In the symposium titled The New Black in Presbyopia Correction, surgeons shared their experience with numerous intraocular lens (IOL) implants. Patients may present with various conditions, and there are ways to tackle the challenges. “We need to prepare the surgeon and the mindset of the surgeon to understand the technology and what we know so far,” Robert Ang, MD (Philippines) said. His clinical pearls focused on small aperture IOLs. These small aperture IOLs consist of a non-diffractive EDOF IOL design that filters out unfocused and aberrated light, allowing organized central light rays to focus on the retina. In Dr. Ang’s experience, he found that 100% of his patients achieved uncorrected near visual acuity of 20/25 or better, uncorrected intermediate visual acuity of 20/20 or better, and uncorrected distance visual acuity of 20/20 or better after implanting binocular small aperture IOLs. Aniseikonia, the difference in perceived image size, may be another challenge surgeons encounter, Fam Han Bor, MD, explained. Most patients have a small amount (<1%) of aniseikonia, but in those with clinically significant aniseikonia (≥2%), symptoms present as mild headaches, fatigue, and asthenopia. For these patients, Dr. Fam suggests looking first at eye dominance and avoiding monovision when implanting IOLs. “Look at the biometry and aim for minimum aniseikonia,” he said. For cataract patients with glaucoma, Hiroko Bissen-Miyajima, MD, PhD, explored whether surgeons should consider implanting presbyopia-correcting (PC) IOLs. “A majority of glaucoma specialists and cataract specialists will say no,” Dr. Bissen-Miyajima said. From her research, she found that if patients have well-controlled pressures and a good visual field with non-progressive primary open angle glaucoma (POAG) or if patients have POAG without epiretinal membrane (ERM), she will consider implanting PC IOLs in them. Film Festival Winners A major highlight of every APACRS meeting is the Film Festival, and this year was no exception. This year, the Grand Prize went to Takahiro Shimowake, MD, PhD (Japan) for his film Spiral CTR Injector. Dr. Shimowake previously took home the Grand Prize in 2009. The list of this year’s winners follows: Cataract/Implant Surgery Winner: The Optimal IOP for the Stable Anterior Chamber in Cataract Surgery, Producer: Hisaharu Suzuki, MD, PhD (Japan) Runner Up: A New Miyake- Apple View System Using a Nasal Endoscope, Producer: Takeshi Sugiura, MD (Japan) Cataract Complications/ Challenging Cases Winner: Innovative Extraction Technique for Dislocated Intraocular Lens, Producer: Santaro Noguchi, MD, PhD (Japan) Runner Up: The Polar Bug!, Producer: Tushya Om Parkash, MD (India) Refractive/Corneal Surgery Winner: Tissue Addition for Hyperopia – The Whole Story!, Producer: Sheetal Brar, MD (India) Runner up: Fog Away SLET, Producer: Kyoung Woo Kim, MD (South Korea) General Interest Winner: Future Forward – Artificial Intelligence Assisted Eye Care, Producer: Samaresh Srivastava, MD (India) Runner up: Sew Clever: A Modified Sewing Machine Technique for Iridodialysis Repair, Producer: Elizabeth Aileen Giller, MD (Philippines) IIIC Lectures: The Perfect Save! The 35th APACRS Singapore marked the first time the International Intraocular Implant Club (IIIC) symposium was presented, but it will not be the last. “We will try to bring the IIIC Symposium to every APACRS meeting in the future,”
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