4 EyeWorld Asia-Pacific | December 2024 Graham Barrett Chief Medical Editor EyeWorld Asia-Pacific • China • Korea • India EDITORIAL BOARD Chief Medical Editor Graham Barrett, MD INDIAN EDITION Regional Managing Editor Abhay Vasavada, MD Deputy Regional Editor S. Natarajan, MD KOREAN EDITION Regional Managing Editor Hungwon Tchah, MD Deputy Regional Editor Chul Young Choi, MD APACRS Publisher: EyeWorld Asia-Pacific Edition (ISSN 1793-1835) is published quarterly by the Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. Printed in Singapore. Editorial Offices: EyeWorld Asia-Pacific Edition: Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS), c/o Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore 168751, telephone (65) 6322-7469, fax (65) 6327-8630, email ewap@apacrs.org. 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KDN number: PPS1766/07/2013(022955) MCI (P) 038/02/2024 CHINESE EDITION Regional Managing Editor Yao Ke, MD Deputy Regional Editor He Shouzhi, MD Zhao Jialiang, MD Assistant Editors Zhouqi, MD Shentu Xingchao, MD EDITORIAL MEMBERS Chan Wing Kwong, MD Singapore Ronald Yeoh, MD Singapore John Chang, MD Hong Kong SAR Pannet Pangputhipong, MD Thailand YC Lee, MD Malaysia Hiroko Bissen-Miyajima, MD Japan Kimiya Shimizu, MD Japan Sri Ganesh, MD India Chee Soon Phaik, MD Singapore Johan Hutauruk, MD Indonesia PUBLISHING TEAM Chief Publisher Ronald Yeoh, MD Executive Director Kathy Chen kathy.chen@apacrs.org Publishing Consultant Donald R Long don@apacrs.org Production Team Gretel Tan Aileen Bian ewap@apacrs.org EDITORIAL Clearing clinical and surgical hurdles remains a relevant effort for all surgeons who perform cataract surgery. This issue of Eyeworld Asia-Pacific contains several examples of hurdles that need to be overcome: including the management of floaters, the presence of high order aberrations and achieving satisfactory outcomes in patients with keratoconus. I personally regard pre-existing keratoconus in cataract surgery particularly challenging, but with careful planning, cataract surgery can be life changing for these patients. Any discussion needs to recognise the spectrum of the condition which can vary from mild forme fruste corneal changes to patients being totally dependent on rigid gas permeable (RGP) contact lens correction for adequate vision. Naturally, the surgical approach will differ depending on the severity of the condition. It is very important to establish whether the patient has been able to achieve satisfactory vision at some stage with spectacles. In the presence of significant cataract this may require obtaining records from their optometrist prior to the development of cataract. Although there is a trend to consider small aperture IOLs to address corneal irregularity, my experience suggests that this is not Clearing Clinical & Surgical Hurdles
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