Eyeworld Daily News

EW SHOW DAILY 4 Monday, May 9, 2016 ASCRS News Today benefited ophthalmologists and their patients. The lecture and medal were established in 1985. Lecturers include some of the world's most prominent pioneers in ophthalmic surgery. In 2002, ASCRS renamed the Innovator's Lecture to the Charles D. Kelman Innovator's Lec- ture in recognition of Dr. Kelman's life-long contributions and innova- tions. EW by Ellen Stodola EyeWorld Senior Staff Writer and New Zealand College of Oph- thalmology (FRANZCO). The lecture will take place today from 10:00–11:30 a.m. in Great Hall A and D. About the Charles D. Kelman Innovator's Lecture Each year, ASCRS honors an indi- vidual whose innovative ideas have techniques and improved IOL tech- nology have reduced the incidence of significant surgical complications during cataract surgery. Physicians' ability to accurately predict the refractive outcome has now become the remaining factor critical to achieving a perfect outcome after cataract surgery. This encompasses calculations, intraoperative aberrom- eters, planning, etc., he said, and the lecture will delve into one thread of that—"Search for Symmetry." When Dr. Barrett thinks about the most dramatic change that has occurred in cataract surgery in the last decade or so, he sees the huge impact of toric lenses and how these have evolved. In Australia, toric lenses are reimbursed by private health insurance, and therefore used on a needs basis rather than being presented as a premium procedure. "On that basis, people would prob- ably be using torics more readily," he said. The paradigm has shifted toward the idea that there's no such thing as "an acceptable level of astigmatism," he said. More and more surgeons have come to the re- alization that everyone benefits from targeting less than a half diopter of residual astigmatism after cataract surgery. Dr. Barrett is a clinical professor at the University of Western Austra- lia and is a consultant ophthalmic surgeon at the Lions Eye Institute as well as Sir Charles Gairdner Hospital, one of Australia's leading teaching tertiary hospitals. Trained in ophthalmology in Perth, Western Australia, he undertook specialty training in the U.S. Dr. Barrett is the founding and current president of the Australasian Society of Cataract & Refractive Surgeons, president of the International Intra-Ocular Implant Club (IIIC), and immediate past president of the Asia-Pacific Association of Cataract & Refrac- tive Surgeons. He is the recipient of several major international awards, including the Ridley Medal (Europe- an Society of Cataract & Refractive Surgeons), the Binkhorst Medal (American Society of Cataract & Refractive Surgery), and the Lim Lecture (Asia-Pacific Association of Cataract & Refractive Surgeons). He is a fellow of the Royal Australian Dr. Barrett will give the lecture focusing on astigmatism T his year the Charles D. Kelman Innovator's Lecture will be given by Graham Barrett, MD, Perth, Austra- lia. The title of his lecture is "Search for Symmetry: Reducing Astigmatism at the Time of Cataract Surgery." "I was looking for a topic that would be of interest to most people and hopefully leave them with some thoughtful suggestions on how to improve astigmatic outcomes. But I also wanted to explore a parallel theme, which is the essence of inno- vation," he said. Dr. Barrett realized that his interest in issues influencing astig- matic outcomes dates far back in his career. His initial focus related to in- traoperative keratometry and the ef- fect of incisions on astigmatism, and he later became intrigued by finding solutions for toric IOL alignment and prediction. "Almost throughout my entire career, this has been a common thread," he said. Although there have been many other areas of interest to Dr. Barrett over time, he said that astigmatism goes back the longest. It is fascinating to think about the factors that underpin inno- vation, he said, citing curiosity, inspiration, and persistence as 3 key elements. The lecture will look at these elements, with a practical approach to reducing astigmatism at the time of cataract surgery. Reflecting on cataract surgery and implants, he said surgical Charles D. Kelman Innovator's Lecture preview Previous Charles D. Kelman Innovator's Lecturers Graham Barrett, MD Shigeru Kinoshita, MD, PhD, 2015 Warren Hill, MD, FACS, 2014 Richard Mackool Sr., MD, 2013 Douglas Koch, MD, 2012 Richard Lindstrom, MD, 2011 Henry Edelhauser, PhD, 2010 Robert Osher, MD, 2009 Theo Seiler, MD, PhD, 2008 Okihiro Nishi, MD, 2007 Kensaku Miyake, MD, 2006 Carmen Puliafito, MD, 2005 Roger Steinert, MD, 2004 Ioannis Pallikaris, MD, 2003 David Apple, MD, 2002 Gholam Peyman, MD, 2001 Stephen Klyce, PhD, 2000 David McIntyre, MD, 1999 Manus Kraff, MD, 1998 Luis Ruiz, MD, 1997 James Gills, MD, 1996 Leo Bores, MD, 1995 Howard Fine, MD, 1994 D. Peter Choyce, MS, FRCS, 1993 Joaquin Barraquer, MD, 1992 David Miller, MD, 1991 Robert Stegmann, MD, 1991 Herbert Kaufman, MD, 1990 C. William Simcoe, MD, 1989 John Pearce, ChM, DO, 1988 Danièle Aron-Rosa, MD, 1987 Steven Shearing, MD, 1986 Charles D. Kelman, MD, 1985

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