OSN New York and OSN New York Retina

Digital 3-D imaging is becoming more useful in vitreoretinal surgery, Jorge A. Fortun, MD, said at the OSN New York meeting. As technology continues to improve, Fortun believes that 3-D digital imaging will allow surgeons to move from optical microscopes to digital microscopes and gain better visualization during surgery, opening the door "for potential telesurgery."

Clinicians in the top earning ophthalmology practices in the country see more patients and collect more per patient than those in lower tiered practices, according to Derek Preece, MBA. Speaking at the OSN New York meeting, Preece compared overhead ratios, staff costs and patient services between the top 10% of ophthalmology practices compared with those in the middle 50%.

Low add multifocal IOLs decrease untoward effects such as glare and halos compared with predecessor lenses, according to Tal Raviv, MD, who discussed the evolution of the lenses at OSN New York. The low add lenses allow for more functional intermediate vision and improved distance vision, he said, with the trade-off being the possibility of some spectacle dependence for near vision.

NEW YORK -- Addressing dissatisfaction after premium lens surgery begins with preoperative screening and communicating fully with patients, Kendall E. Donaldson, MD, MS, said at the OSN New York meeting. Fully communicating realistic expectations of refractive surgery helps the surgeon select the ideal candidates for surgery, lessening the possibility of an unhappy postsurgery patient. For those who are dissatisfied after surgery, treating residual refractive errors is key, she said.

For patients who cannot receive multifocal IOLs or for those who have financial limitations, blended vision with mini-mono using the Softec IOL (Lenstec) is an option, Cynthia Matossian, MD, FACS, said at OSN New York 2016. This approach allows patients to have good distance and intermediate vision, with functional near vision.

At OSN New York 2016, Jodi Luchs, MD, FACS, discusses how a patient's risk for ectasia and dry eye must be taken into account when choosing between PRK and LASIK.

At OSN New York 2016, Savak "Sev" Teymoorian, MD, MBA, discussed correcting astigmatism and performing cataract surgery in patients with glaucoma. The goal should be to make patients as glasses-free as possible, he said.

At the OSN New York meeting, Nicole Fram, MD, offers options regarding how to deal with astigmatism and the corneal conditions that can exacerbate astigmatism, such as epithelial basement membrane dystrophy, pterygium or corneal nodules and corneal ectasia.

At OSN New York, John P. Berdahl, MD, discusses the use of sublingual sedation during cataract surgery, specifically the MKO Melt from Imprimis. The combination of midazolam, ketamine and ondansetron can assist in relieving patient anxiety and decreases the need for an IV during surgery, he said.

At OSN New York, George O. Waring IV, MD, discusses the emerging subspecialty of surgical correction of presbyopia, with a focus on corneal based procedures for management of the stage 1 dysfunctional lens syndrome.