EW
SHOW DAILY
32
L
ike The Tonight Show on
which the EyeWorld CME
Education
symposium ti-
tled "Reducing the Impact
of Cataract Surgical Stress
by Mitigating Inflammation and
Reducing Ultrasound Energy" was
modeled, things do change, said
moderator Terry Kim, MD, Durham,
N.C. The popular late night talk
show that first aired in 1954 recently
underwent
significant change when
Jay Leno handed hosting duties over
to Jimmy Fallon.
Anti-inflammatory regimens
have also undergone significant
changes over time. These changes
have resulted in less traumatic
surgery and better outcomes, the flip
side being the establishment of what
Dr. Kim called "the new normal":
Better outcomes, he said, have
heightened the level of patient
expectations.
"Delivering on these expecta-
tions requires excellent surgical
technique and highly effective man-
agement of healing and inflamma-
tion," said Dr. Kim.
Do surgeons deliver? Citing data
from the Swedish National Cataract
Registry study, Dr. Kim said that
only 71% of cataract surgeries are
meeting the standard of being
within ±0.5 D of target.
In the 2013 ASCRS Clinical
Survey, which involved a total of
1,041 unique respondents, most,
said Dr. Kim, agreed that inflamma-
tion has a significant impact on
variability: 71% agreed it impacts vi-
sual acuity and quality results; 81%
agreed it impacts visual recovery
time; and 83% agreed it impacts
patient comfort and satisfaction.
Postop inflammation, said
Sonia H. Yoo, MD, Miami, affects
the entire eye, front to back, and in
terms of outcomes it affects speed of
recovery and final visual acuity.
Among the factors that
influence inflammation are cataract
density, the amount of balanced salt
solution used during irrigation and
Monday, April 28, 2014
Meeting Reporter
Inflammation, phaco energy impact
cataract surgical stress
by Chiles Aedam R. Samaniego EyeWorld Asia-Pacific Senior Staff Writer
"Host" Terry Kim, MD, and "guests" Steven J. Dell, MD, Keith A. Walter, MD, and Sonia H. Yoo, MD, talk about cataract surgical stress on
a Tonight Show-style set.
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continued on page 34
