EyeWorld India September 2019 Issue

EWAP SEPTEMBER 2019 37 CATARACT topical bromfenac 2 days before surgery. Investigators found that with the Omidria patients, fewer of them needed Malyugin rings inserted during the cataract removal procedure. “Our incidence of Malyugin rings went from 12% to 2%,” Dr. Walter said, adding that while there were two cases in which rings were needed, Omidria was helpful in making the iris stiffer, resulting in less undulation during surgery. time at 8.1 minutes versus 9 minutes without. Dr. Walter thinks that this gap remains because even if a ring is not inserted, time spent considering whether or not to do so can slow things down. “If you don’t use it and the pupil is still on the small side, you have to slow down when doing the surgery.” '[GKPI GHƂEKGPE[ The minute saved by using Omidria may translate into an ability to do more cases. “You’re saving 1 minute on a 7-minute case,” Dr. Walter said. For every seven cases practitioners are able to save 1 minute on, that’s another case they can do, he noted. If a high-volume surgeon normally does 14 cases in a day, they can now do 16 in the same time, with the same overhead costs. For Dr. Walter, the take-home message is that for femtosecond cataract surgery, Omidria use is a more elegant solution to the problem of miosis, rather than a hook or a ring that could potentially cause damage. “If you want a premium outcome for your patients, I recommend a premium product like Omidria to keep the iris out of the way,” he concluded. EWAP Editors’ note: Dr. Walter is professor of ophthalmology, Wake Forest University, Winston-Salem, North %CTQNKPC CPF JCU ƂPCPEKCN KPVGTGUVU in Omeros. Reference 1. Walter K, et al. Continuous intracameral phenylephrine-ketorolac irrigation for miosis prevention in femtosecond laser-assisted cataract surgery: Reduction in surgical time and iris manipulation. J Cataract Refract Surg. Óä£Æ{x\{Èxq{È° Capsule hooked by mechanical expansion of the pupil during FLACS. Source: Keith Walter, MD /iÀi Ü>Ã >Ã > Ã}wV>Ì reduction in surgical time with Omidria, which was assessed in two different ways. One was to look at all the cases in each group for a statistically Ã}wV>Ì `vviÀiVi i> surgical time. “In the non- Omidria group, there were 12 Malyugin rings and of course it is going to increase the surgical time to put those rings in,” he said. “So we excluded those 12 eyes and the two from the Omidria group,” he said. Even so, investigators saw a ÃÌ>ÌÃÌV>Þ Ã}wV>Ì `iVÀi>Ãi in average surgical time between the two groups, with Omidria www.haag-streit.com $UWLƂFLDO LQWHOOLJHQFH ZLWK +LOO 5%) ,2/ GDWD IURP DOO RYHU WKH ZRUOG FROOHFWHG E\ OHDGLQJ FDWDUDFW VXUJHRQV LV WKH IRXQGDWLRQ IRU WKH +LOO 5%) 7KLV ELJ GDWD LV DQDO\]HG E\ SDWWHUQ UHFRJQLWLRQ EDVHG RQ DUWLƂFLDO LQWHOOLJHQFH OHDGLQJ WR KLJKO\ DFFXUDWH ,2/ SUHGLFWLRQV DQG SURYLGLQJ FRQƂ - GHQFH WKDQNV WR D XQLTXH UHOLDELOLW\ FKHFN +LOO 5%) 7KH QHZ YHUVLRQ RI 5%) LV EDVHG RQ D ELJJHU GDWDVHW FRQVLV WLQJ RYHU [ WKH DPRXQW RI GDWD FRPSDUHG WR WKH SUHYLRXV YHUVLRQ 7KLV OHDGV WR DQ LPSUHVVLYH RXWFRPH RI ZLWKLQ ' LQ DOO H\HV ,Q DGGLWLRQ WKH +LOO 5%) ZDV FRPSOHPHQ WHG ZLWK WKH ZHOO HVWDEOLVKHG $EXODƂD .RFK DOJRULWKP IRU WRULFDO DSSOLFDWLRQV Q &OLQLFDO 6WXG\ 6SHULFDO (TXLYDOHQW 5HVXOWV 6WHYHQ 9 6FRSHU 6DWHOLWH 6\PSRVLXP $6&56 LENSTAR 900 $, SRZHUHG ,2/ FDOFXODWLRQ