Eyeworld

60 AAO Program Preview • November 11–14, 2017 EW AAO 2017 Be sure to catch these refractive sessions at the AAO annual meeting Skills labs and instruction courses will cover topics such as corneal topographic analysis and anterior segment imaging, LASIK complica- tions, SMILE, and astigmatism. Monday The symposium "Therapeutic Up- dates from the Refractive Manage- ment/Intervention Preferred Practice Pattern Panel" will take place on Monday from 12:45–1:45 p.m. in La Nouvelle Orleans Ballroom AB. Roy Chuck, MD, PhD, New York, will chair the session, which will explore such topics as the changing epide- miology of myopia, cataract surgery as refractive surgery, and control of myopia progression. Courses will explore therapeutic corneal refrac- tive surgery, phakic IOLs, topogra- phy-customized ablations, refractive surgery complications, complex corneal irregularities with wet phototherapeutic keratectomy, and more. Labs will cover phakic IOLs and corneal incisions. Tuesday A symposium on Tuesday morning, "Presbyopia: The Next Frontier in Refractive Surgery," will take place from 10:15–11:45 a.m. in La Nou- velle Orleans Ballroom C. It will highlight such topics as dysfunc- tional lens syndrome, corneal strat- egies for presbyopia, allogenic and alloplastic inlays, excimer strategies, extended depth of focus IOLs, IOL manipulation for presbyopia, and more. It will feature the Barraquer Lecture given by Scott MacRae, MD, Rochester, New York, on the topic of "Refractive Indexing: A Revolution- ary Approach to Refractive Surgery." Instruction courses on Tuesday will cover novel surgical techniques for correcting presbyopia using a shape-changing hydrogel corneal inlay, SMILE, corneal inlay technolo- gies, and astigmatism. EW by Ellen Stodola EyeWorld Senior Staff Writer October 2017 Refractive offerings at AAO LenSx® Laser Important Product Information for Cataract and Corneal Flap Treatments: Caution: United States Federal Law restricts this device to sale and use by or on the order of a physician or licensed eye care practitioner. Indication: Cataract Surgery Indication: The LenSx® Laser is indicated for use in patients undergoing cataract surgery for removal of the crystalline lens. Intended uses in cataract surgery include anterior capsulotomy, phacofragmentation, and the creation of single plane and multi-plane arc cuts/incisions in the cornea, each of which may be performed either individually or consecutively during the same procedure. Corneal Flap Indication: The LenSx® Laser is indicated for use in the creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea. Restrictions: • Patients must be able to lie flat and motionless in a supine position. • Patient must be able to understand and give an informed consent. • Patients must be able to tolerate local or topical anesthesia. • Patients with elevated IOP should use topical steroids only under close medical supervision. Contraindications: Cataract Surgery Contraindications: • Corneal disease that precludes applanation of the cornea or transmission of laser light at 1030 nm wavelength • Descemetocele with impending corneal rupture • Presence of blood or other material in the anterior chamber • Poorly dilating pupil, such that the iris is not peripheral to the intended diameter for the capsulotomy • Conditions which would cause inadequate clearance between the intended capsulotomy depth and the endothelium (applicable to capsulotomy only) • Previous corneal incisions that might provide a potential space into which the gas produced by the procedure can escape • Corneal thickness requirements that are beyond the range of the system • Corneal opacity that would interfere with the laser beam • Hypotony, glaucoma* or the presence of a corneal implant • Residual, recurrent, active ocular or eyelid disease, including any corneal abnormality (for example, recurrent corneal erosion, severe basement membrane disease) • History of lens or zonular instability • Any contraindication to cataract or keratoplasty • This device is not intended for use in pediatric surgery. * Glaucoma is not a contraindication when these procedures are performed using the LenSx® Laser SoftFit™ Patient Interface Accessory Corneal Flap Contraindications: • Corneal lesions • Corneal edema • Hypotony • Glaucoma • Existing corneal implant • Keratoconus • This device is not intended for use in pediatric surgery. Warnings: The LenSx® Laser System should only be operated by a physician trained in its use. The LenSx® Laser delivery system employs one sterile disposable Patient Interface consisting of an applanation lens and suction ring. The Patient Interface is intended for single use only. The disposables used in conjunction with ALCON® instrument products constitute a complete surgical system. Use of disposables other than those manufactured by Alcon may affect system performance and create potential hazards. The physician should base patient selection criteria on professional experience, published literature, and educational courses. Adult patients should be scheduled to undergo cataract extraction. Precautions: • Do not use cell phones or pagers of any kind in the same room as the LenSx® Laser. • Discard used Patient Interfaces as medical waste. Complications: Cataract Surgery AEs/Complications: • Capsulotomy, phacofragmentation, or cut or incision decentration • Incomplete or interrupted capsulotomy, fragmentation, or corneal incision procedure • Capsular tear • Corneal abrasion or defect • Pain • Infection • Bleeding • Damage to intraocular structures • Anterior chamber fluid leakage, anterior chamber collapse • Elevated pressure to the eye Corneal Flap AEs/Complications: • Corneal edema • Corneal pain • Epithelial in-growth • Epithelial defect • Infection • Flap decentration • Incomplete flap creation • Flap tearing or incomplete lift-off • Free cap Attention: Refer to the LenSx® Laser Operator's Manual for a complete listing of indications, warnings and precautions. © 2017 Novartis 8/17 US-LSX-17-E-2076a H ere's a look at some of the sessions that will go into depth on the many facets of refractive surgery at the 2017 American Academy of Ophthalmology (AAO) annual meeting, beginning with Refractive Surgery Subspecialty Day on Friday. Friday Refractive Surgery Subspecialty Day will take place on Friday in La Nou- velle Orleans Ballroom AB. The day will begin at 7:00 a.m. with break- fast and a morning break with the experts. The program will officially start at 8:00 a.m. with the keynote lecture "The Role of Personalized Medicine in Refractive Surgery" giv- en by John Marshall, PhD, London. Other sections will focus on cor- neal refractive surgery, intraocular refractive surgery, management and prevention of complications in re- fractive surgery, video-based master complications, a European Society of Cataract & Refractive Surgeons (ESCRS) symposium on "Advances in the War on Presbyopia," and late-breaking news. Saturday A wet lab on Saturday from 3:00– 5:00 p.m. in room 344–345 will focus on laser refractive surgery. The session is geared toward those want- ing to learn about new techniques in laser refractive surgery, including using mechanical microkeratomes, femtosecond lasers, excimer lasers, and corneal inlays. The lab will be run by George Waring IV, MD, Charleston, South Carolina, with numerous other instructors. Sunday A symposium from 8:00–11:00 a.m. will feature an introduction to corneal and lens-based refractive sur- gery for residents. It will be chaired by J. Bradley Randleman, MD, Los Angeles, and Ronald Krueger, MD, Cleveland, and will take place in room 243–245. The session will ad- dress topics like topography, LASIK, and surface ablation procedures.

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