EyeWorld Asia-Pacific September 2013 Issue

September 2013 4 EWAP TABLE OF CONTENTS Feature September 2013 Cataract challenges 9 - 25 Big lessons for small pupil cataract surgery 9 Getting educated on the latest approaches by Maxine Lipner Preplanning works best with dense cataracts 13 Surgeons share pearls and best techniques for dense cataracts by Vanessa Caceres The challenges of cataract surgery with coexisting macular disease 17 Patient education, specific treatments and techniques for smooth surgery by Ellen Stodola Cataract surgery in post-refractive surgery patients 20 Performing complicated surgery doesn’t have to be excruciating—if you are meticulous in preoperative stages by Michelle Dalton Calculating IOL power in post-RK eyes 24 Some aspects of calculating IOL power in these eyes are easier than it may seem, experts say by Michelle Dalton 30 30 39 44 44 49 Letter from the Editor 3 CATARACT/IOL Dissonance in a femtosecond 26 Dialectics in femtosecond laser cataract extraction by J.C. Noreika, MD, MBA Femtosecond lasers for cataract surgery gaining ground, survey shows 28 Higher volume surgeons can pay off the devices in less than five years by Michelle Dalton APX: Novel device for pupil expansion 30 A new instrument for managing small pupil by Ehud I. Assia, MD Cataract tips from the teachers: Go with the flow 32 by Bob Avery, MD, Uday Devgan, MD, and Donna Siracuse-Lee, MD Comorbidities with multifocal IOL implantation 39 When selecting patients for multifocal IOLs, physicians must consider conditions that could cause complications or impact the effectiveness of the IOL by Ellen Stodola Monovision revisited 42 Some patients can adapt to the reverse of the usual dominant eye for distance by Erin L. Boyle Eyeing accommodative and multifocal IOLs in the pipeline 44 Continued quest for full range of presbyopic vision by Maxine Lipner Modifying chair may help in complicated cases 48 Creative solution to challenging condition by I. Howard Fine, MD REFRACTIVE Customized presbyopia solutions from the light-adjustable lens 49 A novel solution to an inevitable part of the aging process by Arturo Chayet, MD Corneal inlays have the potential to ‘treat millions’ 51 All that’s needed is U.S. regulatory approval, most surgeons say by Michelle Dalton