OCT 2012

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

Issue link: https://digital.eyeworld.org/i/87458

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Page 112 of 168

110 EW MEETING REPORTER October 2012 Reporting live from ESCRS 2012 Milan, Italy XXX Congress continued from page 109 longest running ophthalmic reg- istries in the world. "The only way to reflect what is going on is to go to these quality registries," he said. Prof. Lundstrom said he was struck by the similarities between cataract surgery and fly fishing, a hobby he took up 30 years after learning the eye procedure. "In both disciplines, you will be involved in endless discussions about materials and technologies. However, the only thing that counts in both disciplines is the outcomes," he said. Prof. Lundstrom said patients mostly want to know what will hap- pen to them. It's the surgeon's re- sponsibility to know his or her own outcomes, he stressed. "Knowing your results is part of the job," he said. "We as surgeons should learn from the outcomes of our patients. To quote Howard Fine, 'Surgeons who don't count, don't count.'" Prior to the Ridley Lecture, ESCRS President Peter Barry, F.R.C.S., Dublin, welcomed delegates to the Congress, noting that there are more than 6,700 attendees from 180 countries. Dr. Barry announced that Roberto Bellucci, M.D., Verona, Italy, was elected as the next presi- dent of ESCRS. Cataract and refractive surgery in children Surgeons debated the roles of phakic IOLs and refractive surgery in chil- dren during a joint symposium sponsored by ESCRS and the World Congress of Pediatric Ophthalmol- ogy and Strabismus (WCPOS). Michael O'Keefe, M.D., Dublin, Editors' note: This Meeting Reporter contains original reporting by the EyeWorld news team from ESCRS 2012, Milan, Italy argued that there is a "huge role for phakic IOLs," while William F. Astle, M.D., Alberta, Canada, said pediatric refractive surgery fills an important need for children who are otherwise functionally blind and cannot be treated with traditional methods. Myoung Joon Kim, M.D., South Korea, speaks during the Combined Symposium of Cataract and Refractive Surgery Societies (CSCRS) Prof. O'Keefe said phakic IOLs may be used to correct high myopia and hyperopia in children, an ad- vantage over surface procedures. It also is reversible, less expensive, and offers quicker rehabilitation, he said. Other indications include aphakic patients with inadequate capsular support and patients with high astigmatism, among others. Fears over endothelial cell loss are probably overstated, he said. Dr. Astle reported that 12 years of follow-up in children who had se- Source: EyeWorld vere refractory anisometropia, am- blyopia, or bilateral myopia and un- derwent PRK or LASEK showed no documented cases of fusion and lit- tle to no haze, probably likely from the use of mitomycin-C (MMC) dur- ing the procedure. "All of them are seeing better and have better behav- ior," he said. Parents noted improve- ments in posture, stress level, walking and mobility, and balance sitting and standing, as well as an overall improvement in self-confi- dence and decrease in frustration.

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