Eyeworld Daily News

2016 WOC Guadalajara Daily Sunday

EyeWorld Today is the official daily of the ASCRS Symposium & Congress. Each issue provides comprehensive coverage editorial coverage of meeting presentations, events, and breaking news

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Pearls for complicated phaco cases by Ellen Stodola EyeWorld Staff Writer EyeWorld Daily News • The official WOC Guadalajara Show Daily Sunday February 7, 2016 digital.eyeworld.org continued on page 3 continued on page 3 New technologies in refractive imaging and corneal lasers by Ellen Stodola EyeWorld Staff Writer N ew technologies can help improve imaging abili- ties for surgeons, making it easier to obtain the necessary optical images preoperatively, intraoperatively, and postoperatively. Vishal Jhanji, MD, Hong Kong, highlighted intraoperative OCT and its applications. Intraoperative OCT is increasingly being used in periop- erative imaging to help facilitate optimal decision-making and to improve understanding of tissue al- terations, he said. It can be used for a number of different indications, including a variety of vitreoretinal indications and lamellar keratoplasty. Two common indications for in- traoperative OCT are its use in LASIK and in crosslinking, Dr. Jhanji said. With LASIK, it can help physicians see the quality of residual bed thick- ness, and with crosslinking, it can provide measurement of CCT and TCT and also can evaluate riboflavin penetration. Dr. Jhanji discussed research using intraoperative OCT for cross- linking. He also highlighted the use of intraoperative OCT in LASIK, discussing a study to compare the re- peatability and agreement of stromal bed thickness measurements using SDOCT and USP. D uring a session on Satur- day morning focusing on complicated phaco cases, presenters gave attendees their top 5 pearls for deal- ing with a number of issues. This was followed by a panel discussion on topics such as intraoperative floppy iris syndrome (IFIS)/small pupils, posterior polar cataracts, pseudoexfoliation/weak zonules, phaco with glaucoma, the rock hard lens, avoiding femtosecond laser complications, and vitreous loss and anterior vitrectomy. Boris Malyugin, MD, PhD, Moscow, presented first in the ses- sion, focusing his presentation on dealing with IFIS. His 5 tips were to inject, dissect, tear, cut, and expand. First, inject, he said. When you are dealing with patients with small pupils, injecting non-preserved epi- nephrine into the anterior chamber may be helpful, he said. This can help the pupil expand well. But he cautioned that this technique does not work in all cases. Beatrice Cochener, MD, discusses new alignment platforms for toric IOL implantation Abhay Vasavada, MD, gives attendees tips for dealing with posterior polar cataracts

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