EyeWorld India December 2013 Issue

December 2013 6 EWAP TABLE OF CONTENTS APACRS Secretariat 11 Third Hospital Avenue, Singapore 168751 Fax: (65) 6327 8630 Email: apacrs@snec.com.sg Website: www.apacrs.org 46 51 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 Summer Ng Javian Teh ewap@apacrs.org Christine Shimmon Senior Staff Writer Chiles Aedam R. Samaniego ASCRS Editorial Editor Jena Passut Managing Editor Stacy Majewics Senior Staff Writer Erin Boyle Staff Writer Ellen Stodola Production Graphic Designer Julio Guerrero Production Assistant Daniela Galeano Contributing Editors Vanessa Caceres – Lakeland, Florida Michelle Dalton – Reading, Pennsylvania Rich Daly – Arlington, Virginia December 2013 Volume 9 • No.3 Enette Ngoei – Singapore Matt Young – Malaysia Senior Contributing Editor Maxine Lipner – Nyack, New York 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 Jeff Brownstein Jeff@eyeworld.org (1-703) 788-5745 Paul Zelin paul@eyeworld.org (1-703) 383-5729 Classified Sales, Production Manager Cathy Stern cathy@eyeworld.org (1-703) 591-2220 EyeWorld Special Projects and Events Jessica Donohoe Jessica@eyeworld.org (1-703) 591-2220g 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) 160/02/2013 Preventing endophthalmitis 43 Some argue intracameral injections are best, while others are using topical drops instead by Michelle Dalton Updates on anterior segment imaging 48 Technology is advancing the field rapidly — and that’s helping researchers and clinicians diagnose corneal disorders more thoroughly and more easily by Michelle Dalton 43 Treating moderate to severe dry eye 45 In most cases, once tears and topical cyclosporine have failed, punctal plugs may provide some relief by Michelle Dalton DEVICES Techniques, tools differ for DALK 46 A much more technically difficult procedure than PK, DALK is slowly gaining ground by Michelle Dalton PHARMA FOCUS Update on lid margin disease 50 Latest on diagnosis and treatment by Maxine Lipner 48 NEWS & OPINION Saving Sight: A great book for the public to gain insight into what we do 52 Andrew Lam, MD, has written a medical history book that would equally captivate lay readers and ophthalmologists by David F. Chang, MD Mission: Vision 53 Two Singapore-based organizations are working to alleviate vision impairment in developing countries in the Asia-Pacific region by Chiles Aedam R. Samaniego