EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/82503
World view A S CRS Getting out of your comfort zone The official publication of the American Society of Cataract & Refractive Surgery September 2012 Publisher Editorial Editor Jena Passut jena@eyeworld.org Managing Editor Stacy Majewicz stacy@eyeworld.org Production Graphic Designer Julio Guerrero jguerrero@eyeworld.org Production Manager Cathy Stern cstern@eyeworld.org 703-383-5702 Production Assistant Daniela Galeano daniela@eyeworld.org Contributing Writers Vanessa Caceres Lakeland, Florida Michelle Dalton Reading, Pennsylvania Enette Ngoei Singapore Matt Young Malaysia Senior Contributing Writer Maxine Lipner Nyack, New York Classified Sales Cathy Stern cstern@eyeworld.org 703-383-5702 EyeWorld Special Projects and Events Jessica Donohoe jdonohoe@eyeworld.org 703-591-2220 Volume 17 • No. 9 PUBLISHING STAFF Advertising Sales Donald R. Long dlong@eyeworld.org ASCRSMedia 4000 Legato Road Suite 700 Fairfax, VA 22033 703-591-2220 fax: 703-591-0614 eyeworld@eyeworld.org www.eyeworld.org Advertising Sales Jeff Brownstein jbrownstein@eyeworld.org 703-788-5745 Paul Zelin pzelin@eyeworld.org 703-383-5729 Edward Holland, M.D., cornea editor A s I was completing my residency, I felt like I had reached the point where my cataract surgery was efficient, reproducible, and resulted in excellent outcomes. I was performing the latest extracapsular cataract extraction techniques with a posterior cham- ber lens. How could this surgery get any better? Why would I want to change? Then along came phacoemulsification and with it a return to the starting block. The decision to adopt new technology is one that all clinicians face throughout our careers. We get comfortable with a procedure that becomes routine. We all like routine. With new technology comes the potential for better out- comes but requires the dreaded "learning curve," forcing us out of our comfort zone. Cataract surgery, more than most surgery, continuously involves the choices of new technology. Surgeons must make the deter- mination to change their surgical technique based on a variety of factors including safety, efficacy, and cost for both the patient and the practice. One such choice in cataract surgery is the decision to incorporate premium IOLs into the lens options for your patients. Premium IOLs often result in some of our most satisfied patients—the toric IOL patient with perfect distance vision or the multifocal IOL patient who drives and reads without glasses. However, we sometimes have patient dissatisfac- tion resulting in frustration for the surgeon and office staff. One of the feature articles this month focuses on keeping your refrac- tive cataract surgery patients satisfied. Cataract experts provide clinical wisdom on how they utilize premium IOLs and what tips they have for success. Sonia Yoo, M.D., and Rex Hamilton, M.D., discuss how to manage difficult refractive cataract cases. Joseph Colin, M.D., Gary Foster, M.D., and Bonnie Henderson, M.D., present their views on multifocal lenses. Audrey Talley Rostov, M.D., William Trattler, M.D., and Douglas Koch, M.D., discuss the management of post-op refractive surprises. These experts reveal excellent clinical pearls that will assist you in bringing premium IOLs into your comfort zone. The most current and perhaps biggest decision on the adoption of ASCRS Publisher: EYEWORLD (ISSN 1089-0084) is published monthly by ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; telephone: 703-591-2220; fax: 703-591-0614. Printed in the U.S. Editorial Offices: EYEWORLD News Service, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: eyeworld@eyeworld.org. Advertising Offices: ASCRSMedia, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: eyeworld@eyeworld.org. Copyright 2012, ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Letters to the editor and other unsolicited material are assumed intended for publication and are subject to editorial review and acceptance. Subscriptions: Requests should be addressed to the publisher. Annual subscription prices: Individual: 1 year, $120; 2 years, $220; 3 years, $320. Institutional: 1 year, $250; 2 years, $330; 3 years, $425. Foreign: 1 year, $240, 2 years $470, 3 years, $700. Back copies: Subject to availability. Contact the publisher. Cost per copy is $15; $30 foreign. All orders for individual or back copies must be accompanied by payment. Requests to reprint, use, or republish: Requests to reprint or use material published herein should be made in writing only to Cathy Stern, EYEWORLD, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: eyeworld@eyeworld.org. EYEWORLD reprints: To order reprints of material published in EYEWORLD, contact Cathy Stern, EYEWORLD, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; toll-free: 800-451-1339, 703-591-2220; fax: 703-591-0614; email: cstern@eyeworld.org or your salesperson. Change of address: Notice should be sent to the publisher six weeks in advance of effective date. Include old and new addresses and label from recent issue. The publisher cannot accept responsibility for undelivered copies. POSTMASTER: Send change of address to EYEWORLD, 4000 Legato Road, Suite 700, Fairfax, VA 22033. Periodical postage paid at Fairfax, VA 22033 and at additional mailing offices. The ideas and opinions expressed in EYEWORLD do not necessarily reflect those of the editors, publisher, or its advertisers. new technology in cataract surgery is the femtosecond laser. The poten- tial benefits of this technology are tremendous. Many surgeons are interested but are not sure when to get involved. In this issue Sheraz Daya, M.D., Jonathan Talamo, M.D., Mark Packer, M.D., and Dr. Foster discuss why they became early adopters and why femtosecond laser cataract surgery is the right choice now for many of their patients. Advances in technology will continue to occur. Some will be "game changers," and some will fail. We must all move out of our comfort zone from time to time and take a look, stay current, and continue to evaluate these innovations in order to advance the progress of surgery. Edward J. Holland, M.D., cornea editor