EyeWorld Asia-Pacific December 2021 Issue

CATARACT 12 EWAP DECEMBER 2021 Dr. Naids uses the Light Delivery Device. -ource\ -teÛen aids] by Ellen Stodola Editorial Co-Director Contact information Chang: dceye@earthlink.net Loden: lodenmd@lodenvision.com Naids: steven.naids@gmail.com Ristvedt: deborah.ristvedt@vancethompsonvision. com Using the Light Adjustable Lens in practice T he Light Adjustable Lens (LAL, RxSight) offers the unique opportunity to lock in the preferred vision after surgery. With recent updates, the technology can be an attractive option for a variety of refractive cataract patients. Several surgeons discussed how they use this IOL in their practice. Which patients should the LAL be used for? As an adjustable toric monofocal IOL, the LAL can be used for any patient who does not want to compromise night vision or contrast sensitivity, and it is particularly well suited for the most challenging refractive patients, said David . hang] . º/hese include post‡ refractive or refractive lens exchange patients, those with unpredictable astigmatism (e.g., mild corneal scars), uncompromising personalities demanding a specific outcome (e.g., no distance [compromise] or no reading glasses), and those who’ve never needed glasses thanks to rigid contact lens monovision and expect this to continue.” ames oden] ] said he considers the LAL to be an “upgrade product” in his practice, so the patient pays eÝtra for it. e comLines it with one of the femtosecond laser packages in his practice, but he noted that physicians do not need to have a femtosecond laser to be able to use the LAL. “It’s a way that you can upgrade to a refractive product without having to have the capacity to do corneal relaxing incisions,” he said. “You don’t need a femtosecond laser, and the vast majority of the time, you don’t need an excimer laser to do any fine turning or adjustments of the patient.” Dr. Loden said it will depend on the practice to see how the Ƃ fits into the treatment paradigm. e has a large refractive practice and said that this is “absolutely the best technology out there for adjustable monovision.” You can fine tune the patient to exactly what they want with their monovision. “If someone is thinking about monovision and not sure if they’ll tolerate it, you can give them the monovision effect, and if they don’t like it, This article originally appeared in the September 2021 issue of EyeWorld . It has Leen slightlÞ modified and appears here with permission from the ASCRS Ophthalmic Services Corp.