import- ant to realize that we're entering data, so to get accurate results, you need accurate data," she said. Dr. MacDonald advocates for using aberrometry as much as possi- ble to collect information and track outcomes in order to see how close the aberrometry was to the surgical goals. "There's a learning curve with aberrometry, as there is to surgery and topography," she said. "These are all only as valuable as the quality and ability to interpret it." VERION and Callisto Dr. Wolsey said she has been using the VERION system (Alcon) for some time. She mainly depends on ORA when implanting toric lens, howev- er, she noted that in the absence of ORA, VERION can be an important tool. There's the challenge of getting the patient in the right position and trying to mark preoperatively. VERION can help with those mea- surements, as well as provide iris reg- istration and marks for incisions, she said. VERION transfers data to the LenSx laser (Alcon), if you're using that platform, Dr. Wolsey added. VERION and Callisto eye (Carl Zeiss Meditec) use a lot of preopera- tive info, but they're not providing dynamic, accurate in vivo info, Dr. Weinstock said. Those are ways of marking the eye, which are good, but not extremely useable in terms of being streamlined or efficient, he said. Dr. MacDonald currently uses the ORA system but said that the VERION and Callisto eye systems are Innovation and craftsmanship that helps you rise above. FAMOUS FOR SEEING WHAT OTHERS CAN'T. Haag-Streit vision spans more than 150 years. Our goal is simple: to develop ever more useful tools for the precise understanding of the human eye. At Haag-Streit, you will see the future clearly. 80O.787.5426 haag-streit-usa.com © 2016 Haag-Streit USA. All Rights Reserved. Octopus 600 Reliance FX920 LENSTAR APS Haag-Streit Surgical Hi-R NEO 900 Haag-Streit BQ 900 LED Haag-Streit Visit us at ASCRS 2016 Booth #245 continued on page 114

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