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Managing Premium Intraocular Lenses

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donnyreeves

This is a presentation that will allow all professionals to gain a great understanding on advance technology implants.

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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.
Rezoom
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 IOL ,[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]
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]
Residual refractive error ,[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]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Managing Premium Intraocular Lenses

  • 1. Optimizing outcomes with Premium Lens Patients and Traditional Lens Patients Donny Reeves, MD [email_address]
  • 2. We had unintentional consequenses! COPE Course ID: 28746-PO
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  • 35. The companies don’t practice what they preach
  • 36.   They flex like your eye's natural lens, allowing you to see better at all distances.
  • 38.
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  • 40.
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  • 42.
  • 43.
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  • 49. Spectacle Freedom for Distance p<0.0001 CMH test 97% of patients with bilateral AcrySof Toric IOL implantation (N=37) *
  • 50.
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Editor's Notes

  1. (listen to the patients and they will tell you what is wrong – J. Lawton Smith)