Eyeworld

EW MEETING REPORTER 128 October 2017 Reporting from YES Advanced Cataract Training, September 23–24, New York In terms of bringing FLACS into practice, Dr. Zavodni said one needs to consider monetary costs, space for the machine to facilitate efficient patient flow, and how to charge patients. In his practice, Dr. Zavodni bundles the femtosecond laser into the price for patients who are opting for astigmatism management at the time of cataract surgery. For complex cataract cases where he finds advan- tages in using the femtosecond laser, Dr. Zavodni said he will not charge patients. "I eat the cost because I think it's going to help me surgical- ly," he said. Ahead of Christopher Starr, MD, New York, and Dr. Gupta taking the podium to discuss dry eye, Eric Donnenfeld, MD, Rockville Cen- tre, New York, one of the YES ACT program chairs, said he felt the topic was "the single most important talk you're going to hear today because everything you do is predicated on good tear film." available on the ASCRS website and also a digital tool by Veracity Inno- vations, recently acquired by Carl Zeiss Meditec (Jena, Germany), to help with cataract surgery planning that works with all diagnostic sys- tems and most EHR systems. Zachary Zavodni, MD, Salt Lake City, spoke about femtosec- ond laser-assisted cataract surgery (FLACS). He described its various ca- pabilities, including corneal incisions with lower variability in surgically induced astigmatism; arcuate inci- sions of controlled shape and depth; perfectly round, sized, and centered capsulorhexis; nuclear fragmenta- tion; and potentially in the future, in vivo IOL power adjustments. Dr. Zavodni cited research that showed FLACS can result in less endothelial cell loss and overlap of the IOL optic with the rhexis, but studies have not shown better uncorrected distance visual acuity in FLACS than traditional phaco. Improving outcomes in refractive cataract surgery "Modern cataract surgery is refractive cataract surgery," said Preeya Gupta, MD, Durham, North Carolina. Improving outcomes within that realm involves identifying and treating dry eye and ocular surface disease, using modern IOL formulas, and considering new technologies, such as the femtosecond laser. Kerry Solomon, MD, Mount Pleasant, South Carolina, gave an overview of how all cataract sur- geons should be able to get 90% of their cases within 0.5 D of target by using a modern optical biometer, optimizing A constants, and select- ing a modern IOL formula. It is im- portant to collect data and analyze your preop and postop refractions, optimizing your surgeon factors accordingly. Dr. Solomon mentioned for- mulas for various scenarios, post-re- fractive surgery eyes, for example, Reporting from YES Advanced Cataract Training

• Blank Page
• Blank Page (1)