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22 | EYEWORLD DAILY NEWS | APRIL 24, 2022 ASCRS ANNUAL MEETING DAILY NEWS lenses are called for. "We already know we'll need a high-power lens," he said. The patient's axial lengths were 15.6 mm, which Dr. Weikert noted are some of the smallest eyes he's encoun- tered. The patient also had a shallow anterior chamber. After discussing options with the patient, she decided to wait, but then she showed up again to see Dr. Weikert in 2021. He repeated biometry with similar results. Potential options available for this type of patient would be to use a single-piece IOL in the capsule or a piggyback IOL (though he noted that he wouldn't often utilize this option). He decided to use a SA60AT (Alcon) that was 40 D, and the patient ended up +9 D. Editors' note: Dr. Khandelwal has financial interests with a variety of ophthalmic companies. Dr. Weikert has financial interests with Alcon and Carl Zeiss Meditec. The patient had fairly steep K read- ings, and Dr. Khandelwal questioned other panelists what formula approach they would use with standard formulas because at the time of the case, she only had standard options available. Dr. Pantanelli said he would use the Barrett Universal II. Douglas Koch, MD, said he likes to use the Holladay 1 and would aim at least –2. With the formulas available at the time of her case, Dr. Khandelwal said they indicated that she should aim around –1.5. She ended up using a 7.0 IOL. But now, there are better options and formulas for some of these kerato- conus eyes. Also during the session, Mitchell Weikert, MD, presented the case of a very short eye. His patient was a 76-year-old woman with cataracts, and she had really steep, thin corneas. Dr. Weikert noted that in patients like this, he does biometry that day when seeing the patient for the first time because he wants to know what D uring a symposium on IOL cal- culations, Sumitra Khandelwal, MD, presented on IOL calcula- tions related to the keratoco- nus patients. She asked other panelists in the session about their go-to formulas for keratoconus. Seth Pantanelli, MD, said he would use the Kane formula, as this has a keratoconus adjustment. Dagny Zhu, MD, said she would use a variety of formulas and split the mean, and she mentioned both the Barrett Universal II and Kane formula with specific keratoconus function. Dr. Khandelwal's case was one of a 66-year-old patient who presented with progressive blurry vision. The right eye was worse than the left eye. The patient had a history of keratoco- nus and wore a scleral lens, with BCVA of 20/50 and 20/25. She was having challenges with her vision and with insertion due to a worsening tremor. Her refractive goals included distance and to be as contact lens independent as possible. Symposium features case presentations on IOL calculation considerations mentors, seeing if someone would take you under their wing. Finally, try to have something unique to say and be enthusiastic, in voicing your opinion, willingness to present research, or write articles, she said. Dr. Venkateswaran asked the panel about their favorite ways to start col- laboration with industry. Dr. Brissette said it's great to become involved in clinical trials. "If you have an interest- ing idea, you can pose this to industry and make your research dreams come true," she said. Dr. Greenwood recom- mended reaching out to local reps to express interest. He said what he en- joys most is that it helps him stay up to date with techniques and technologies. Pearls for success, according to Dr. Venkateswaran, include work with integrity, provide unbiased opinions on advisory boards, and know what you can and can't do based on your practice setting (academic vs. private practice). Sumitra Khandelwal, MD, gave her thoughts—and engaged the panel—on the topic of work/life balance, specifi- cally the concept of time. "You can get more time if you're willing to give something up," Dr. Khandelwal said. "I started thinking to myself, that's a really wrong way to think. How can I fix my list of things to do in order to get done what I need to do in the time I have?" Dr. Khandelwal asked the panel to describe a time when they revised their priorities or schedule (or just said no) in order to achieve a better work/ life balance. Mark Hansen, MD, said he knew it was time to reprioritize when his boss, Richard Lindstrom, MD, pulled him aside and said there will always be speaking and publishing opportunities but advised that he spend time with his kids when they want him around. Neda Nikpoor, MD, said that it's not about work/life balance, it's just balance because work is a part of your life. Priyanka Sood, MD, said that she finds it's a "flow" and not necessarily a balance. "You have to reprioritize, and that flow will change from week to week, month to month, and year to year," Dr. Sood said. Other work/life topics the panel covered included how they take care of themselves and what they wish they could have told their younger selves. Other presentations in the session com- pared private practice vs. academic and global outreach. Editors' note: The physicians do not have financial interests related to their com- ments. Dr. Venkateswaran has financial interests with several companies. continued from page 18

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