This module will provide an advanced and updated overview of different techniques and technologies for managing presbyopia in 2020.  The aim of this session is to provide corneal and cataract refractive surgeons an overview of possible treatment options with detailed description of all aspects of the procedures.  
The session will introduce the concept of a corneal refractive procedure that increases depth of field by using a non-linear aspheric ablation profile to induce a controlled amount of spherical aberration. It is designed to be combined
with micro-monovision, which targets the non-dominant eye up to -1.5 D myopia. The amount of anisometropia is individualized according to the patient’s age, degree of presbyopia, and tolerance.
Furthermore, the session will provide details and outcomes with different IOL technologies as well as a discussion of techniques to effectively mix-and-match lens options. A mix-and-match technique can be employed to provide an improved range of vision while limiting potential side-effects and unwanted visual phenomena. The faculty will share their approaches and assessments to maximize success in adjusting lens selection options to meet patient expactations in refractive cataract surgery.

Lernziele

Am Ende dieser Fortbildung kennen Sie ...

• the advanced treatment options for presbyopic patients
• the application fields and advantages of a PRESBYOND Laser Blended Vision treatment
• the mix-and-match technique to treat presbyopia
• the selection criteria for the different treatment options in order to optimally adjust presbyopia correction to the needs of the patient
• the characteristics of next generation EDOF (Extended Depth of Focus) IOLs

Alastair Stuart, BMBS, FRCOphth, PGDip CRS, Cert LRS

London Vision Clinic, London, UK

Mr Alastair Stuart graduated from Nottingham Medical School in 2008 and completed his 2-year foundation jobs at Queen’s Medical Centre. From then on, he dedicated his training to the field of ophthalmology and was selected for a place in the 7-year ophthalmology training rotations in London. In 2012, Mr Stuart received the trainee prize at the London School of Ophthalmology and the South West Thames trainee prize in 2016. In 2016 he was appointed for a prestigious 1-year fellowship in cornea surgery at the world-renowned Moorfield’s Eye Hospital. In 2017 he was awarded a distinction in the Diploma of Cataract and Refractive Surgery at Ulster University and is now an honorary lecturer for the University, and Professor Reinstein and Mr Carp appointed him as a surgeon at the London Vision Clinic.

Interessenskonflikte

The author (A Stuart) has no financial interest. The author (DZ Reinstein) acknowledges a financial interest in ArtemisTM VHF digital ultrasound (ArcScan Inc., Golden, CO). The author (DZ Reinstein) is a consultant for Carl Zeiss Meditec AG (Jena, Germany).

Jakob Siedlecki

University Eye Hospital LMU Munich, Germany
Private Practice Dirisamer/Priglinger & SMILE Eyes Clinic Linz, Austria

Dr. Jakob Siedlecki is currently working at the Eye Clinic of the Ludwig-Maximilians-University of Munich (Germany), where he has been undergoing his ophthalmological specialist training since 2015. His clinical specialties are macular diseases, ophthalmological imaging, and refractive surgery. Dr. Siedlecki conducts research in experimental and clinical ophthalmology, focusing on 2 areas: refractive surgery, especially lens extraction through small incisions (SMILE), and macular diseases of all kinds, particularly age-related macular degeneration and pachychoroidal diseases of the macula.

Interessenskonflikte

Financial Disclosure: Jakob Siedlecki has obtained speaker fees from Carl Zeiss Meditec AG, Novartis AG, Oculentis OSD Medical GmbH

Fernand de Wilde, MD, BOLC

Eyecenter Latem, Belgium

Dr. Fernand De Wilde is an ophthalmologist in Sint-Martens-Latem (Belgium) and is specialized in the fields of refractive and cataract surgery and oculoplastic surgery. He established EYECENTER LATEM  in 2007 by  as one of the first Belgian private clinics specialized in ophthalmology. Dr. De Wilde started to perform LASIK refractive surgery in 1995 and ReLEx SMILE in 2013. So far, he has performed more than 7,000 cataract operations, over 7,000 LASIK cases, over 1,000 SMILE procedures, over 2,000 CO2-eyelid surgeries (blepharoplasty), and more than 500 dacryocystorhinostomy (DCR) operations. Additionally, he was involved in the development of minimal-overlap smile instruments. During regular humanitarian missions in Peru, Myanmar, Burundi, Rwanda, and Cambodia he mainly operates blind cataracts.

Interessenskonflikte

Obtained speaker fee from Carl Zeiss Meditec AG

Dan Reinstein, MD, MA(Cantab) FRCSC DABO, FRCOphth FEBO

London Vision Clinic, London, UK

For more than a decade Professor Dan Reinstein has dedicated himself solely to laser eye surgery. He graduated from the University of Cambridge and subsequently completed postgraduate courses, including an MA, MB BChir, and MD. He is a board-certified ophthalmologist in the USA and Canada and holds professorships in New York and Paris. Professor Reinstein is a pioneer of laser eye surgery. After qualifying as a LASIK surgeon, he joined a research project at Cornell University (New York).
There he discovered that ultrasound could be used to scan the surface of the cornea to within one micron - 1/1000 of a millimeter. Inspired by the possibilities of developing safer and more precise laser eye surgery, he built a prototype of what would become the Artemis Insight 100™ scanner - now the world’s most accurate corneal scanner.

Interessenskonflikte

The author (DZ Reinstein) acknowledges a financial interest in ArtemisTM VHF digital ultrasound (ArcScan Inc., Golden, CO); The author (DZ Reinstein) is a consultant for Carl Zeiss Meditec AG (Jena, Germany); The author (Glenn I Carp) receives travel expenses from Carl Zeiss Meditec AG (Jena, Germany)

Oscar Mallo

Private Practice, Buenos Aires, Argentina

Dr. Oscar Mallo is Senior Consulting Editor of Latin American Journal of Ophthalmology and obtained his degree in ophthalmology in 1982 from the University of Buenos Aires. Dr. Mallo currently works at Centro Privado de Ojos (Primer Hospital Privado de Ojos S.A), where he is Head of Refractive Surgery and Medical Director of the Center. He also holds a position as Associate Professor of Ophthalmology at Maimónides University in Buenos Aires. He introduced many procedures in Argentina, including keratomileusis (1991), LASIK (1993), conductive keratoplasty (1996), INLAYS (2014), SMILE, and PRESBYOND (2018). Dr. Mallo was also involved in the composition of several books on presbyopia, microscopy, and refractive surgery. He has been active in the Argentine Society of Ophthalmology, first as Treasurer, then as its Vice President and finally as President of the Society.

Interessenskonflikte

Dr. Oscar Mallo is Senior Consulting Editor of Latin American Journal of Ophthalmology; Oscar Mallo obtained speaker fee from Carl Zeiss Meditec AG

Sri Ganesh, MBBS, MS, DNB, DSC(Hon), FRCS(Gla), FAICO(Hon)

Nethradhama Super Speciality Eye Hospital, Bangalore, India

Dr. Sri Ganesh is an ophthalmologist and eye surgeon with 30 years experience in this field. He is currently the Chairperson, Managing Director and Medical Director of Nethradhama Super Specialty Eye hospital, Bangalore, India. Dr. Sri Ganesh received his basic medical education in Bangalore, Karnataka, and completed his postgraduate training in ophthalmology at Regional Institute of Ophthalmology, Minto Ophthalmic Hospital, Bangalore Medical College. He completed DNB in 1999 and is an observer fellow in phacoemulsification and LASIK at the Sheppard Eye Centre (Nevada, USA). His main interests are cataract and refractive surgery. Dr. Ganesh is one of the few persons to start LASIK wavefront surgery, phakic and toric IOLs, and conductive keratoplasty in South India. He has received ‘Best Phaco and Refractive Surgeon Award’ for the year 2006 from the Indian Intraocular Implant and Refractive Society.

Interessenskonflikte

Consultant to Carl Zeiss Meditec

Dr. med. Amir Hamid, BMedSci BMBS FRCOphth CertLRS

Optegra Eye Hospital, London, UK

The London-based cataract and refractive surgeon Dr. Amir Hamid has a special interest in presbyopia correction, laser cataract surgery and laser vision correction. Dr. Hamid is on the GMC Register of Specialists in Ophthalmology and holds both the Fellowship of the Royal College of Ophthalmologist (FRCOpth) and the Certificate in Laser & Refractive Surgery (CertLRS). After his fellowship-level subspecialty training in the field of Cornea and anterior segment, he was appointed to a consultant position at the North East London NHS Treatment Center in 2011. Dr. Hamid is on the medical advisory boards of several leading companies in the field of cataract surgery and is a regular speaker at international conferences on cataract and refractive surgery.

Interessenskonflikte

Speaker fee from Carl Zeiss Meditec AG

Dr. med. Laszlo Kiraly

SMILE EYES Leipzig, Germany

Since 2012 Dr. Laszlo Kiraly has been Director of the Augen- und Laserzentrum Leipzig (Germany). He completed his training as an ophthalmologist at the University Hospital of Halle. Since that time he has been fascinated by refractive surgery. Since 2007 he has been working with femtosecond laser technology, making him the most experienced ophthalmologist in private practice in and around Leipzig in this field. Dr. Kiraly is the only East German ophthalmologist who is a member of the Visian ICL expert panel - making him a proven specialist in the field of implantable contact lenses (ICL). Furthermore, he is course instructor of DGII course in refractive surgery.

Interessenskonflikte

Carl Zeiss Meditec, Inc (Lectures, Research)

Florian Kretz, (FEBO), MD

Augenklinik Ahaus, Ahaus, Germany

Dr. Florian Kretz is Medical Director of the Augentagesklinik Rheine and Greven, Germany. He completed his training and his fellowships at the Department of Ophthalmology at the University of Heidelberg, Germany and is an internationally renowned ophthalmologist, surgeon, speaker, and scientist. Dr. Kretz has been nominated four times for the international powerlist by the journal "The Ophthalmologist": "Top 40 under 40" in 2015, "Top 50 most influential researchers in ophthalmology" in 2017, "Top 100 most influential ophthalmologists in the world" in 2018, and "Champion of Change" in 2019. Dr. Kretz is well-known as a speaker at all important national and international congresses where he reports on results of the latest premium intraocular lenses and their applicability to the patient, with the goal that every patient receives the best IOL for their needs.

Interessenskonflikte

Acufocus (Research), AVS (Research,Honorary), Bausch & Lomb(Travel Costs, Honorary), Carl Zeiss Meditec(Research, Travel Costs, Honorary, Consulting), Eyesight and Vision (Research), Fritz Ruck(Research), Glaukos(Research), Hanita(Research), Hoya(Research), Infinte Vision Optics(Research), iSTAAR medical(Research), Johnson & Johnson(Research), LensAR(Research), MST(Consulting), Mynosis(Consulting), Oculentis(Research, Travel Costs, Honorary, Consulting), PhysIOL(Research, Travel Costs, Honorary), Polytech(Research, Travel Costs, Honorary, Consulting), Rayner(Honorary), Santen(Research), Teleon(Research, Travel Costs, Honorary, Consulting), Vision Ophthalmology Group(Travel Costs, Honorary, Consulting), Vivior(Research), VSY(Research)

Finanzierung

This training was supported by Carl Zeiss Meditec AG with a net amount of EUR 2816,65 to cover the certification period.

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