Eyeworld

EW CATARACT 75 April 2016 None of the devices are inex- pensive, Dr. Lewis said. For surgeons who own their centers, price has to be a consideration, he said. Dr. Devgan is a fan of the "sim- ple iris hook." He currently prefers reusable hooks as they're a "fantastic deal financially for the surgery cen- ter. The huge benefit for surgeons is the variability of placement. You can change the pupil size to whatever you desire—a Malyugin ring has to be at 6 mm," Dr. Devgan said. In cases of weak zonules, Dr. Devgan will use hooks to support the capsule as well as the iris, he said. As for detractors, "iris hooks take a little longer to put in the eye," Dr. Devgan said. "But when it's a complicated case, I don't mind spending the extra time. Another detractor that's been cited is the need for an extra incision. But as I. Howard Fine, MD, taught us, there's no penalty for making a small paracentesis or even multiple paracenteses in the eye. The incision size for iris hooks is 0.5 mm." New devices Among the "interesting" newer devices is the Bhattacharjee ring, Dr. Devgan said. The ring can ex- pand up to 6.5–7 mm, but can also be manipulated into a hexagonal shape to give surgeons a little more working room, he said. Beaver- Visitec (Waltham, Massachusetts) introduced the I-Ring Pupil Expander that's made out of plastic and designed to give surgeons "an enlarged, round pupil," Dr. Devgan said. The Assia Pupil Ex- pander (APX), developed by Ahud Assia, MD, goes through a paracen- tesis to hold the pupil open. "It comes down to what's right for your technique, your surgery center, and most of all what's right for the patient," he said. "Every case is individual, and there's no one single way to treat all cases," Dr. Lewis said. Dr. Vold agreed, adding that the device or pharmacologic agent a surgeon is most comfortable using should be considered as well. EW Editors' note: Dr. Devgan has financial interests with Omeros. Dr. Vold has fi- nancial interests with Glaukos (Laguna Hills, California) and NeoMedix (Tus- tin, California). Dr. Lewis has financial interests with Aerie Pharmaceuticals (Bedminster, New Jersey), Allergan (Dublin), Alcon (Fort Worth, Texas), AqueSys (Aliso Viejo, California), Glau- kos, and Ivantis (Irvine, California). Contact information Devgan: devgan@gmail.com Lewis: rlewiseyemd@yahoo.com Vold: svold@cox.net Beaver-Visitec International, Inc. | 411 Waverley Oaks Road Waltham, MA 02452 USA | BVI, BVI Logo and all other trademarks (unless noted otherwise) are property of a Beaver-Visitec International ("BVI") company © 2016 BVI For more information, call 1-866-906-8080 or visit us at www.beaver-visitec.com 1 REGISTER: For our free Endo Optiks ECP Surgical Course and Wet Lab at Booth 519 or www.endooptiks.com 2 EXPERIENCE: This safe, simple and effective approach to glaucoma management that can be performed in combination with cataract surgery 3 RECEIVE: A clinical overview by an ECP expert and course certifi cate upon completion of a hands-on wet lab Learn how Endo Optiks® ECP is a safe, simple and effective MIGS solution Endo Optiks® ECP Surgical Course and Wet Lab Beaver-Visitec International, Inc. | 411 Waverley Oaks Road Waltham, MA 02452 USA | BVI, BVI Logo and all other trademarks (unless noted otherwise) are property of a Beaver-Visitec International ("BVI") company © 2016 BVI For more information, call 1-866-906-8080 or visit us at www.beaver-visitec.com A clinical overview by an ECP expert and course certifi cate upon completion of a hands-on wet lab Endo Optiks® ECP Surgical Course and Wet Lab Join BVI at ASCRS for our ECP Wet Lab Course Date: Saturday, May 7th, 6:00 PM Room: River Bend I, New Orleans Downtown Marriott, at the Convention Center For our free Endo Optiks ECP Surgical This safe, simple and effective approach to glaucoma management that can be performed in combination with A clinical overview by an ECP expert and course certifi cate upon completion Learn how Endo Optiks® ECP is a safe, simple and effective MIGS solution A clinical overview by an ECP expert and course certifi cate upon completion Join BVI at ASCRS for our ECP Wet Lab Course Visit us at ASCRS Booth 519

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