Eyeworld

EW NEWS & OPINION August 2016 17 Editors' note: Dr. Arbisser is adjunct professor, Moran Eye Center, University of Utah, Salt Lake City. She has finan- cial interests with Mynosys. procedure may seem, it's the loss of this Nd:YAG income in a fee for ser- vice medical economy that could be a problem for individual adaptation. It would, however, save Medicare, or collectively any socialized system, billions of dollars and be a blessing for the developing world. Whether or not it could be designated a "pre- mium procedure" for refractive pur- poses is beyond my scope of knowl- edge. Although over many years I have not seen UGH syndrome with anterior optic captured 3-piece sul- cus lenses, it remains to be proven that sulcus haptics are benign. Since my description, Cathleen McCabe has successfully performed the procedure as has Tom Oetting. I look forward to a planned live rabbit study with Liliana Werner and Nick Mamalis at the University of Utah to compare standard pediatric vitrector rhexis and anterior vitrectomy, stan- dard posterior optic capture (button- hole) and SBCC. I am certain we will find that sparing the hyaloid and abandoning the bag for the optic in Berger's space will confer myriad advantages and usher in a new era for cataract surgery as a final visual rehabilitation. EW References 1. Menapace, R. Posterior capsulorhexis com- bined with optic buttonholing: an alternative to standard in-the-bag implantation of sharp- edged intraocular lenses? A critical analysis of 1000 consecutive cases. Graefes Arch Clin Exp Ophthalmol. 2008;246:787–801. 2. Dick HB, et al. Primary posterior laser- assisted capsulotomy. J Refract Surg. 2014; 30:128–133. 3. Tassignon MJ, et al. A ring-shaped caliper for better anterior capsulorhexis sizing and centration. J Cataract Refract Surg. 2006;32:1253–1255. 4. Chang D. Zepto by Mynosys in 510k appli- cation. Innovator's Session, 2016 ASCRS• ASOA Symposium & Congress. 5. Tassignon MJ, et al. Bag-in-the-lens intra- ocular lens implantation in the pediatric eye. J Cataract Refract Surg. 2007;33:611–617. 6. Werner L, et al. Clinical and histopatholog- ic evaluation of six human eyes implanted with the bag-in-the-lens. Ophthalmology. 2010;117:55–62. 7. Goldberg D. Computer-animated model of accommodation and presbyopia. J Cataract Refract Surg. 2015;41:437–445. 8. Gimbel HV, et al. Posterior capsulorhexis with optic capture: maintaining a clear visual axis after pediatric cataract surgery. J Cata- ract Refract Surg. 1994;20:658–664. 9. Vasavada AR, et al. Necessity of vitrectomy when optic capture is performed in children older than 5 years. J Cataract Refract Surg. 2001;27:1185–93 Watch for our weekly emails every Saturday, broadcasting recorded live cornea presentations All content is archived for future reference Learn from the experts @http://VideoEd.CorneaSociety.org Copyright ©2016 Cornea Society. All rights reserved. Now online: Cornea Day 2016 The Cornea Society new VideoEd portal features cornea presentations and expert interviews from educational events throughout the year VideoEd.CorneaSociety.org Watch, Learn and Share! Available on mobile devices, tablets, and desktops Contact information Arbisser: drlisa@arbisser.com First posterior capsulotomy with Zepto device SBCC: Scleral bi-capsulotomy capture Watch videos of this technique now at EyeWorld Clinical rePlay clinical.ewreplay.org

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