EyeWorld Asia-Pacific March 2021 Issue

EWAP MARCH 2021 3 EDITORIAL Graham Barrett Chief Medical Editor EyeWorld Asia-Pacific EyeWorld Asia-Pacific • March 2021 • Vol. 17 No. 1 T his issue of EyeWorld Asia- Pacific contains many interesting articles including important discussions on technique such as pearls for fixating and exchanging IOLs. Most worthy of comment, I think, is the thought- provoking “What IOL would you choose, Doc?” The article discusses the results of a 29-question survey submitted to ophthalmic surgeons on which IOL they would select for themselves if they personally required cataract surgery. Despite the many articles on multifocal implants in the literature and their high profile in meetings and journals, the vast majority (93%) of respondents reported that quality was the most important criteria for their eye surgery. A monofocal intraocular lens for distance was the IOL selected by the largest proportion of surgeons (34.5%) for their own surgery followed by a monofocal set for monovision as a close second (26.8%). Of surgeons who had implanted more than 50 multifocal IOLs, only 54.6% would select a presbyopia- correcting IOL for themselves, although these surgeons are two times more likely to select presbyopia-correcting IOLs than those who had not implanted at least 50 multifocal IOLs. The outcome of this survey is intriguing and reflects my own personal thoughts on this topic, although my threshold for selecting a toric would certainly be less than the 1.25-D threshold reported by the majority of the surgeons canvased in this survey. The well-known Golden Rule—do unto others as you would have others do onto you—evident in many ethical and philosophical beliefs and in the teachings of philosophers such as Confucius and Epicurus may explain why presbyopia- correcting lenses are not used more widely in the context of physicians valuing optical quality as the most important criteria in lens selection. Extended depth of focus lenses are able to provide additional functionality for intermediate and near vision while maintaining optical quality at the expense of less spectacle independence than multifocal IOLs. This article could explain the increasing popularity of this category. In addition to the discussion on lens selection prompted by this survey, I hope you enjoy the remaining articles focusing on techniques and technology. EWAP