EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
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March 2012 Racing continued from page 165 Important Safety Information – TECNIS® Indications: TECNIS® Multifocal IOL Caution: Federal law restricts this device to sale by or on the order of a physician. Multifocal intraocular lenses are indicated for primary implantation for the visual correction of aphakia in adult patients with and without presbyopia in whom a cataractous lens has been removed by phacoemulsification and who desire near, intermediate and distance vision with increased spectacle independence. The intraocular lenses are intended to be placed in the capsular bag. Warnings: Physicians considering lens implantation under any of the conditions described in the Directions for Use labeling should weigh the potential risk/benefit ratio prior to implanting a lens. Some visual effects associated with multifocal IOLs may be expected because of the superposition of focused and unfocused images. These may include a perception of halos/glare around lights under nighttime conditions. It is expected that, in a small percentage of patients, the observation of such phenomena will be annoying and may be perceived as a hindrance, particularly in low-illumination conditions. On rare occasions, these visual effects may be significant enough that the patient will request removal of the multifocal IOL. Under low-contrast conditions, contrast sensitivity is reduced with a multifocal lens compared with a monofocal lens. Therefore, patients with multifocal lenses should exercise caution when driving at night or in poor-visibility conditions. Patients with a predicted postoperative astigmatism >1.0D may not be suitable candidates for multifocal IOL implantation since they may not fully benefit from a multifocal IOL in terms of potential spectacle independence. Precautions: The central one millimeter area of the lens creates a far image focus; therefore, patients with abnormally small pupils (~1 mm) should achieve, at a minimum, the prescribed distance vision under photopic conditions; however, because this multifocal design has not been tested in patients with abnormally small pupils, it is unclear whether such patients will derive any near vision benefit. Autorefractors may not provide optimal postoperative refraction of multifocal patients; manual refraction is strongly recommended. In contact lens wearers, surgeons should establish corneal stability without contact lenses prior to determining IOL power. Care should be taken when performing wavefront measurements, as two different wavefronts are produced (one will be in focus (either far or near) and the other will be out of focus); therefore, incorrect interpretation of the wavefront measurements is possible. The long-term effects of intraocular lens implantation have not been determined; therefore, implant patients should be monitored postoperatively on a regular basis. Secondary glaucoma has been reported occasionally in patients with controlled glaucoma who received lens implants. The intraocular pressure of implant patients with glaucoma should be carefully monitored postoperatively. Do not resterilize or autoclave. Use only sterile irrigating solutions such as balanced salt solution or sterile normal saline. Do not store in direct sunlight or at temperatures over 45°C. Emmetropia should be targeted, as this lens is designed for optimum visual performance when emmetropia is achieved. Care should be taken to achieve centration. lens was macular edema, which occurred at a rate of 2.6%. Other Adverse events: The most frequently reported adverse event that occurred during the clinical trial of the TECNIS® Multifocal reported reactions, occurring in 0.3%–1.2% of patients, were hypopyon, endophthalmitis and secondary surgical intervention (including biometry error, retinal repair, iris prolapse/wound repair, trabeculectomy, lens repositioning and patient dissatisfaction). Attention: Reference the Directions for Use for a complete listing of indications, warnings and precautions. 2011.12.14-CT4390 WE WANT YOUR STORIES! EyeWorld is looking for interesting stories about ASCRS members to highlight in our "In other news" section each month. From racing cars and taking photographs to performing charitable surgeries in rural areas in the U.S. and running ophthalmology clinics in other countries, ASCRS members are experiencing life at its fullest and making a true difference in the world. If you have a story you'd like to share with the ASCRS community, please send your ideas to: Stephanie Graham, EyeWorld editor, stephanie@eyeworld.org. When racing around the track, participants must sometimes combat an adrenaline rush known as the "red mist" Source: Allan M. Robbins, M.D. pid and you had fun doing it," he said. Ophthalmology track When it comes to ophthalmology Dr. Robbins has also always gone full throttle. Among other things, in the early 1990s he became a principal investigator for VISX (Abbott Medical Optics, Santa Ana, Calif.) during the FDA clinical trials for photorefractive keratectomy. In 1997, Dr. Robbins helped introduce LASIK to the Rochester, N.Y.-market, and 2 years later, he was the first LASIK practitioner in upstate N.Y. to insert Intacs (Addition Technology, Des Plaines, Ill.) for the correction of myopia. He sees a lot of parallels be- tween ophthalmology and car rac- ing. "I think that they're very similar because both need intense focus for short periods of time," Dr. Robbins said. He also thinks that ophthal- mologists as a group tend to push the envelope. "If we have a proce- dure that is 90% successful, it's hor- rendous in our eyes, it's not even acceptable. We're constantly striving for perfection," he said. "We don't want 98% of our patients 20/20 or better, we want 99.999." The same is true on the track. "In racing you're always pushing the envelope, trying to get the car to perform better—try- ing to get the car a little lighter, try- ing to get it to stop better," he said. Overall, Dr. Robbins finds racing to be an excellent complement to ophthalmology. "It really takes your mind away from everything," he said. "I think that we all tend to take our cases and our problem patients home with us. The nice thing for me on a race weekend is that suddenly all of those things go out the door and I don't think about them at all." He urges other ophthalmologists to find a hobby they love. "I think that all ophthalmologists work very hard, so I do think that they need to find some outlet, whether it's automotive or something else that they truly enjoy and are passionate about," he said. "I think that we all work really hard and can use some playtime." EW Contact information Robbins: lasikmd@yahoo.com