Eyeworld Supplements

10 EW Chicago 2012 Sunday, April 22, 2012 10 " Numerous emerging technologies hold the promise of optimizing cataract surgery during all phases of the procedure " Robert J. Cionni, M.D. biometer, similar to ultrasound, allows the surgeon to see what exactly is being measured. This ability to see the tracing to confirm the accuracy of the reading is reas- suring. If the operator feels that the machine has mistakenly located the anterior or posterior lens surface or the retinal spike, for example, the calipers on the scan in question can be manually moved and realigned to increase the accuracy of the result. From a clinician's standpoint, the joystick on the LENSTAR optical biometer is similar to what we've used on a slit lamp. The LENSTAR optical biometer has been pro- grammed to only capture data on the visual axis—ensuring that if the patient has problems maintaining fixation, the LENSTAR optical biometer will pause the scanning portion until the patient fixates again. One last feature I have found helpful—the LENSTAR optical biometer almost obviates the possi- bility of technician error as data does not have to be transcribed. Instead, the LENSTAR optical biometer automatically inputs the data it captures into the Holladay II program. There is a short learning curve to utilizing this instrument. As the biometer is being integrated into the practice, technicians and surgeons may find the images a bit tricky to obtain at first. Training from the Haag-Streit/Alcon team and confidence and experience from repetitive use conquered this problem in a relatively short time. Measurements equal results Since I've been using the LENSTAR optical biometer in my practice, I feel more comfortable that I'm get- ting accurate information for pre- dictable outcomes. This instrument gives me peace of mind. I firmly be- lieve to meet out patients' growing expectations, we are obligated to provide excellent results. One way that we can continue to achieve those results is to use the best instru- mentation available on the market today. I have come to appreciate that the LENSTAR optical biometer occupies that top spot. Dr. Sokol is founder and owner, CT Eye Specialists LLC, Shelton, Conn. Reference 1. Hill W, Osher R, Cooke D, et al. Simulation of toric intraocular lens results: Manual keratom- etry versus dual-zone automated keratometry from an integrated biometer. J Cataract Refract Surg. 2011;37:2181-2187. Contact information Sokol: jsokol@ctispec.com LENSTAR is a registered trademark of Haag-Streit. Please refer to page 12 for important safety information about the Alcon surgical products described in this supplement. Sokol continued from page 9 R ecently my cataract clinic has begun to resemble a refractive clinic—the patients want to know whether or not they will still need their glasses after surgery. The nice thing is if we use the best technologies, the chance of obtain- ing the best results is more likely. In my opinion, that means advanced technology lenses, optical biometers, femtosecond lasers, and intraopera- tive aberrometry. Fortunately, numerous emerging technologies hold the promise of optimizing cataract surgery during all phases of the procedure. These innovations have the potential to provide uniformly superior results in the hands of any surgeon. The LENSTAR LS 900 optical biometer I recommend measuring keratomet- ric cylinder using multiple methods, including the LENSTAR LS 900 optical biometer (Haag-Streit USA, Mason, Ohio), which gives us various readings other technologies are not able to provide. The LENSTAR biometer basically does what we previously asked the IOLMaster 500 (Carl Zeiss Meditec, Latest advancements in cataract surgery for achieving precise outcomes by Robert J. Cionni, M.D. Alcon Sunday supplement_Chicago2012-12pages_Layout 1 4/20/12 4:51 PM Page 10

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