EyeWorld Asia-Pacific September 2014 Issue

September 2014 4 EWAP TABLE OF CONTENTS Feature September 2014 Keratorefractive enhancement of pseudophakes 8 - 17 Letter from the Editor 3 Paying the premium lens piper 8 How much residual error is acceptable? by Maxine Lipner Experts: PRK effective refractive surgery option for cataract surgeons 11 If a surgeon lacks refractive training, many experts suggest using PRK over LASIK by Michelle Dalton Counseling patients about refractive enhancement 16 Depending on the patient, a surgeon may want to discuss refractive enhancement preop by Ellen Stodola A tribute to Prof Arthur Lim 33 - 36 18 42 CATARACT/IOL Intraoperative pupil expansion: Making challenging cases easier 30 Making every case as routine as possible requires addressing controllable factors, minimizing chance by Tony Realini, MD, MPH An apology to used car salespeople: Educating vs. selling, part one 37 Discussing advanced technology IOLs with patients isn’t simply “selling” a product or service by Richard Tipperman, MD GLAUCOMA - Secondary feature: Making the case for cataract surgery in angle closure glaucoma patients 18 Procedure is simpler than glaucoma surgery, helps to lower IOP by Vanessa Caceres POAG is becoming an individualized disease 21 No single test is best for diagnosing the disease or progression, experts say. It all depends on the patient by Michelle Dalton New glaucoma treatments in the pipeline 24 A new class of agents and long-term therapy on the way by Maxine Lipner FDA/AGS meeting facilitates discussion about future of MIGS devices 28 Discussions and topics seek to aid “innovation in the ophthalmic arena” by Ellen Stodola Current a b interno supraciliary devices in US clinical studies CyPass Micro-­‐Stent iStent Supra Cau?on : InvesIga Ional devices. Federal (US) Law limits these devic e s to invesIgaIonal use. urrent ab interno sup r aciliary devices in US clinical s tudies CyPass Micro-­‐Stent iStent Supra Cau?on : InvesIgaIon al devices. Federal (US) Law limits these devices to in vesIgaIonal use. 28 Femtosecond laser advantages for cataract surgery evolving 39 Ever-changing technology requires continuous study by Vanessa Caceres Can the femto for cataract live up to its hype? 42 In theory and in limited clinical data, the answer is: “Absolutely” by Michelle Dalton Assessing femtosecond favorability 45 Does the laser make AK more predictable? by Maxine Lipner Global reception of femtosecond laser cataract surgery 48 The new technology is being used differently around the world by Ellen Stodola REFRACTIVE The current state of topography-guided ablations 51 Approvals and patient selection recommendations differ depending on where topography-guided ablation is being used by Ellen Stodola