EyeWorld India March 2019 Issue

4 March 2019 EWAP CONTENTS Feature March 2019 Revisiting astigmatism 8 - 19 Challenging dry eye cases 22 Experts discuss how to handle a variety of scenarios by Ellen Stodola Managing ocular surface issues caused by vision-preserving glaucoma drops 25 Drops that help protect the optic nerve can be toxic to the ocular surface; experts discuss how to handle this situation by Liz Hillman Managing neurotrophic keratitis 27 Addressing this orphan disease helps improve the ocular surface before surgery by Chiles Aedam R. Samaniego Treatment plan for corneal irregularities before cataract surgery 29 Assess carefully, consider potential postop visual outcome by Vanessa Caceres The true measure of astigmatism 8 Ophthalmologists share their preferred approaches to measuring astigmatism by Chiles Aedam R. Samaniego Correcting corneal astigmatism 11 Experts discuss their preferences for managing corneal astigmatism by Ellen Stodola Views on astigmatic keratotomy 13 The use of astigmatic keratotomy continues to change amid newer options by Rich Daly Maximizing posterior corneal astigmatism for toric IOL calculations 15 Measurement of the posterior surface continues to evolve, improve by Vanessa Caceres Astigmatism and presbyopia-correcting IOLs 17 Experts share thoughts on aspects of astigmatism with presbyopia-correcting IOLs by Liz Hillman Editorial 3 13 CATARACT/IOL Distinguishing TASS from endophthalmitis 31 Expert discusses ways to differentiate between the two potentially damaging diseases by Lauren Lipuma Compensating for zonular weakness in cataract surgery 33 Specialist describes his implementation of capsular tension rings in dealing with zonular defects by Stefanie Petrou Binder, MD A cut above 35 Effect of cataract incision choice on wound integrity by Maxine Lipner Toric IOL rotated – now what? 36 How to manage toric IOL rotation postoperatively and preventative measures to take intraoperatively by Liz Hillman Ergonomics of cataract surgery 39 Keep surgery flowing smoothly and avoid errors by checking, and checking again by Stefanie Petrou Binder, MD Surgical remedy for negative dysphotopsia 41 On secondary reverse optic capture by Maxine Lipner 17 25 27 SECONDARY FEATURE: IMPROVING THE OCULAR SURFACE FOR CATARACT AND REFRACTIVE SURGEONS 31 33 36 41 MSICS and its place in the hands of young eye surgeons 43 Experts agree that manual small incision cataract surgery has a role in regular practice and training programs, even in developed countries by Liz Hillman Recovering from a posterior capsule hole 46 Surgeon explains the challenges of and recovery from a posterior capsular hole during cataract surgery by Rich Daly REFRACTIVE Getting better reading vision with EDOF lenses 47 Ophthalmologists describe nanovision and recent studies that showed a good range of vision at all distances, including improve d reading vision by Liz Hillman New noninvasive refractive treatment on the horizon 50 Animal model tests of femtosecond laser crosslinking showed positive induction of steepening and flattening effects by Liz Hillman 47 Cover image: Karl Brasse, MD, EyeLand Design