Eyeworld

UPDATE 15 In the journal Clinical evaluation of a bifocal nondiffractive intraocular lens for enhanced depth of focus in correcting presbyopia Efstathios Vounotrypidis, MD, Raphael Diener, Christian Wertheimer, MD, Thomas Kreutzer, MD, Armin Wolf, MD, PhD, Siegfried Priglinger, MD, PhD, Wolfgang J. Mayer, MD, PhD In this prospective longitudinal case series, investigators set out to determine how patients fared with bilateral implantation of a bifocal refractive enhanced depth-of- focus intraocular lens with a low near add. Included in the study were 22 patients with age-related cataracts in both eyes and less than 1 D of corneal astigmatism. Patients here were implanted with the Lentis Comfort, LS313 MF15 enhanced depth of focus IOL. At the 3-month postoperative mark, investigators determined that mean manifest spherical equivalent was -0.10 D. Patients had a mean uncorrected distance visual acuity of 0.07 logMAR. Meanwhile, their intermediate uncorrected visual acuity was at 0.21 logMAR and mean uncorrected near visual acuity was at 0.53 logMAR. With less than 10% of patients complaining of photic phenomena, the vast majority, 95% were satisfied with their visual acuity. Investigators concluded that patient satisfaction was very high with the lens, with which patients attained excellent far and intermediate vision and acceptable near acuity. Evaluation of a trabecular microbypass stent with cataract extraction in pseudoexfoliation glaucoma Tanner J. Ferguson, BS, Russell Swan, MD, Mitch Ibach, OD, Justin Schweitzer, OD, Ramu Sudhagoni, PhD, John P. Berdahl, MD How safe and effective is a trabecular micro bypass stent implanted in conjunction with cataract surgery for those with pseudoexfoliation glaucoma? In this retrospective case series this is what investigators wanted to determine. Here, each of the 115 eyes with pseudoexfoliation glaucoma received one stent. At the one-year mark, investi- gators found that the mean preoperative IOP dropped from 20 mm HG to a mean of 15.54 and by 2 years postoperatively this was down to a mean of just 14.54 mm Hg. There was also a 50% reduction in medication use also at 2 years. An IOP spike of 15 mm Hg or higher, occurred postoperatively in 6% of eyes or higher and responded to topical therapy. At last follow up, 98% of patients had attained a reduction in IOP. The conclusion reached was that in patients with mild to severe pseudoexfoliation glaucoma implantation of a trabecular microbypass stent in conjunction with cataract surgery reduces IOP safely and effectively. Changes in corneal astigmatism during 20 years after cataract surgery Ken Hayashi, MD, Shin-ichi Manabe, MD, Akira Hirata, MD, Koichi Yoshimura, MD The aim in this retrospective case study was to determine what happens to corneal astigmatism 20 years after cataract surgery and to consider how this compares to eyes without surgery. Included in the study were 74 eyes that had a horizontal scleral inci- sion from having undergone phacoemulsification 21 years earlier, as well as 68 others that had never had the surgery. After 20 years, the mean vertical/horizontal change in corneal astigmatism was -0.64 D for those who had undergone surgery versus -0.49 D for the non-surgery group. They found that between baseline and 10 years the mean J0 and J45 were not significantly different, as was also true for the period between 10 and 20 years. Investigators concluded that more than 20 years after cataract surgery corneal astigmatism continues to move towards against-the-rule astigmatism. Likewise, in eyes without surgery this change with age also occurred. May 2017 by Tami O'Brien ASCRS Manager of PAC and Grassroots YES member meets with Sen. Sherrod Brown in Ohio I n March, ASCRS eyeContact and Young Eye Surgeons (YES) member Majid Amir Moarefi, MD, met with Sen. Sherrod Brown (D-OH) in Cleveland, Ohio, to deliver a check on behalf of eyePAC, the non-partisan polit- ical action committee representing ASCRS members. Sen. Brown, who is up for re-election in 2018, is a member of the Senate Finance Committee and an ASCRS ally. He has supported many of our legislative priorities in the past and is a co-sponsor of S.251, the Protecting Medicare from Executive Action Act, a bill to repeal the Independent Payment Advisory Board (IPAB) in order to ensure that it cannot be used to undermine the Medicare entitlement for beneficia- ries. Dr. Moarefi, who will complete his ophthalmology residency this spring, first got involved in ASCRS advocacy efforts in 2016, when he received an ASCRS/YES Legislative Fly-In Scholarship and attended the Alliance of Specialty Medicine Legislative Fly-In. Held each sum- mer in Washington, D.C., the Fly-In brings ASCRS and ASOA members to Washington to meet directly with their Representatives and Senators to lobby for our policy initiatives. The deadline to submit applications for the 2017 Fly-In scholarship was March 31. "My desire to have a meaningful impact was greatly enhanced" as a result of the experience on Capitol Hill, said Dr. Moarefi, who then signed up to be an eyeContact and participate in grassroots advocacy efforts. ASCRS•ASOA eyeContacts are actively engaged with elected of- ficials in their communities. Wheth- er it be discussing issues with your senator while hand-delivering an eyePAC check, inviting your repre- sentative to visit your practice, host- ing a fundraiser for a key candidate, or simply responding to a grassroots action alert, eyeContacts are active to the extent that suits their avail- ability and comfort level. If you would like to join mem- bers like Dr. Moarefi and become an eyeContact, please visit ASCRS- grassroots.org today or contact Tami O'Brien, manager of PAC and grass- roots, at tobrien@ascrs.org. EW Contact information Moarefi: Majid.Moarefi@UHhospitals.org O'Brien: tobrien@ascrs.org Majid Amir Moarefi, MD (left), with Sen. Sherrod Brown (D-OH) Source: Majid Amir Moarefi, MD ASCRS eyeContacts in action Correction On the top of page 136 of the April 2017 EyeWorld, the caption should have read "Dr. Kelman pictured with U.S. Commerce Secretary Barbara Franklin and President George H.W. Bush who presented him with the National Medal of Technology in 1992." The online version has been updated accordingly.

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