ASCRS NEWS
point, Juvene is being researched
at two international sites and has
been implanted in 44 eyes. Patients
will be followed for 12 months.
Elizabeth Yeu, MD, Nor-
folk, Virginia, introduced the topic
of postoperative corneal adjust-
ability, providing data about the
myopia epidemic and the ubiqui-
tous state of presbyopia. Follow-
ing, representatives from several
companies discussed technologies
that address these issues at the
corneal plane.
William Wiley, MD, Cleve-
land, said when it comes to
presbyopia correction, there are
a lot of pieces to the puzzle, and
he doesn't think there will be one
solution to solve that puzzle. Small
aperture optics have a place in
presbyopia correction, Dr. Wiley
said, discussing the use of inlays
in his practice, especially the
KAMRA inlay (CorneaGen).
Dr. Wiley said he sees an
opportunity in presbyopic patients
who come in for LASIK; he will
do a simultaneous inlay in their
nondominant eye. Haze, as seen
in some cases of the now recalled
Raindrop inlay (ReVision Optics),
is not a concern with KAMRA,
Dr. Wiley said, if it's implanted at
a proper depth in the cornea.
Aylin Kilic, MD, Istanbul,
Turkey, presented on the use of
allogenic inlays (Allotex) placed
under a LASIK-like flap. This
product is currently under re-
view at seven European sites and
will include 121 eyes. Dr. Kilic
said because allogenic inlays are
human tissue, they have seen good
remodeling of the cornea without
haze.
Raj Rajpal, MD, McLean,
Virginia, spoke on photorefractive
intrastromal crosslinking (PiXL,
Avedro) with the company's Mosa-
ic device (not available in the U.S.).
This noninvasive, 30-minute pro-
cedure provides a customized light
pattern for selective stiffening and
can be used to treat presbyopia
and also low amounts of myopia
and hyperopia.
Finally, John Vukich, MD,
Madison, Wisconsin, presented
on the LIRIC platform (laser-in-
duced refractive index change,
Clerio Vision). This technology,
which uses low-pulse femtosecond
laser energy, he said, is applicable
to the cornea, IOL, and contact
lenses. It involves taking a uniform
shape and changing the refractive
index so that it bends the light in
a different way. With the cornea,
for example, the shape remains
unchanged, but it's the refractive
index in a thin layer of the cornea
that affects the refractive correc-
tion, Dr. Vukich said.
Editors' note: The speakers have finan-
cial interests related to their comments.
NexTech
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