EyeWorld Asia-Pacific June 2014 Issue

June 2014 4 EWAP TABLE OF CONTENTS Feature June 2014 Femtosecond phaco techniques 8 - 28 Letter from the Editor 3 Femtosecond phaco techniques and outcomes 8 Seasoned surgeons share their firsthand experience and observations by Vanessa Caceres Operating on the laser’s edge 11 Femtosecond cataract outcomes by Maxine Lipner Femtosecond laser-assisted cataract surgery complications 15 Most complications occur in the preop and intraop stages of the laser-assisted procedure by Erin L. Boyle Ethical dilemmas with femtosecond cataract surgery 20 Femtosecond technology presents some ethical hurdles for surgeons by Ellen Stodola Marketing femtosecond for cataract technology 22 Most surgeons take a conservative approach to advertising the laser by Michelle Dalton No dice 26 Why some are rebuking femtosecond laser cataract surgery by Maxine Lipner 15 33 38 33 Managing multifocal IOL dysphotopsia 37 Dysphotopsias can be a potential problem after surgery, especially with multifocal IOLs by Ellen Stodola Innovation in capsulorhexis 38 Evolution of the technique by Ellen Stodola Help patients relax for better cataract surgery cooperation 40 Education, positive imagery techniques quelled anxiety in recent study by Vanessa Caceres Preparation, patient fit keys to multifocal success 43 The unique advantages and limitations of multifocal IOLs require surgeons to focus on patient selection and screening to ensure their optimum use by Rich Daly 48 REFRACTIVE Refractive outcomes of topography-guided photorefractive keratectomy with simultaneous crosslinking 45 Physician’s work looks at this new technology in treating keratoconus by Ellen Stodola LASIK vs. contact lens wear compared in study 47 The results of an internet-based prospective study by Ellen Stodola Long-term strategy for phakic IOLs 48 Surgeons develop plans to respond to the long-term complications of phakic IOLs that emerging research and clinical experience have identified by Rich Daly CATARACT/IOL - Secondary feature: Pseudophakic dysphotopsias Understanding positive dysphotopsia 29 The visual disturbances exacerbated by ocular surgery can range from annoying to disabling by Michelle Dalton Treating, eliminating negative dysphotopsia 33 Treatments linked to suspected causes; prevention remains under investigation by Vanessa Caceres The Next-Generation Visian ICL CentraFLOW 50 Optimizing fluid flow within the eye eliminates the need to perform peripheral iridotomy by Kimiya Shimizu