EyeWorld Asia-Pacific December 2014 Issue

December 2014 4 EWAP TABLE OF CONTENTS Feature December 2014 Complex cataract cases 8 - 22 Letter from the Editor 3 Cataract surgery in pseudoexfoliation syndrome cases 8 Unique challenges presented by pseudoexfoliation can be managed with the appropriate surgical tools and techniques, experts say by Lauren Lipuma Cracking the dense cataract code 10 How to tackle such cases by Maxine Lipner Cataract surgery and the small pupil 13 Regardless of the cause, performing cataract surgery on patients with small pupils is no easy task by Michelle Dalton Fixing dislocated lenses and IOLs 16 Anterior segment surgeons need tools, techniques to tackle this challenge by Vanessa Caceres Methods for secondary lens implantation 18 Surgeons discuss types of secondary IOL implantation, suture use, and postop medication by Ellen Stodola Glued IOL: Fibrin glue assisted posterior chamber intraocular fixation in eyes with deficient capsules 20 by Amar Agarwal, MS, FRCS, FRCOphth and Dhivya Ashok Kumar, MD 23 31 Seal of superiority 31 Sealant lowers cataract wound leakage rates by Maxine Lipner Capsulotomy centration in laser cataract surgery 33 Study shows that scanned-capsule centration offers the best chance of 100% capsule–optic overlap by Shamik Bafna, MD SECONDARY FEATURE: IOL innovations Future options for presbyopiaglaucoma patients 23 Presbyopia-correcting options differ for patients around the world by Ellen Stodola CATARACT/IOL What causes IOL implant opacification and glistenings? 25 IOLs don’t always stay clear throughout a patient’s lifetime; these late complications can be frustrating for both the surgeon and the patient by Tony Realini, MD, MPH Multifocal IOL indications, contraindications 29 White paper addresses pros and cons of multifocal IOLs, as well as other key information surgeons should be aware of by Ellen Stodola 29 REFRACTIVE Slowing down the myopia train 35 Strategies for decelerating progressive nearsightedness by Maxine Lipner ATOM1, 2 Slow Myopia with Atropine 38 by Audrey Chia, MD 25 38 SMILE uses femtosecond laser for corneal refractive procedures 40 This new technique offers the option of doing an intrastromal procedure without a flap by Ellen Stodola