Key ophthalmic leaders gathered on December 16, 2021 for an APACRS webinar to discuss and review the latest developments in cataract and refractive surgery. Topics ranged from learning how to optimize patient outcomes with different lens implants to techniques on removing dense cataracts. New Developments in Supplement to EyeWorld Asia-Pacific March 2022 APACRS In a video during her presentation, Dr. Nielsen showed her surgery process of centration, docking, cyclotorsion, adjustment, and treatment using the VISUMAX® 800. Dr. Nielsen stated that her first clinical impressions of using this new femtosecond laser was that the laser time was quite short at 10 seconds. She also stated that it was easy to digitally perform a cylinder adjustment after the docking step since the patient’s head did not need to be rotated. Because the VISUMAX® 800 is a mobile device, Dr. Nielsen appreciated that one can move the device in and out of the operating room depending on usage. Finally, the patient bed is more comfortable compared to the previous VISUMAX®. As of December 2021, Dr. Nielsen had performed about 50 SMILE surgeries since May 2021 on both myopic and astigmatic patients and reported no complications and no suction loss. To delve into Dr. Nielsen’s experience in more detail, she provided results for the first 13 eyes, of which were all greater than -6 diopters, that had undergone surgery using the VISUMAX® 800 at 3-month follow-up. Dr. Nielsen saw significant improvement in best-corrected visual acuity (BCVA) from preoperative values to 3-month post-op values. In terms of efficacy, there was no significant change in preoperative BCVA to postoperative uncorrected visual acuity (UCVA) at 3 months (p = 0.28). Furthermore, there was no significant over- or under-correction at 3 months after surgery. Dr. Nielsen also stated that she was happy that 12 out of the 13 eyes were within +/- 0.5 diopters of cylinder correction. Dr. Nielsen concluded that switching from the VISUMAX® 500 to the VISUMAX® 800 was an easy transition, and she experienced no suction loss during surgery and no serious complications in her patients using the VISUMAX® 800. With today’s technology, Dr. Nielsen recommends SMILE procedures to all ophthalmic surgeons. The news magazine of the Asia-Pacific Association of Cataract & Refractive Surgeons Copyright 2022 APACRS. All rights reserved. The views expressed here do not necessarily reflect those of the editor, editorial board, or publisher, and in no way imply endorsement by EyeWorld, Asia-Pacific or APACRS. The New Visumax 800: First impressions and Clinical Results Stine Elkjaer Nielsen, Denmark At Aarhus University Hospital where Stine Elkjaer Nielsen, MD practices, she has been performing LASIK surgery on patients with high myopia higher than 6 diopters. Typically, Dr. Nielsen will see patients preoperatively as well as one day and 3 months after surgery. In June 2021, Dr. Nielsen’s practice received the new VISUMAX® 800 in which the femtosecond laser provides a reduced laser time in comparison to its predecessors. In Dr. Nielsen’s clinic study of 13 eyes undergoing operation with the VISUMAX® 800, there was no significant change in preoperative BCVA to postoperative uncorrected visual acuity (UCVA) at 3 months (p = 0.28). “ Knowing exactly how dense your patient’s cataract is helps a lot in thinking and planning for the surgery.” Ronald Yeoh, MD, Singapore
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