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2014 ASCRS•ASOA Boston Daily News Saturday

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EW SHOW DAILY 48 in the laser vision correction space. Dr. Schallhorn will share data on another large Optical Express study, in which he analyzed 8,905 eyes (4,721 patients) with low-to-moder- ate myopia that underwent LASIK with the iDesign (Abbott Medical Optics, AMO, Santa Ana, Calif.) in the U.K. and retrospectively com- pared results to 27,290 matched eyes (14,589 patients) that underwent LASIK with the WaveScan (AMO). Overall, Dr. Schallhorn will address the remarkable results with advanced wavefront technology: 84% of eyes achieving 20/16 UCVA one month postop. Dr. Schallhorn will share poten- tial benefits that topography-guided ablations may bring to a refractive practice. Topography-guided LASIK was recently approved by the FDA with promising results on virgin eyes. What is particularly encourag- ing is the high patient satisfaction, with 98% of patients saying they would undergo the procedure again three months postop. Jason Brinton, MD, will advance the discussion further with questioning the 20/20 benchmark commonly used for refractive suc- cess. He will propose why 20/20 UCVA simply isn't good enough anymore, and physicians need to strive for a new consistent, practical measure for refractive success. Such metrics could include speed of visual recovery and patient satisfaction: • How fast can patients return to normal activity? • Do patients still have to bring a driver? • What about halos, glare, and dry eye? • What do patients think about their results? • Are patient satisfied with their care? • How likely are patients to refer? Dr. Brinton suggests that all technology advancements are lead- ing us to be able to go beyond the 20/20 UCVA threshold, and encour- ages ophthalmologists to achieve a new level of patient satisfaction and outcomes going forward. The bar must be raised in order to grow refractive surgery: It will now take an extra 33 happy patients to overcome one unhappy patient. Gustavo Tamayo, MD, will round out the discussion of new technology improving outcomes with a comprehensive examination of femtosecond arcuates versus manual incisions. Consistency of shape, depth, and overall effective- ness must be considered when analyzing laser compared to manual. Dr. Tamayo will share data to show why femtosecond arcuates may be a more predictable way to manage astigmatism, for the customization, repeatability as well as the ability to go intrastromal. Dr. Tamayo will address why this technology leads us to more of an exact science to meet modern refractive needs. This CME Education symposium is supported by an unrestricted educational grant from Abbott Medical Optics. EW Saturday, April 26, 2014 Meeting Reporter Sunday symposium continued from page 47

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