EyeWorld India September 2018 Issue

4 September 2018 EWAP CONTENTS Feature September 2018 Challenging cases 9 - 23 CATARACT/ IOL First-in-human randomized controlled study compares phaco time with miLOOP and phaco alone 26 Micro-interventional nucleus disassembly with miLOOP resulted in significantly less phaco energy in moderate to advanced cataract by Liz Hillman Optimizing femto fragmentation patterns on lens density lowers phaco time 28 Study finds lower effective phaco time with pie fragmen- tation pattern for denser lenses by Liz Hillman Post-cataract CME under examination 30 Considering possible connection to medications by Maxine Lipner Head-to-head comparison of toric IOLs 33 One toric lens found to rotate more than the other by Liz Hillman Cover image: Karl Brasse, MD, EyeLand Design Challenging cases in cataract surgery 9 Problems can occur when you least expect them by Vanessa Caceres Challenging cases in refractive surgery 14 Experts discuss the challenge of dysfunctional lens syndrome, amblyopia, ocular surface disease, and vision restoration by Liz Hillman Challenging cases in corneal surgery 19 Surgeons discuss two issues they see often in cornea surgery and what treatment strategy they employ by Ellen Stodola Challenging cases in glaucoma surgery 23 Surgeons identify the latest treatments and coming innovations to help their most challenging glaucoma cases by Rich Daly Editorial 3 9 19 23 REFRACTIVE A wrinkle in LASIK 40 The latest on clinically significant flap striae by Maxine Lipner Diagnostics in refractive cataract surgery: Corneal topography 42 A critical step for refractive cataract surgery by Michelle Stephenson Premium implant cataract surgery 46 High patient expectations necessitate enhancement plans by Michelle Stephenson CORNEA Study shows little effect from omega-3 fatty acids 50 Recent research finds that placebo had equivalent efficacy as a mainstay dry eye treatment by Rich Daly The dropping and dropped nucleus 38 A cataract expert gives best course of action in cataract cases involving a torn posterior capsule by Stefanie Petrou Binder, MD Considering percent tissue altered as a risk factor for post-LASIK ectasia 48 As a relatively new metric, PTA is a debated topic as to whether it should be viewed as a risk factor for post- LASIK ectasia by Liz Hillman 26 28 40 43 51 52