Eyeworld

UPDATE 15 Robert Sinskey Eye Institute in Ethiopia welcomes new ophthalmologist T he ASCRS Foundation welcomes Berhan Solomon Demissie, MD, who recently joined the Robert Sinskey Eye Institute in Addis Ababa, Ethiopia. A native Ethiopian, Dr. Demissie was previously an associate professor at Jimma University Specialized Hos- pital and at a tertiary teaching eye hospital in Gambia, West Africa. He completed his ophthalmic residency training at Addis Ababa University Menelik II Hospital in 2005. Dr. Demissie brings rich expe- rience to the Sinskey Eye Institute, by Natalie Zundel ASCRS Foundation Development Director Spotlight on Berhan Solomon Demissie, MD byline goes here plus fade In the journal Visual performance after bilateral implantation of two new presbyopia- correcting intraocular lenses: Trifocal versus extended range of vision Gaspare Monaco, MD, Mariangela Gari, MD, Fabio Di Censo, MD, Andrea Poscia, MD, Giada Ruggi, Antonio Scialdone, MD Investigators in this prospective case series compared how two new diffrac- tive multifocal IOLs fared in terms of visual outcomes and quality of vision versus a traditional monofocal lens. Included in each of the three arms of the study were 40 eyes of 20 patients. Each patient received a monofocal lens in one eye and either the trifocal lens (PanOptix, Alcon, Fort Worth, Texas) or the extended range of vision lens (Symfony, Johnson & Johnson Vision, Santa Ana, California) in the other. Results showed that in the trifo- cal group at the 4-month mark, near vision was significantly better than for those with the extended range of vision lens. Likewise, better intermediate and near performance was seen in the trifocal group, using a defocus curve. The monofocal lens, however, did not do as well with near or intermediate vision as either of the multifocals. While there were similar amounts of dysphotopsia between the two multifocal lenses, this was found to be much less in the monofocal group. Investigators concluded that for those with closer vision requirements the trifocal IOL might be better, while for those with intermediate vision needs, either of the multifocal lenses would be a good choice. They did, however, recommend discussing possible visual side effects with patients before implanting a multifocal IOL. Photorefractive intrastromal corneal crosslinking for the treatment of myopic refractive error: Six-month interim findings of an ongoing 12-month prospective study Matthias Elling, MD, Inga Kersten-Gomez, MD, H. Burkhard Dick, MD, PhD In this prospective case series, investigators examined how low myopes fared with photorefractive intrastromal corneal crosslinking (CXL) treatment. Included here were 26 eyes of 14 patients. At the 1-, 3-, and 6-month post- operative marks, investigators saw a statistically significant improvement in uncorrected distance visual acuity, as well as a significant improvement in corrected distance visual acuity. Likewise, there was a mean improvement in manifest sphere of 0.99 D and in manifest refraction spherical equivalent of 0.97 D by the 6-month postoperative mark. There were no complications or safety concerns found. Investigators concluded that for reducing myopic error, this custom crosslinking technique was safe and effective. Intraocular pressure change after phacoemulsification in angle closure eyes without medical therapy Eray Atalay, MD, Monisha Nongpiur, MD, PhD, Mani Baskaran, PhD, Shamira Perera, FRCOphth, Tina Wong, FRCOphth, PhD, Desmond Quek, MMed, Tin Aung, PhD What kind of pressure lowering can phacoemulsification alone provide in primary angle closure cases or suspects? In this retrospective case series, investigators considered what happened to the pressure in 33 primary angle closure cases and 52 primary angle closure suspects. Those included were undergoing uncomplicated phacoemulsification and had corrected visual acuity of less than 20/40. They determined that from the preoperative mean of 16.1 mm Hg, after phacoemulsification IOP was reduced by 19.9%. Inves- tigators found that for IOP change, in primary angle closure suspect cases there was a mean reduction of 3.3 mm Hg, and in primary angle closure cas- es this was at –3.2 mm Hg. Factors predictive of a greater pressure reduction included a higher preoperative IOP and less clock hours of peripheral ante- rior synechiae. Investigators concluded that at the 6-month postoperative mark, there was a mean IOP reduction of 20%. However, in cases where IOP was lower preoperatively or there was more widespread peripheral anterior synechiae, less pressure reduction was found. June 2017 Berhan Solomon Demissie, MD Insightful news from the ASCRS Foundation having done more than 15,000 cataract (SICS, ECCE + PC-IOL) and 1,500 glaucoma surgeries (trabeculectomy with and without mitomycin-C). In addition to his surgical and teaching experience, Dr. Demissie has organized outreach cat- aract surgery campaigns. His diverse background makes him a uniquely qualified fit for the ASCRS Founda- tion's Sinskey Eye Institute. Dr. Demissie decided he wanted to work at the Sinskey Eye Institute when he visited the center years ago. He finds "satisfaction in being part of the solution to one of the major public health problems of our com- munity." Dr. Demissie is pleased to work with the "energetic and enthu- siastic" staff at the Sinskey Eye Insti- tute, and through a partnership with the Himalayan Cataract Project and Ethiopia's five residency programs, looks forward to extending the Sinskey Eye Institute's reach beyond clinical care as the institute becomes a full-fledged teaching facility. The Sinskey Eye Institute will see an estimated 24,000 patients this year. ASCRS members can help support Dr. Demissie's work with a gift to the ASCRS Foundation's In- ternational Fund today. Visit www. ascrsfoundation.org. EW Contact information Demissie: sberhan95@yahoo.com Zundel: nzundel@ascrs.org A patient is escorted from the Robert Sinskey Eye Institute by her family after cataract surgery. Source: ASCRS

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