SlideShare a Scribd company logo
Con Moshegov FRANZCO, FRACS Con Moshegov FRANZCO, FRACS Ophthalmologist Advances in Cataract Surgery
 
Cataract is an opacification of the lens
 
 
 
 
Acanthamoeba infection
 
The cataract comes out in one whole piece
 
Limitations of ECCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The cataract is emulsified then sucked out
Phacoemulsification
Phacoemulsification
Phacoemulsification
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aqualase ,[object Object],[object Object],[object Object],[object Object]
 
Aqualase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraocular lenses (IOLs) 6mm
Small incision surgery ,[object Object]
 
Folding and Insertion of a lens
Advances in IOL technology
Acrysof Natural
Contrast Sensitivity is a better test of functional vision than Visual Acuity!
Sinewave contrast sensitivity is the most widely accepted test of contrast sensitivity
Contrast Sensitivity Decreases with Age
Simulated Image Contrast Enhancement  by Aspheric Correction   “ Aspheric IOLs emulate the young crystalline lens, whose negative spherical aberration tends to compensate positive spherical aberration of the cornea.”
Aspheric IOLs
Night driving problems related to aberrations
Night Driving Simulator ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],City Driving Scene Rural Driving Scene ,[object Object]
Night Driving Simulation ,[object Object],[object Object]
Perfect Vision ,[object Object]
Perfect Vision
Short-sightedness
Long-Sightedness
Astigmatism
Refractive errors ,[object Object],[object Object],[object Object]
Pre op Biometry Ultrasound IOL Master: coherence interferometry
Cornea too steep
Secondary LASIK
Reading without glasses ,[object Object],[object Object],[object Object]
Accomodating IOLs
Principle of a Refractive Multifocal IOL
Principle of a Diffractive Multifocal IOL ,[object Object],[object Object],[object Object]
ReSTOR pseudoaccomodating IOL
Alcon   ReSTOR IOL
Alcon   ReSTOR IOL
New Intraocular lenses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presbyopia
The procedure in practice ,[object Object],[object Object],[object Object],[object Object],[object Object]
The procedure in practice ,[object Object],[object Object],[object Object],[object Object],[object Object]
Myth ,[object Object]
Myth ,[object Object]
Myth ,[object Object]
Conclusion ,[object Object],[object Object],[object Object]

More Related Content

What's hot

Gonioscopy presentation
Gonioscopy presentationGonioscopy presentation
Gonioscopy presentationHira Dahal
 
Amblyopia Management
Amblyopia ManagementAmblyopia Management
Amblyopia Managementsiraj safi
 
Intermitent exotropia
Intermitent exotropiaIntermitent exotropia
Intermitent exotropiaSSSIHMS-PG
 
Surgical induced astigmatism
Surgical induced astigmatismSurgical induced astigmatism
Surgical induced astigmatismNamrata Gupta
 
FUNDUS FLUORESCEIN ANGIOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHYFUNDUS FLUORESCEIN ANGIOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHYAnuraag Singh
 
ASSESMENT OF VISUAL ACUITY IN CHILDREN
ASSESMENT OF VISUAL ACUITY IN CHILDRENASSESMENT OF VISUAL ACUITY IN CHILDREN
ASSESMENT OF VISUAL ACUITY IN CHILDRENLaxmi Eye Institute
 
Iol power calculation in pediatric patients
Iol power calculation in pediatric patientsIol power calculation in pediatric patients
Iol power calculation in pediatric patientsAnisha Rathod
 
Vitreous substitutes
Vitreous substitutesVitreous substitutes
Vitreous substitutesSSSIHMS-PG
 
AMBLYOPIA TREATMENT STUDIES PEDIG
AMBLYOPIA TREATMENT STUDIES PEDIGAMBLYOPIA TREATMENT STUDIES PEDIG
AMBLYOPIA TREATMENT STUDIES PEDIGSivateja Challa
 
Corneal transparency
Corneal transparencyCorneal transparency
Corneal transparencyTina Chandar
 
Yag capsulotomy
Yag capsulotomyYag capsulotomy
Yag capsulotomyRohit Rao
 

What's hot (20)

Hess chart
Hess chartHess chart
Hess chart
 
Gonioscopy presentation
Gonioscopy presentationGonioscopy presentation
Gonioscopy presentation
 
Amblyopia Management
Amblyopia ManagementAmblyopia Management
Amblyopia Management
 
Binocular balancing
Binocular balancing Binocular balancing
Binocular balancing
 
Macular function tests
Macular function testsMacular function tests
Macular function tests
 
Intermitent exotropia
Intermitent exotropiaIntermitent exotropia
Intermitent exotropia
 
Accommodative esotropia
Accommodative esotropiaAccommodative esotropia
Accommodative esotropia
 
Surgical induced astigmatism
Surgical induced astigmatismSurgical induced astigmatism
Surgical induced astigmatism
 
Pediatric refraction
Pediatric       refractionPediatric       refraction
Pediatric refraction
 
Toric iol
Toric iolToric iol
Toric iol
 
Acaratio
AcaratioAcaratio
Acaratio
 
FUNDUS FLUORESCEIN ANGIOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHYFUNDUS FLUORESCEIN ANGIOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHY
 
ASSESMENT OF VISUAL ACUITY IN CHILDREN
ASSESMENT OF VISUAL ACUITY IN CHILDRENASSESMENT OF VISUAL ACUITY IN CHILDREN
ASSESMENT OF VISUAL ACUITY IN CHILDREN
 
RECENT ADVANCES IN INTRAOCULAR LENS
RECENT ADVANCES IN INTRAOCULAR LENSRECENT ADVANCES IN INTRAOCULAR LENS
RECENT ADVANCES IN INTRAOCULAR LENS
 
Iol power calculation in pediatric patients
Iol power calculation in pediatric patientsIol power calculation in pediatric patients
Iol power calculation in pediatric patients
 
Vitreous substitutes
Vitreous substitutesVitreous substitutes
Vitreous substitutes
 
Presbyopia
PresbyopiaPresbyopia
Presbyopia
 
AMBLYOPIA TREATMENT STUDIES PEDIG
AMBLYOPIA TREATMENT STUDIES PEDIGAMBLYOPIA TREATMENT STUDIES PEDIG
AMBLYOPIA TREATMENT STUDIES PEDIG
 
Corneal transparency
Corneal transparencyCorneal transparency
Corneal transparency
 
Yag capsulotomy
Yag capsulotomyYag capsulotomy
Yag capsulotomy
 

Similar to Advances in cataract surgery

Introduction to Refractive Eye Surgery
Introduction to Refractive Eye SurgeryIntroduction to Refractive Eye Surgery
Introduction to Refractive Eye SurgeryLondon Vision Clinic
 
Options for correction of refractive error
Options for correction of refractive errorOptions for correction of refractive error
Options for correction of refractive errorAbhishekYadav962
 
Pre And Postoperative Care Of The Modern Cataract Patient
Pre And Postoperative Care Of The Modern Cataract PatientPre And Postoperative Care Of The Modern Cataract Patient
Pre And Postoperative Care Of The Modern Cataract PatientDr. Dean Dornic
 
Refractive surgery for GP's
Refractive surgery for GP'sRefractive surgery for GP's
Refractive surgery for GP'sperfectvision
 
Laser eye surgery
Laser eye surgeryLaser eye surgery
Laser eye surgeryajay singh
 
October 2017 laser and its applications
October 2017  laser and its applicationsOctober 2017  laser and its applications
October 2017 laser and its applicationsVinitkumar MJ
 
IOL Selection- What to Ask and What to Tell Patients
IOL Selection- What to Ask and What to Tell PatientsIOL Selection- What to Ask and What to Tell Patients
IOL Selection- What to Ask and What to Tell Patientspresmedaustralia
 
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation Anis Suzanna Mohamad
 
Corneal laser surgery
Corneal laser surgeryCorneal laser surgery
Corneal laser surgeryBAYHALQARNI
 
Optical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’SOptical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’Smeikocat
 
Intra Oular Lenses
Intra Oular LensesIntra Oular Lenses
Intra Oular Lensesslidenka
 

Similar to Advances in cataract surgery (20)

Introduction to Refractive Eye Surgery
Introduction to Refractive Eye SurgeryIntroduction to Refractive Eye Surgery
Introduction to Refractive Eye Surgery
 
Options for correction of refractive error
Options for correction of refractive errorOptions for correction of refractive error
Options for correction of refractive error
 
Pre And Postoperative Care Of The Modern Cataract Patient
Pre And Postoperative Care Of The Modern Cataract PatientPre And Postoperative Care Of The Modern Cataract Patient
Pre And Postoperative Care Of The Modern Cataract Patient
 
Cataract
CataractCataract
Cataract
 
Cataracts
CataractsCataracts
Cataracts
 
Refractive surgery for GP's
Refractive surgery for GP'sRefractive surgery for GP's
Refractive surgery for GP's
 
Femtosecond laser
Femtosecond laserFemtosecond laser
Femtosecond laser
 
Ptedfemtosecond
PtedfemtosecondPtedfemtosecond
Ptedfemtosecond
 
Laser eye surgery
Laser eye surgeryLaser eye surgery
Laser eye surgery
 
EDOF IOL
EDOF IOLEDOF IOL
EDOF IOL
 
Nikolakopoulos fundamentals and principals of oct
Nikolakopoulos fundamentals and principals of octNikolakopoulos fundamentals and principals of oct
Nikolakopoulos fundamentals and principals of oct
 
Aqualase and BSS
Aqualase and BSSAqualase and BSS
Aqualase and BSS
 
October 2017 laser and its applications
October 2017  laser and its applicationsOctober 2017  laser and its applications
October 2017 laser and its applications
 
IOL Selection- What to Ask and What to Tell Patients
IOL Selection- What to Ask and What to Tell PatientsIOL Selection- What to Ask and What to Tell Patients
IOL Selection- What to Ask and What to Tell Patients
 
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
 
Corneal laser surgery
Corneal laser surgeryCorneal laser surgery
Corneal laser surgery
 
Cataracts
CataractsCataracts
Cataracts
 
Cataract surgery
Cataract surgeryCataract surgery
Cataract surgery
 
Optical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’SOptical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’S
 
Intra Oular Lenses
Intra Oular LensesIntra Oular Lenses
Intra Oular Lenses
 

More from perfectvision

More from perfectvision (7)

Gosford talk
Gosford talkGosford talk
Gosford talk
 
Synchrony
SynchronySynchrony
Synchrony
 
Microcoaxial surgery
Microcoaxial surgeryMicrocoaxial surgery
Microcoaxial surgery
 
Aspheric IOLs for CRGH
Aspheric IOLs for CRGHAspheric IOLs for CRGH
Aspheric IOLs for CRGH
 
Alcon innovations
Alcon innovationsAlcon innovations
Alcon innovations
 
Advances in presbyopia treatment
Advances in presbyopia treatmentAdvances in presbyopia treatment
Advances in presbyopia treatment
 
Toric lenses san diego 07
Toric lenses san diego 07Toric lenses san diego 07
Toric lenses san diego 07
 

Recently uploaded

ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptxANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptxBright Chipili
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Catherine Liao
 
180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghana180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghanahealthwatchghana
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxdrtabassum4
 
Antiplatelets in IHD, Dose Duration, DAPT vs SAPT
Antiplatelets in IHD, Dose Duration, DAPT vs SAPTAntiplatelets in IHD, Dose Duration, DAPT vs SAPT
Antiplatelets in IHD, Dose Duration, DAPT vs SAPTAkashGanganePatil1
 
Antiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxAntiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxRohit chaurpagar
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCatherine Liao
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
 
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptxCURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptxDr KHALID B.M
 
5cl adbb 5cladba cheap and fine Telegram: +85297504341
5cl adbb 5cladba cheap and fine Telegram: +852975043415cl adbb 5cladba cheap and fine Telegram: +85297504341
5cl adbb 5cladba cheap and fine Telegram: +85297504341Sherrylee83
 
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...kevinkariuki227
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Catherine Liao
 
Prix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramPrix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramLevi Shapiro
 
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...kevinkariuki227
 
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptxTemporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptxDr. Rabia Inam Gandapore
 
Multiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMultiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMeenakshiGursamy
 
Mastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial FreedomMastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial FreedomFatimaMary4
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfDr Jeenal Mistry
 
Factors Affecting child behavior in Pediatric Dentistry
Factors Affecting child behavior in Pediatric DentistryFactors Affecting child behavior in Pediatric Dentistry
Factors Affecting child behavior in Pediatric DentistryDr Simran Deepak Vangani
 

Recently uploaded (20)

ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptxANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
 
180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghana180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghana
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
 
Antiplatelets in IHD, Dose Duration, DAPT vs SAPT
Antiplatelets in IHD, Dose Duration, DAPT vs SAPTAntiplatelets in IHD, Dose Duration, DAPT vs SAPT
Antiplatelets in IHD, Dose Duration, DAPT vs SAPT
 
Antiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxAntiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptx
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from home
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptxCURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
 
5cl adbb 5cladba cheap and fine Telegram: +85297504341
5cl adbb 5cladba cheap and fine Telegram: +852975043415cl adbb 5cladba cheap and fine Telegram: +85297504341
5cl adbb 5cladba cheap and fine Telegram: +85297504341
 
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...
 
Prix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramPrix Galien International 2024 Forum Program
Prix Galien International 2024 Forum Program
 
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...
 
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptxTemporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
 
Multiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMultiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptx
 
Mastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial FreedomMastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial Freedom
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
 
Factors Affecting child behavior in Pediatric Dentistry
Factors Affecting child behavior in Pediatric DentistryFactors Affecting child behavior in Pediatric Dentistry
Factors Affecting child behavior in Pediatric Dentistry
 

Advances in cataract surgery

Editor's Notes

  1. As we get older, we lose contrast sensitivity, first at the higher spatial frequencies, then for all the spatial frequencies. Our patients need regular checkups that include contrast sensitivity testing to monitor and assess the changes in their vision.
  2. MESSAGE: We used the NDS system designed by Dr. Ginsburg. This system was validated against detection and identification distances from published Dept. of Transportation Data. Ginsburg A, Kelly M; Functional vision testing: night driving simulator studies (1995) ASCRS ASOA Symposium of Cataract, IOL and Refractive Surgery, San Diego, California, April 1-5, 1995.