EyeWorld Asia-Pacific September 2012 Issue

September 2012 4 EWAP TAblE Of COnTEnTs Feature September 2012 Refractive 8 - 19 Letter from the Editor 3 29 A refractive surgery case study 38 One patient, three opinions by Faith A. Hayden RETINA Expanding indications for the use of anti- VEGF drugs 40 Looking beyond the obvious by Maxine Lipner Using OCT to diagnose retinal disorders 41 Before the imaging device was popularized, it was next to impossible to diagnose some disorders with any confidence by Michelle Dalton Managing post-keratoplasty vision Seasoned surgeons share old and new refractive techniques by Vanessa Caceres Addressing the post-RK hyperopic shift Surgical options remain limited, and none can reverse the continued hyperopic progression. But newer techniques may be able to offset the diurnal fluctuations by Michelle Dalton When patients strike an unhappy pose How to change the refractive picture? by Maxine Lipner Doubling up Can combining corneal crosslinking with refractive surgery improve outcomes for keratoconus and ectasia patients? EyeWorld finds out by Enette Ngoei CATARACT/IOL Japan’s view on cataract surgery: Combine it with vitrectomy 20 There’s so much more to combining surgery than a dropped nucleus by Matt Young Trumping endothelial fate 22 Preserving the endothelium in cataract surgery by Maxine Lipner Bag-in-the-lens technique goes toric 24 EyeWorld checks in on new developments with the technique that prevents PCO by Enette Ngoei New computer-based simulation technology allows users to safely practice phaco cataract surgery in real-world scenarios 26 Massachusetts Eye and Ear Cataract Master bridges the gap between wetlab training and patient surgery by Cindy Sebrell Phaco with weak zonules: Part 1 27 Weak zonules complicate every step of the cataract procedure and challenge surgeons to diagnose and manage intraoperative zonulopathy by David F. Chang Phaco with weak zonules: Part 2 31 Pearls for managing the later steps of the procedure, including nuclear emulsification and cortical cleanup by David F. Chang 20 REFRACTIVE Tools for aligning toric IOLs 33 A look at the various systems available or under development to achieve the exact alignment essential to optimizing visual outcomes by Faith A. Hayden Crosslinking and LASIK: Prophylaxis of the future 36 EyeWorld explores the “obvious next use” for corneal crosslinking by Jenna Passut 33 38 40