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The Capsulotomy: from There to Where? JUNE 2017 # 42 In My View NextGen Profession Sitting Down With Presbyopia correction in Dry eye: how the humble Louis Pasquale believes it’s Innovator extraordinaire, younger patients – what’s best? eyedrop is evolving time to redefine POAG Sean Ianchulev 17 36 – 38 42 – 45 50 – 51 The Capsulotomy: From There to Where? A tale of jealousy, rivalry and pride… The unfolding story of the capsulotomy over time 18 – 27 www.theophthalmologist.com It’s all in CHOOSE A SYSTEM THAT EMPOWERS YOUR EVERY MOVE. Technique is more than just the motions. Purposefully engineered for exceptional versatility and high-quality performance, the WHITESTAR SIGNATURE PRO Phacoemulsification System gives you the clinical flexibility, confidence and control to free your focus for what matters most in each procedure. How do you phaco? Join the conversation. Contact your Phaco Specialist today. Rx Only INDICATIONS: The WHITESTAR SIGNATURE PRO System is a modular ophthalmic microsurgical system that facilitates anterior segment (cataract) surgery. The modular design allows the users to configure the system to meet their surgical requirements. IMPORTANT SAFETY INFORMATION: Risks and complications of cataract surgery may include broken ocular capsule or corneal burn. This device is only to be used by a trained, licensed physician. ATTENTION: Reference the labeling for a complete listing of Indications and Important Safety Information. WHITESTAR SIGNATURE is a trademark owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates. © 2017 Abbott Medical Optics Inc. | PP2017CT0929 Image of the Month In a Micropig’s Eye This Wellcome Image Award winner depicts a 3D model of a healthy mini-pig eye. A contrast agent, µAngiofil, was injected into the microcirculation of the eye to allow visualization of the tiny vessels – the images were then transferred to a 3D model and printed. “The image displays the incredible vascular network of a healthy minipig’s eye,” says Peter Maloca, one of the creators of the image. “Our findings should contribute to better understanding of how the circulation is important in diseases like diabetic retinopathy or in ocular tumors. And as an image, it’s amazing to look at just how wonderful an architect nature is,” he adds. Image courtesy of Peter Maloca, University of Basel, Switzerland, and Moorfields Eye Hospital, London; Christian Schwaller, Ruslan Hlushchuk, and Sébastien Barré Do you have an image you’d like to see featured in The Ophthalmologist? Contact [email protected] www.theophthalmologist.com Contents 10 46 03 Image of the Month Upfront In My View 10 Dropping the Needle 16 When is it best to operate for 09 Editorial congenital glaucoma? Nader The Big News Is Big Data, 11 Business in Brief Bayoumi discusses what’s by Mark Hillen. known, and explains why at 12 No More Playing Pirate? his clinic, they only operate in patients over two months of age. 13 Mind the Gap On The Cover 17 Günther Grabner shares why JUNE 2017 # 10 14 CLARITY Achieved he believes that solutions of Upfront NextGen Profession Sitting Down With Presbyopia correction in How the humble eyedrop Louis Pasquale on why it Jules Stein Institute founding younger patients – what’s best? is evolving for dry eye is time to redefine POAG father, Bradley Straatsma 17 38 – 40 42 – 45 50 – 51 An artistic representation of some of the corneal plane, such as The Hubble Telescope of the Eye The quest for truly non-invasive ocular biomechanical measurements 18 – 27 the key events in the history of the 15 Survival Scar presbyLASIK and corneal caspulotomy, combined with some inlays, are best for younger www.theophthalmologist.com devices of the near-future. patients with presbyopia. START HERE Choose iStent®—First and foremost. Right from the beginning, iStent is designed to restore and maintain conventional physiological outflow, and deliver a favorable benefit-to-risk ratio. Studied extensively around the world, iStent has been implanted in hundreds of thousands of eyes, and is backed by years of documented efficacy and safety data in reducing intraocular pressure. For patients who have primary open-angle glaucoma, pseudoexfoliative glaucoma or pigmentary glaucoma, who might also have cataracts—start with the MIGS leader and finish with leading performance. + The complete procedure. Visit us at World Glaucoma Congress Booth 401 Glaukos.com ©2017 Glaukos Corporation. Glaukos and iStent are registered trademarks of Glaukos Corporation. 410-0403-2017-EUR Rev. 1 GLKOS-15124 HCP Print Ad 2017-WGC_The OP_FullPg r1.indd 5/23/17 4 — 0 inset 5mm 210mm x 266mm +3mm THE OPHTHALMOLOGIST W/WGC CALLOUT New OCULUS Smartfield Please note: The availability of the products and features may differ in your country. Please note: The availability of the products and features may differ in your country. Specifications and design are subject to change. Please contact your local distributor for details. Welcome the Youngest Member to the OCULUS Perimeter Family – Smart, Precise, Compact! New OCULUS Smartfield: Optimized for monitoring functional impairment in glaucoma • Standard automated perimetry with a new feature: PATH – Predictive function-structure display • LCD-screen ensures reliable calibration • Closed construction: no dark room required Visit the OCULUS booth 106 during WGC, Helsinki! www.oculus.de Follow us! The Ophthalmologist Smartfield Perimeter 210x266 e 05.17.indd 1 22.05.2017 18:13:45 New OCULUS Smartfield ISSUE 42 - JUNE 2017 Editor - Mark Hillen [email protected] Associate Editor - Ruth Steer [email protected] Associate Editor - Nick Miller [email protected] Content Director - Rich Whitworth [email protected] Editorial Director - Fedra Pavlou [email protected] Publishing Director - Neil Hanley [email protected] Sales Manager - Abigail Mackrill [email protected] VP Sales North America - Scott Schmidt [email protected] Head of Design - Marc Bird [email protected] Junior Designer - Hannah Ennis 50 [email protected] Digital Team Lead - David Roberts [email protected] Digital Producer Web/Email - Peter Bartley [email protected] Digital Producer Web/App - Abygail Bradley Feature [email protected] Audience Insight Manager - Tracey Nicholls [email protected] 18 The Capsulotomy: From Audience Project Associate - Nina Duffissey There to Where? [email protected] Traffic and Audience Associate - Lindsey Vickers Richard Packard takes a journey Profession [email protected] Please note: The availability of the products and features may differ in your country. Please note: The availability of the products and features may differ in your country. Specifications and design are subject to change. Please contact your local distributor for details. through time, recanting the Traffic and Audience Associate - Jody Fryett [email protected] history of how the capsulotomy 42 Redefining POAG Social Media / Analytics Associate - Ben Holah has evolved and exploring where Primary open angle glaucoma [email protected] Events Manager - Alice Daniels-Wright it may go in the years to come... (POAG) has been a source of [email protected] confusion for many specialists Marketing Manager - Katy Pearson over the years… Louis Pasquale [email protected] Financial Controller - Phil Dale shares why it is time for the [email protected] In Practice disease to be redefined. Accounts Assistant - Kerri Benson Welcome the Youngest Member [email protected] Chief Executive Officer - Andy Davies 30 Single Incision: 46 Balancing the Cost of Success [email protected] Chief Operating Officer - Tracey Peers to the OCULUS Perimeter Family – Multiple Advantages and Failure [email protected] For patients with open- Ian Catchpole shares his story Change of address angle glaucoma, stab incision on working with sustained [email protected] Smart, Precise, Compact! Nina Duffissey, The Ophthalmologist, glaucoma surgery (SIGS) release anti-VEGF therapies, Texere Publishing Ltd, Haig House, Haig Road, offers multiple advantages over and makes the case for Knutsford, Cheshire, WA16 8DX, UK trabeculectomy. Soosan Jacob publishing all results, even those General enquiries www.texerepublishing.com overviews the technique, and that might be negative, to help [email protected] +44 (0) 1565 745 200 how to perform it. prevent duplications of research [email protected] work that might end New OCULUS Smartfield: Optimized for Distribution in disappointment… The Ophthalmologist (ISSN 2051-4093) monitoring functional impairment in glaucoma and The Ophthalmologist North America (ISSN 2398-9270), is published monthly by Texere Publishing Ltd and is distributed in the • Standard automated perimetry with a new feature: NextGen US by UKP Worldwide, 3390 Rand Road, South Plainfield, NJ 07080 PATH – Predictive function-structure display Periodicals postage paid at South Plainfield, NJ 36 Redefining the Eyedrop Sitting Down With POSTMASTER: Send US address changes to (Title), (Publisher) C/O 3390 Rand Road, • LCD-screen ensures reliable calibration Conventional treatment South Plainfield NJ 07080. for ocular surface tears has 50 Sean Ianchulev, Professor Single copy sales £15 (plus postage, cost available •
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