APRIL 2016 # 29 Image of the Month Upfront Profession Sitting Down With The human choroid, Growing your own Benchmarking your practice Amar Agarwal, Chairman of reconstructed in 3D crystalline lens against your peers Dr Agarwal’s Eye Hospital 03 08 – 10 60 – 64 66 – 67 www.theophthalmologist.com DUAL-SEGMENT PUMP TECHNOLOGY + Precise fluidics + Pulsatile-free + Quick vacuum rise + Versatile performance PERFORMANCE IN EVERY DETAIL Superior chamber stability through superior engineering.†,1,2 That’s the Centurion® Effect. Active Fluidics™ Technology • Helps to Maintain Chamber Stability: Detects and compensates to help provide superior chamber stability3 compared to INFINITI®4 • Less Surge: Less surge at any tested vacuum level3,5 • More Consistent IOP4 : Up to 80% less surge area3,5 Contact your Alcon representative to schedule a demonstration and experience the Centurion® Effect for yourself. †As compared to the INFINITI® Vision System, bottle gravity system. 1. Lorente R, Fanney D, Injev V, Sharif-Kashani P. Quantification of occlusion break surge in peristaltic-based phacoemulsification systems. ASCRS-ASOA Symposium and Congress; April 25-29, 2014; Boston, USA.2. Nicoli M, Miller K, Dimalanta R, Loke D; Jules Stein Eye Institute, UCLA. IOP Stability Measurement and Comparison Between Gravity-Fed and Actively Controlled Phacoemulsification Systems. 2014. 3. Sharif-Kashani P, Fanney D, Injev V. Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems. BMC Ophthalmol. 2014;14:96. 4. Nicoli CM, Dimalanta R, Miller K. Experimental anterior chamber maintenance in active versus passive phacoemulsification fluidics systems. J Cataract Refract Surg. 2016;42(1):157-162. 5. Alcon data on file. Centurion® Advancing VISION SYSTEM CATARACT SURGERY © 2016 Novartis AG 3/16 CNT15039JADi-A-EU 11431-Alcon-CNT15039JADi-A_ALCEC127_Centurion_Ad_blueprint_A_OPHTHALMOLOGIST.indd 1 01/04/2016 15:56 Image of the Month Titled “Wiring the human brain”, this Wellcome Trust award-winning image was taken by Alfred Anwander of the Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany. Alfred is a neuroscientist who works on mapping connections in the brain. He has a background in engineering and image processing, and likes to use the beauty of the brain to create images and videos that showcase modern neuroscience to the public. The image shows a 3D model of the outer choroidal vessels, artificially illuminated and textured. The 3D reconstruction was achieved by removing speckle-noise from 256 swept-source optical coherence tomography cross-sections of a healthy human eye. Image courtesy of the Wellcome Image Awards. Do you have an image you’d like to see featured in The Ophthalmologist? Contact [email protected] www.theophthalmologist.com Contents 20 03 Image of the Month Upfront Feature 08 Grow Your Own 20 The Power List 2016 Clinicians, scientists, business 07 Editorial 12 Grow Your Own Part II greats from here, there and Everything We Do Is Driven everywhere: they’re all in this By You, by Mark Hillen 14 Business in Brief year’s 2016 Power List, and it’s all thanks to your nominations. 16 Photoreceptor Death, On The Cover Thanks to a Low Fat Diet APRIL 2016 # 29 Image of the Month Upfront Profession Sitting Down With The human choroid, Growing your own Benchmarking your practice Amar Agarwal, Chairman of reconstructed in 3D crystalline lens against your peers Dr Agarwal’s Eye Hospital 14 33 – 35 38 – 40 44 – 46 A tribute to Klaus Voormann’s Revolver album cover for The Beatles. ISSUE 29 - APRIL 2016 Editor - Mark Hillen [email protected] Associate Editor - Roisin McGuigan [email protected] Associate Editor - Ruth Steer 10 [email protected] Editorial Director - Fedra Pavlou [email protected] Content Director - Rich Whitworth [email protected] Publishing Director - Neil Hanley [email protected] Senior Designer - Marc Bird [email protected] Designer - Emily Strefford-Johnson [email protected] Digital Content Manager - David Roberts [email protected] Mac Operator Web/Print - Peter Bartley [email protected] Tablet Producer - Abygail Bradley [email protected] Audience Insight Manager - Tracey Nicholls [email protected] 66 Traffic and Audience Associate - Lindsey Vickers [email protected] Traffic and Audience Associate - Jody Fryett [email protected] Apprentice, Social Media / Analytics - Ben Holah [email protected] Events and Office Administrator - Alice Daniels-Wright [email protected] Financial Controller - Phil Dale [email protected] Chief Executive Officer - Andy Davies [email protected] Chief Operating Officer - Tracey Peers [email protected] Change of address [email protected] Tracey Nicholls, The Ophthalmologist, Texere Publishing Limited, Haig House, Haig Road, Knutsford, Cheshire, WA16 8DX, UK. Single copy sales £15 (plus postage, cost available on request [email protected]) Annual subscription for non-qualified recipients £110. General enquiries: 44 www.texerepublishing.com [email protected] +44 (0) 1565 745 200 [email protected] Profession Distribution: The Ophthalmologist (ISSN 2051-4093) Sitting Down With is published monthly except July, by Texere 44 Benchmarking Your Practice Publishing Ltd and is distributed in the USA by UKP Worldwide, 1637 Stelton Road B2, How do the products and 66 Amar Agarwal, Chairman and Piscataway, NJ 08854. techniques you use compare Managing Director, Dr Agarwal’s Periodicals Postage Paid at Piscataway, with those used by your Eye Hospital and Eye Research NJ and additional mailing offices POSTMASTER: Send US address changes to European peers? Centre, Chennai, India. The Ophthalmologist, Texere Publishing Ltd, C/o 1637 Stelton Road B2, Piscataway NJ 08854 THERE ARE NO BETTER HANDS IN WHICH TO TRUST YOUR PRACTICE Proven and predictable technologies that work synergistically • Delivering precise, predictable outcomes Improving quality of vision for high patient satisfaction • 97% of myopia study participants were satisfied to very satisfied with their vision 1 Contact your Abbott sales representative today. REFERENCES: 1. Clinical studies submitted to FDA via 930016 supplements 016, 017, 020, 021, and 044. IMPORTANT SAFETY INFORMATION LASIK can only be performed by a trained ophthalmologist and for specified reduction or elimination of myopia, hyperopia, and astigmatism as indicated within the product labeling. Laser refractive surgery is contraindicated for patients: a) with collagen vascular, autoimmune, or immunodeficiency diseases; b) who are pregnant or nursing women; c) with signs of keratoconus or abnormal corneal topography; d) who are taking one or both of the following medications: Isotretinoin (Accutane®) and Amiodarone hydrochloride (Cordarone®). Potential side effects to LASIK may include dry eye, halos, glare, as well as other visual anomalies. LASIK requires the use of a keratome that cuts a flap on the surface of the cornea and may potentially cause inflammation, corneal scratch, epithelial ingrowth, and flap-related complications. Consult the Professional Use Information booklet for a complete listing of contraindications and risk information. Results may vary for each individual patient. The iLASIK® platform, utilizing the iFS® femtosecond laser and wavefront-guided technologies (STAR S4 IR® excimer laser and iDESIGN® Advanced WaveScan Studio or WaveScan Wavefront® systems.) CAUTION: U.S. Federal law restricts these devices to sale, distribution, and use by or on the order of a licensed eye care practitioner. ©2016 Abbott Medical Optics Inc. Advanced CustomVue, and iDESIGN, iDESIGN Advanced WaveScan Studio, WaveScan Wavefront, and STAR S4 IR are trademarks owned by or licensed to Abbott Laboratories, its subsidiaries, or affiliates. All other trademarks are the intellectual property of their respective owners. PP2015RF0262 AMO-ILA-139-266mm_210mm_32416.indd 1 3/24/16 11:20 AM Everything We Do Is Driven By You What shaped the 2016 Power List? Let’s examine the trends Editorial am a fan of early 1980s comedy. Richard Pryor, George Carlin, and the early works of Bill Hicks and Eddie Murphy. What does this have to do with the 2016 Power List? Well, as with my comedy idols, I’m not afraid to push the boundaries every so often. But in particular, the latter’s deconstruction of Janet Jackson’s “What have you done for me lately?” came to mind when looking at this year’s names and rankings. Especially when I compared them with those of our inaugural list, which was published just two years ago. Back in 2014, The Ophthalmologist was a nascent publication, just seven issues old when we published the first Power List, and even we were surprised by the sheer amount of engagement we received from our readers. Fast forward two years, the number of nominations had tripled, and the number of readers making nominations multiplied by almost five! And yet, many of the names are the same on both lists – the main difference being their ranking. Pondering the differences in the rankings made me think that there was an element of “What have you done for me lately?” in the mix. The top 10 sees three glaucoma specialists – including one in the number one spot – and all three are furiously