Eyeworld Supplements

T he Digital Clinical Committee was recently formed as a new ASCRS Clinical Committee. Born out of the need to have better education and focused efforts in digital offerings that span all specialties, the committee presented two symposia during the 2024 ASCRS Annual Meeting in Boston, Massachusetts. John Hovanesian, MD, Chair of the ASCRS Digital Clinical Committee, moderated both sessions. "It turns out, so many innovations are happening in digital across healthcare and specifically in ophthalmology that this is an area of great opportunity for us," he said. Introducing the Latest Digital Tools for Planning and Performing Cataract Surgery Before individual company presentations in this symposium, Dr. Hovanesian polled audience members, asking if they are using any advanced digital tools for planning cataract surgery beyond the ASCRS online calculator or something similar. More than half of respondents said "Yes." There are also calculators where they can do IOL calculations. "One of the beauties of using digital tools for cataract surgery is no more transcription errors," he said. Physicians have accurate flow of the data they need to cal- culate IOL formulas; it's pulled directly into the machine. With Eyetelligence, we wanted the ability to compare multiple devices, he said. Physicians can look at the results of multiple machines and diagnostics side by side and com- pare them, and if they decide to change one of the numbers, they can do that and create a customized set of preopera- tive data. It also indicates how much astigmatism there is and which axis each machine is detecting, alerting where discrepancies might lie. "When I plan a case, if I've already done the other eye, I want to know what I planned, what formula was used, what I was targeting," Dr. Lobanoff said, adding that all that data is pulled instantaneously. Many surgeons have favorite formulas, and if they don't want to change, they don't have to. They can look at three formulas side by side and compare results. They can also keep one formula and look at two diagnostic devices, run- ning the same formula side by side on the devices. "It gives you a lot of flexibility to play with formulas and play with the input of data in an efficient manner," he said. A feature of Eyetelligence that Dr. Lobanoff is excited about is the Eyetelligence Formula Assistant. He described a case with a –28 D patient. You would expect the eye to be very long front to back, but it wasn't. Instead of a normal myopic eye with a deep chamber, it had a normal chamber. So, what formula should be used? You might have a formula for high myopes, but what if the patient has characteristics that don't fit the typical high myope? The Eyetelligence Formula Assistant searches the database and finds eyes with the same physical characteristics, and it determines what formulas would be most accurate in eyes with those mea- surements. It recommends the top three most accurate for- mulas for the eye. "We've always relied on an IOL formula to say what lens power we should choose, but we've never had this advice on which formula we should use," he said. Each patient has a database and surgical plan that can be brought up on the platform. There's no need for paper, and it can be seen on a monitor in the OR by everyone. At any point, you can go into the database and see what was done. The preop and postop data flows from the EMR into Eyetelligence. ascrs digital clinical committee 2024 ASCRS ANNUAL MEETING PRESENTS TWO SYMPOSIA AT THE p The Eyetelligence Formula Assistant searches the database and finds eyes with the same physical characteristics as the one the surgeon is operating on and determines what three formulas would be most accurate for that eye. Source: Mark Lobanoff, MD Eyetelligence, Bausch + Lomb Mark Lobanoff, MD, presented on behalf of Bausch + Lomb, discussing the Eyetelligence platform. Using this platform, Dr. Lobanoff said that within the cloud, each surgeon has their own landing page. On this landing page, they can search patients and what they've done for each patient.

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