Elevating Surgeon and Patient Satisfaction with Cataract Innovations Supplement to EyeWorld Asia-Pacific September 2022 Supplement to EyeWorld Asia-Pacific December 2023 APACRS The news magazine of the Asia-Pacific Association of Cataract & Refractive Surgeons The Johnson & Johnson lunch symposium held at the APACRS 2023 Singapore on Friday June 9 gathered three cataract experts who shared their experiences with having true ease and total control over their cataract surgery procedures. Customized IOL Selection to Meet Patient Needs Prin ROJANAPONGPUN, MD Thailand Placing a focus on the patient experience is one of the most important aspects in providing exceptional care and improving patient outcomes. These days, “our patient is changing,” Prin Rojanapongpun, MD (Thailand) said. “They have different needs and lifestyles.” Thus, it is important to individualize treatment and consider all the details pertinent to their care. “At the end, it’s about whether the patient is happy or not.” In today’s modern day lifestyle, multifocality, or multi-distance function, becomes a high priority. The current cataract patient is not the same as that of the last decade. These days, patients are requesting more. They are multi-tasking, living a modern lifestyle, and desiring spectacle freedom. Dr. Rojanapongpun stressed the importance of a multimodal approach when planning for cataract surgery. By understanding a patient’s challenges and needs, surgeons can customize their intraocular lens (IOL) selection and adapt visual care to fit the patient’s lifestyle. In one patient case study, Dr. Rojanapongpun introduced an elderly female who wished to be spectacle free because she struggled with reading near, had neck and eye discomfort while wearing spectacles, and required good near vision due to her family business of stone-cutting. Additionally, she needed to drive every night. After Dr. Rojanapongpun customized the IOL to this patient’s needs, she was very happy after the surgery, stating that she felt like she had the eyesight of a 15 year-old. However, Dr. Rojanaponpun cautions that surgeons must also compromise in each patient situation. “We need to fine-tune their needs and priorities,” he said. “Patients will have to give up something to gain something. Discuss a compromise with the patient.” Perhaps one patient prioritizes better contrast sensitivity over spectacle independence or vice versa. He recommends that surgeons individualize each case and work with the patient to achieve a good balance of happiness in the outcome of the surgery. In one case of a 71 year-old female, the patient worried about glares and halos due to driving at night, but did not want to wear spectacles. She also was performing a lot of work using near vision. After discussion, Dr. Rojanapongpun used a mix and match approaching and selected the TECNIS Eyhance™ IOL for the right eye and the TECNIS Synergy™ IOL for the left eye. In the end, this patient achieved great visual acuity (20/20 uncorrected distance visual acuity for both eyes, 20/25 uncorrected intermediate visual acuity for Sponsored by Johnson & Johnson Vision “ With a legacy of 20 years, the TECNIS bio-polymer material has no glistenings, no surface discolouration, a low refractive index, a consistent A-constant and reduced capsule contraction. ” Prin ROJANAPONGPUN, MD Thailand
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