Managing Premium Intraocular Lenses

Optimizing outcomes with Premium Lens Patients and Traditional Lens Patients Donny Reeves, MD [email_address]

We had unintentional consequenses! COPE Course ID: 28746-PO

Our objective today ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Financial Interest ,[object Object],[object Object],[object Object],[object Object],[object Object]

Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

We have learned a lot! ,[object Object],[object Object]

[object Object],[object Object]

Current Refractive Surgery ,[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]

Times have changed… ,[object Object],[object Object]

The Growing Expectations of Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Two Cataract Surgeon Categories ,[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]

Types of Premium Lenses ,[object Object],[object Object],[object Object],[object Object],[object Object]

Optometrists role ,[object Object],[object Object],[object Object]

Optometrist role cont. ,[object Object]

Ophthalmologist role ,[object Object],[object Object]

Ophthalmologist role cont… ,[object Object],[object Object],[object Object],[object Object]

Visual Function is multifaceted ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

No one is perfect… ,[object Object],[object Object],[object Object],[object Object]

Really… No one is perfect ,[object Object],[object Object],[object Object],[object Object],[object Object]

Outcomes ,[object Object],[object Object],[object Object],[object Object]

Patient Expectations ,[object Object],[object Object],[object Object]

Start out with the low hanging fruit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Under promise and over deliver ,[object Object],[object Object],[object Object]

Which lens to choose…Don’t Worry about it ,[object Object],[object Object],[object Object]

Pick the best candidate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Considerations ,[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]

Recommend! ,[object Object],[object Object],[object Object]

Once they choose ,[object Object],[object Object],[object Object],[object Object]

Improving Surgical Outcomes ,[object Object],[object Object],[object Object],[object Object]

Erroneous K-readings ,[object Object],[object Object],[object Object]

Avoiding erroneous axial length ,[object Object],[object Object],[object Object],[object Object]

Erroneous axial length readings ,[object Object],[object Object],[object Object],[object Object]

Postoperative care ,[object Object],[object Object],[object Object],[object Object],[object Object]

1 week post op –Premium lens patients ,[object Object],[object Object],[object Object]

The companies don’t practice what they preach

They flex like your eye's natural lens, allowing you to see better at all distances.

ReStor ,[object Object],[object Object]

Restor ,[object Object],[object Object],[object Object]

+4.00 Restor ,[object Object],[object Object],[object Object],[object Object],[object Object]

+3.00 Restor ,[object Object],[object Object]

Crystalens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tecnis multifocal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

So What about Astigmatism? ,[object Object],[object Object]

Toric ,[object Object],[object Object],[object Object],[object Object]

Astigmatism Greater than 2D ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TORIC Availability ,[object Object],[object Object],[object Object],[object Object],[object Object],? Toric IOL

Spectacle Freedom for Distance p<0.0001 CMH test 97% of patients with bilateral AcrySof Toric IOL implantation (N=37) *

Traditional Lens Surgery ,[object Object],[object Object],[object Object]

Infection/inflammation/pain control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postop ,[object Object],[object Object],[object Object]

Well it must be the surgery, right? ,[object Object],[object Object],[object Object]

Team based approach ,[object Object],[object Object]

Common non-medical causes for an unhappy patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ocular surface disease ,[object Object],[object Object],[object Object]

Ocular surface disease ,[object Object],[object Object],[object Object],[object Object]

CME ,[object Object],[object Object],[object Object],[object Object],[object Object]

CME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Residual refractive error ,[object Object],[object Object],[object Object]

Glare/Halos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

Managing Premium Intraocular Lenses

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Editor's Notes