EyeWorld Asia-Pacific March 2016 Issue

6 March 2016 EWAP CONTENTS APACRS Secretariat 11 Third Hospital Avenue, Singapore 168751 Fax: (65) 6327 8630 Email: apacrs@apacrs.org Website: www.apacrs.org P U B L I S H I N G S TA F F Publisher APACRS Charity Wai apacrs@snec.com.sg Donald R. Long don@eyeworld.org APACRS Editorial Kathy Chen kathy.chen@apacrs.org Javian Teh Huang Weitian Charlene Chew ewap@apacrs.org Christine Shimmon Senior Staff Writer Chiles Aedam R. Samaniego ASCRS Editorial Editor Amy Goldenberg Managing Editor Stacy Jobionski Staff Writers Ellen Stodola Liz Hillman Production Graphic Designer Julio Guerrero Graphic Design Assistant Susan Steury Production Manager Cathy Stern Production Assistant Carly Peterson S e p t e m b e r March 2016 Volume 12 • No.1 Contributing Writers Vanessa Caceres – Bradenton, Fla. Michelle Dalton – Reading, Pa. Rich Daly – Arlington, Va. Lauren Lipuma – Washington, DC Senior Contributing Writer Maxine Lipner – Nyack, NY Advertising Sales ASCRS Media 4000 Legato Road Suite 700, Fairfax, VA 22033 (1-703) 591-2220 • fax: (1-703) 273-2963 eyeworld@eyeworld.org • www.eyeworld.org Director Donald R. Long don@eyeworld.org Advertising Sales Manager Paul Zelin paul@eyeworld.org (1-703) 383-5729 Classified Sales Cathy Stern cathy@eyeworld.org (1-703) 591-2220 EyeWorld Special Projects and Events Jessica Donohoe Jessica@eyeworld.org (1-703) 591-2220g Shelly Dixon shelly@eyeworld.org APACRS Publisher : EyeWorld Asia-Pacific Edition (ISSN 1793-1835) is published quarterly by the Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg. Printed in Singapore. EyeWorld Asia-Pacific Chinese Edition (ISSN 1521-7566) is jointly published quarterly by the Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg; and the Chinese Ophthalmological Society (COS), c/o Chinese Medical Association, 42 Dongsi Xidajie, Beijing 100710, PR China, telephone (86-10) 6524-9989 ext 2456, fax (86-10) 6512-3754. Printed in Beijing, PR China. Editorial Offices : EyeWorld Asia-Pacific Edition: Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg. EyeWorld Asia-Pacific Chinese Edition: Chinese Ophthalmological Society (COS), c/o Chinese Medical Association, 42 Dongsi Xidajie, Beijing 100710, PR China; telephone (86-10) 6524-9989 ext 2456; fax (86-10) 6512-3754. EyeWorld News Service : 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003, USA, toll-free (1-800) 451-1339, telephone (1-703) 591-2220, fax (1-703) 273-2963, email eyeworld@eyeworld.org. Advertising Offices : ASCRSMedia, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003, USA, telephone (1-703) 591-2220, fax (1-703) 273-2963, email dlong@eyeworld.org. Copyright 2005, Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg. Licensed through the American Society of Cataract & Refractive Surgery (ASCRS), 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003, USA. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Letters to the editor and other unsolicited material are assumed intended for publication and are subject to editorial review and acceptance. The ideas and opinions expressed in EyeWorld Asia-Pacific do not necessarily reflect those of the editors, publishers or its advertisers. Subscriptions : Requests should be addressed to the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg. Back copies : Subject to availability. Contact the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg. Requests to reprint, use or republish: Requests to reprint or use material published herein should be made in writing only to the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email apacrs@snec.com.sg. Change of address : Notice should be sent to the APACRS publisher, c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, six weeks in advance of effective date. Include old and new addresses and label from a recent issue. The APACRS publisher cannot accept responsibility for undelivered copies. KDN number: PPS1766/07/2013(022955) MCI (P) 021/02/2016 50 60 61 57 MIGS devices and cataract surgery 57 Should surgeons always combine the two, or can the newer devices stand alone? by Michelle Dalton PHARMACEUTICALS Are today’s cannabinoids therapeutic for glaucoma? 60 Considering marijuana use for glaucoma by Maxine Lipner Global cataract blindness: a burden and an opportunity 46 Individual surgeons can use their skills to help clear the worldwide backlog of cataract surgeries by Lauren Lipuma The fight against cataract blindness in Nepal—challenges and opportunities 48 Dr. Ruit outlines the success of the cataract blindness prevention program in Nepal by Sanduk Ruit, MD REFRACTIVE SURGERY Laser or inlay? Helping patients with a new decision 50 Careful preop screening and education as well as some adjunctive treatment should precede inlay use by Rich Daly Beyond pure wavefront 53 Matching the ablation profile to the patient by Maxine Lipner DEVICES Treating keratoconus 55 Corneal crosslinking and intracorneal ring segments for higher levels of keratoconus by Michelle Dalton Coupling up glaucoma medications 61 Update on combination drugs by Maxine Lipner