EyeWorld India June 2013 Issue

June 2013 4 EWAP TABLE OF CONTENTS Feature June 2013 IOLs, Femtosecond cataract 8 - 27 Letter from the Editor 3 32 34 A decade later, premium IOLs still viable option 8 Choosing the appropriate candidates for premium IOLs can improve patient satisfaction by Erin L. Boyle Managing postop refractive errors with premium IOLs 14 Pearls to avoid (and better handle) post-surgery surprises by Vanessa Caceres Update on the femtosecond laser for cataract surgery 16 With more surgeons using the devices, quantifying the benefits may become easier by Michelle Dalton A new twist on femtosecond platforms 21 Diving into the debate on combined versus dedicated cataract units by Maxine Lipner Laser energy in cataract surgery could abolish ultrasound 23 Is eliminating ultrasound from cataract surgery the next logical step? by Professsor Valentina Kopayeva, MD, and Elena Vialova, MD IOL implantation followed by femtosecond arcuate relaxing incisions 25 Post-IOL relaxing incisions benefit from femtosecond laser precision, customizability by David Hardten, MD CATARACT/IOL Is extracap still necessary? 28 With all the technologies available to surgeons, is there still a place for extracap procedures? by Michelle Dalton Microbulldog silicone assistant for intrascleral haptic fixation of IOLs 34 Growing interest in techniques for intrascleral haptic fixation leads to resurrection of this simple device by Steven G. Safran, MD Patients in need, but iris-fixated IOLs remain niche 36 Iris-fixated IOLs fill an important need for complicated cases in the Philippines by Matt Young 28 30 43 Lens prototype could avert negative dysphotopsia 30 New patent pending for anti-dysphotopic IOL by Erin L. Boyle Determining visual outcomes 32 With all the improvements in technology, is measuring vision by Snellen alone enough these days? by Michelle Dalton REFRACTIVE Unexpected refractive surprises 41 Using biometry to predict IOL powers can be incredibly helpful. But one clinician warns certain readings should have you question the suggestions by Michelle Dalton Exploring HOA correction for keratoconus patients 43 Efforts from one lab target keratoconus patients, potentially other markets by Vanessa Caceres Topography-guided PRK with simultaneous crosslinking could be future solution for those with ectasia and keratoconus 46 Early results with the procedure show promise by Ellen Stodola Is efficacy ratio the new 20/20 48 There are new expectations and new ways to measure success after laser vision correction by David J. Tanzer, MD CORNEA Amniotic membrane use solves numerous severe surface issues 50 But whether using cryo-preserved or heat-dried, it is “not a magic want” by Michelle Dalton Education fuels medication success 54 Persistence pays by Maxine Lipner