EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
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64 EW MEETING REPORTER June 2012 Ophthalmology continued from page 63 Reporting live from the 2012 Ophthalmology Innovation Summit, Chicago Roger Steinert, M.D., at the podium with panelists Nick Curtis, LensAR, Leonard Borrmann, Pharm.D., Abbott Medical Optics, Mark J. Forchette, OptiMedica, Dr. Kristian Hohla, Technolas, Ronald M. Kurtz, M.D., LensX Lasers Source: Convention Photo by Jeff Orlando charge the patient with a high likeli- hood of success, but it's still less ex- pensive for the patient than a multifocal. "Relaxing incisions are not widely used, but I think that's going to expand," he said. "It's the way people pay for doing femtosecond- technology cataract surgery." Dr. Koch expects there to be some growth of multifocal IOLs with femto because doctors can perform relaxing incisions and better treat astigmatism. There are two categories of mul- www.ophthalmologysummit.com/ ascrs/presentation.html View video from OIS@ASCRS or PowerPoints (pass word OISASCRS) Editors' note: This Meeting Reporter contains original reporting by the EyeWorld news team from the 2012 Ophthalmology Innovation Summit, Chicago. tifocal IOLs: diffractive and refrac- tive. The Oculentis M Plus (Berlin) is a new refractive model IOL that's "caught some interest in Europe," Dr. Koch said. "I've heard it's catch- ing on to a certain extent in Europe." Dr. Koch touched on a number of accommodating IOLs currently in development, including Crystalens (Bausch + Lomb, B+L, Rochester, N.Y.), Tetraflex (Lenstec, St. Peters- burg, Fla.), Synchrony (Abbott Medical Optics, AMO, Santa Ana, Calif.), AkkoLens (the Netherlands), NuLens (Israel), FluidVision (Pow- erVision, Belmont, Calif.), and Elenza Sapphire AutoFocal IOL (Roanoke, Va.). Also impacting the future of cataract surgery is intraoperative aberrometry, which Vance Thompson, M.D., assistant profes- sor of ophthalmology, University of South Dakota School of Medicine, Sioux Falls, gave an update on. The measurement of refractive error is very important to both the patient and physician, he said. There are numerous ways to measure refractive error in the clinic, such as with a phoropter, auto-refractor, and wavefront analysis. "In surgery, we had nothing, until now," he said. "This is why in- traoperative aberrometry is such a powerful idea whose time has come." WaveTec (Aliso Viejo, Calif.) and Clarity Medical Systems (Pleasanton, Calif.) are two companies producing intraoperative aberrometry technol- ogy with the ORA and Holos, respec- tively. Intraoperative aberrometry can be used in presbyopia-correcting implants, post-refractive surgery, and astigmatism. Femtosecond lasers: Present and future Roger Steinert, M.D., chairman of ophthalmology, University of Cali- fornia, Irvine, followed up Dr. Holladay's talk with a discussion of the current status and future impact of femtosecond lasers. "The femtosecond laser does several things for refractive cataract surgery," he said. "We create main and side-port incisions, astigmatic keratotomies—which can be either penetrating of the surface or in- trastromal—anterior capsulotomy, and preparing the nucleus. Possibly down the road—none of the systems do this currently—is the potential for precise circular posterior capsulo- tomies that we may need for the new generation of premium IOLs." The femtosecond laser can cut the cornea, as it's been used in more than 3 million corneal incision pro- cedures for LASIK flaps and kerato- plasty. The image-guided system is capable of creating patterns that ophthalmologists can't do manually, Dr. Steinert said. "With the capsulotomy the question has been: By making it