Eyeworld

91 June 2017 EW MEETING REPORTER Best of ASCRS 2017 The final General Session of the meeting was the Best of ASCRS 2017. It featured presenters sharing some of the Best Paper of Session winners in cataract, glaucoma, cornea, and refractive from the meeting. Eric Donnenfeld, MD, Rock- ville Centre, New York, and Ronald Yeoh, MD, Singapore, moderated the session, with panelists Reay Brown, MD, Atlanta, Clara Chan, MD, Toronto, Canada, Boris Mal- yugin, MD, PhD, Moscow, Russia, Kevin Miller, MD, Los Angeles, and Vance Thompson, MD, Sioux Falls, South Dakota. Jonathan Rubenstein, MD, Chicago, and Michael Knorz, MD, Mannheim, Germany, presented the cataract papers. Dr. Rubenstein's first paper selection was "Neodymium:YAG Laser Vitreolysis: A Retrospective Safety Study." The second paper was "Long-Term Biocompatibility of a Modular Intraocular Lens System." Finally, he chose "DSBCS Versus ISBCS: Postoperative Refractive Outcomes." The first cataract paper Dr. Knorz presented was "Prospective Randomized Study Comparing Visual Outcomes of an Accommo- dating and 2 Multifocal IOLs: 5-Year Follow-up." The second paper he shared was "Ocular Scatter Index of EDOF IOLs," which used the HD Analyzer (Visiometrics, Costa Mesa, California) and concluded that the difference of ocular scatter index between monofocal and extended depth of focus IOLs was not signifi- cant. The final paper he shared was "Visual Performance and Perceived Photopic Phenomena with a New Extended Depth of Focus IOL." Nathan Radcliffe, MD, New York, presented the glaucoma papers. The first paper he shared was "Excimer Laser Trabeculostomy Alone and Combined with Phaco + IOL 8 Year Post-Op Observations." Excimer laser trabeculostomy (ELT) is when the excimer laser is used to open the trabecular meshwork from an ab interno approach, Dr. Radcliffe explained. He added that there was a 30% pressure reduction with ELT, and when combined with phaco, there was a 45% pressure reduction. The next paper he presented was "Multicenter, Open-Label Study of the Performance of a Novel Gela- tin Stent in Refractory Glaucoma in the United Sates." The final paper Dr. Radcliffe chose was "Efficacy of Two Targeted Versus Non-Targeted Trabecular Micro-Bypass Stents: A Preliminary Investigation." Dr. Hovanesian presented the best cornea papers. His first selection was "High-Resolution OCT Imaging of Bowman Layer in Asymmetric Keratoconus." His second paper selection was "Prevalence of Meibo- mian Gland Atrophy in a Pediatric Population." Dry eye affects almost 30 million Americans. Meibomian gland disease dominates in these patients, and meibomian glands are critical to ocular surface health. The study featured 49 participants and found that 55% had evidence of meibomian gland atrophy in a normal population. The last pa- per he presented was on "CAIRS," corneal allogenic intrastromal ring segments. Elizabeth Hofmeister, MD, San Diego, shared some of the best refractive papers. She presented a paper, "LASIK and a Transparent Shape-Changing Corneal Inlay with Mitomycin-C (MMC)," that looked at the Rain- drop corneal inlay (ReVision Optics, Lake Forest, California). It demon- strated a decrease in corneal haze. The other inlay paper she presented was "Effect of Pupil Size on Visual Performance with Small-Aperture Corneal Inlay." The study found that pupil size had minimal impact, and it looked specifically at the KAMRA inlay (AcuFocus, Irvine, California). Dr. Hofmeister then shared three SMILE papers: "Lenticule Thickness Precision in SMILE – a Target-Actual Comparison Using Spectral Domain OCT," "SMILE for Hyperopia: Visual and Refractive Outcomes, Optical Zone Centration, Diameter, and Aberration Induction," and "Com- paring Visual Outcomes of SMILE vs. Topo-Guided LASIK." EW Editors' notes: The physicians have no financial interests related to their comments.

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