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Con Moshegov FRANZCO, FRACS Alcon: Optimising Cataract Surgery Outcomes Con Moshegov Sydney Aqualase, ReSTOR and BSS for the Refractive Cataract Surgeon.
Relief of presbyopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Refractive Lens Exchange (RLE) with ReSTOR ,[object Object],[object Object],[object Object],[object Object],[object Object]
RLE with ReSTOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AquaLase TM  Technology
 
AquaLase TM  Technology ,[object Object],[object Object],[object Object],[object Object],[object Object]
AquaLase TM  Handpiece/Tip ,[object Object],[object Object],[object Object]
Intraocular Response - Temperature Conservative Aspiration  Settings Conditions Porcine cadaver eye Fast responding thermocouple Aspiration flow rate:  12  cc/min AquaLase™ Power: 100 % Power Pulse rate  100  per second
Intraocular Response - Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AquaLase TM  Bottle ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Transition to Aqualase
[object Object],[object Object],[object Object],[object Object],Transition to Aqualase
Transition to Aqualase ,[object Object],[object Object],[object Object],[object Object],[object Object]
Visualizing Parameters Pulse Magnitude Pulse Rate  (pulses per second)
Parameters - Burst ,[object Object],[object Object],[object Object]
Visualizing Burst Burst Control  (100%) Burst Control  (25%) Burst Control  (50%) Same rate Fewer pulses
Set Up   ,[object Object],[object Object],[object Object]
Corneal Endothelium
Endothelial Cell Function ,[object Object],[object Object],[object Object]
Endothelial Cell Function
History of Ocular Irrigants ,[object Object],[object Object],[object Object],[object Object],[object Object]
History of Ocular Irrigants ,[object Object],[object Object],[object Object]
Ingredients table (mmol/L)
Na+, K+ and Mg ,[object Object],[object Object],[object Object]
Ca++ ,[object Object],[object Object],[object Object],[object Object],[object Object],Bicarbonate (HCO3)
Glucose ,[object Object],[object Object]
Glutathione ,[object Object],[object Object]
[object Object]
BSS Plus ,[object Object],[object Object]
The  ARRAY ® IOL Refractive  Multifocal IOL Design ,[object Object],[object Object]
Weaknesses of the   ARRAY ® IOL ,[object Object],[object Object],[object Object]
Accomodating IOLs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Crystalens (Daya) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Crystalens (Stasiuk) ,[object Object],[object Object],[object Object],[object Object],[object Object]
ReSTOR pseudoaccomodating IOL
 
Schematic Diffractive Lens Placing the diffractive grating on the  anterior surface of a convex lens causes light to converge to two points
Apodized Diffractive Optic ,[object Object],[object Object],[object Object],[object Object],Magnification = 80X 1.3 micron step
US Core Study Overview  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Distance VA Binocular  – 6 Months Postop 20/20 20/25 20/16
Near VA Binocular  – 6 Months Postop 20/20 20/25 20/40 20/50 20/16 20/32 20/63 20/80
AcrySof ®  ReSTOR ®  IOL   Binocular Photopic Contrast Sensitivity   Clinical Significance    0.3 log units at 2 or more Spatial Frequencies Vector Vision CSV1000 0.20
AcrySof ®  ReSTOR ®  IOL   Binocular Mesopic Contrast Sensitivity Clinical Significance    0.3 log units at 2 or more Spatial Frequencies Largest difference = 0.17   log units Vector Vision CSV1000
Photic Phenomena Glare Night Vision Problems Halos
Con Moshegov FRANZCO, FRACS Alcon RESTOR   Australian Clinical Outcomes and Results
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Moshegov n = 74 @1 month n = 43 @ 3 months   n = 17 @ 6 months Almost 80% have UNCVA of  6/9 by one month
Moshegov n = 63 @1 month  n = 32 @ 3 months n = 16 @ 6 months Can almost guarantee reading ability
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Aqualase and BSS

Editor's Notes

  1. The Array is a refractive IOL with five zones all offering near, intermediate and distance vision utilising 100% of available light. Zones 1,3 and 5 are weighted for distance and 2 and 4 are weighted for near.
  2. Halos Mean values ReSTOR = 1.07 Control = 0.34