ASCRS
DAILY NEWS
S A T U R D AY, M AY 4 , 2 019 | A S C R S A S O A A N N U A L M E E T I N G
by Liz Hillman
EyeWorld Senior Staff Writer
T
he 2019 Steinert Refrac-
tive Lecture at the 2019
ASCRS Refractive Day
was presented by Eric
Donnenfeld, MD, Rock-
ville Centre, New York.
Dr. Donnenfeld has
published hundreds of peer-re-
viewed papers, participated in
more than 60 FDA clinical trials,
by Liz Hillman
EyeWorld Senior Staff Writer
S
everal presentations
during the 2019 ASCRS
Refractive Day covered
technologies and innova-
tions that could enhance
premium refractive lens
surgery.
An automated capsulotomy
device has the ability to create a
precise, reproducible capsulor-
hexis, but Kevin Waltz, MD,
Moving premium refractive lens surgery forward
Steinert Refractive Lecture seeks to correct
LASIK myths and misconceptions
Ocular
1
BVI
1
WHEN RELIABILITY COUNTS
THE RIGHT
PACK
MATTERS
bvimedical.com
Minimize your
pack-building time
Expedite your
OR experience
CustomEyes
®
your pack
BVI, BVI Logo and all other trademarks (unless noted otherwise) are
property of Beaver-Visitec International, Inc. ("BVI") © 2019 BVI.
1498237-03
Visit BVI
BOOTH
1206
Dextenza
®
BIG TIME'I � ION
VISIT BOOTH #1737
1 Sawhney AS, �arrett Bassett M, Blizzard C, inventors; Incept, LLC, assignee Drug delivery through hydrogel plugs. US patent 8,409,606 82. April 2,
2013. © 2019 Ocular Therapeutix, Inc. All rights reserved. DEXTENZA is a registered trademark of Ocular Therapeutix, Inc. I PP-US-DX-0097
FOR FULL PRESCRIBING
INFORMATION VISIT
DEXTENZA.COM
Indianapolis, said there might be
secondary, long-term benefits of
such technology as well.
Dr. Waltz focused his talk on
Zepto (Mynosys) because it is the
only device FDA-approved in the
U.S., but there are other automated
capsulotomy devices.
Studies have shown a Zep-
to-created capsulotomy has a
stronger, more tear-resistant edge
when compared to femtosecond
laser-created and manual capsulo-
tomies. Zepto has also been asso-
ciated with a reduced PCO rate,
which Dr. Waltz said was "totally
continued on page 4
continued on page 3
Dr. Holland presents Dr. Donnenfeld (left) with the Steinert Refractive Lecture award.
unexpected" and could be due to
"markedly reduced fibrosis inside
the capsule." Five-year data, Dr.
Waltz said, suggests that with less
intracapsular fibrosis you could
have less phimosis long-term.
With these, Dr. Waltz said
there "might be some hidden ben-
efits to automated capsulotomies."
Nuclear disassembly with
miLOOP (Carl Zeiss Meditec)
can have refractive benefits, said
Sean Ianchulev, MD, New
York. Dr. Ianchulev described
research that suggests the cen-
tripetal fragmentation that avoids
stretching the capsular bag (unlike
traditional centrifugal phaco-chop
techniques) impacts effective lens
position. This benefit is in addi-
tion to the reduced phaco energy
delivered to the eye for nuclear
disassembly.
In terms of innovation of
premium lenses, Robert Maloney,
MD, Los Angeles, highlighted the
Light Adjustable Lens (RxSight).
This lens is implanted in basic
cataract surgery with no LRIs,
no corneal marking, no intraop-
erative aberrometry, and no axis