EyeWorld Asia-Pacific June 2015 Issue

68 EWAP NEWS & OPINION June 2015 ‘Hot Off the Press’ highlights top papers from entire meeting In the “Hot Off the Press” session, the final session of the 2015 ASCRS• ASOA Symposium & Congress, John Vukich, MD, Madison, Wis.; John Hovanesian, MD, Laguna Hills, Calif.; Eric Donnenfeld, MD, Rockville Centre, NY, Bonnie An Henderson, MD, Boston; Reay Brown, MD, Atlanta ; and David Chang, MD , Los Altos, Calif., commented on presentations highlighting some of the best papers from the meeting as a whole. Ehud Assia, MD , Tel-Aviv, Israel, presented on a paper from Jay Pepose, MD, PhD, St. Louis, that compared depth of focus and mesopic contrast sensitivity in a small aperture corneal inlay, accommodating IOL, and in multifocal patients. The purpose of the study was to compare monocular defocus curves and binocular mesopic contrast sensitivity. The study included the KAMRA inlay (AcuFocus, Irvine, Calif.), the Crystalens AO (Bausch + Lomb, Bridgewater, NJ), the ReSTOR 3.0 (Alcon, Fort Worth, Texas), and the Tecnis Multifocal (Abbott Medical Optics, Abbott Park, Ill.). The study was a retrospective comparison of 6-month data from a prospective, 3-arm study on IOLs and 6-month data from a prospective, clinical trial on the KAMRA inlay. Binocular mesopic contrast sensitivity was measured with and without glare. Inlay patients showed continuous functional vision of 20/40 or better over 4.0 D, and they showed better functional vision at intermediate dioptric ranges when compared to the three IOLs. Dr. Assia said the paper concluded that patients implanted monocularly with a small aperture inlay achieved better mesopic contrast sensitivity with and without glare than patients implanted with either the accommodating or multifocal IOLs with correction. Defocus curve results showed that the small aperture inlay provided the broadest continuous range of functional vision (considered 20/40 or better). Pairing a small amount of myopia with the small aperture inlay provides significantly improved near and intermediate performance comparable to or better than the three IOLs. The multifocal IOLs had better near vision at 40 cm, but at the cost of significantly reduced contrast and increased scatter. “Overall, the inlay performed best at an intermediate range,” he said. EWAP 2015 ASCRS - from page 67