TIMESculVolume - 1 / Issue - 1 | April 2014

THIS FEATURE COVERS

Dear Readers ,

With 36 years of experience and excellence in the field of manufacturing Ophthalmic

medical equipment and Intra ocular lenses in the country, we bring to you our very first

e-journal "OCULO TIMES"- Appasamy Associates' e-journal on the Ophthalmological

world. This is an initiative to keep our readers well-updated with all the latest news and

happenings in the World of Ophthalmology

It has been our constant endeavour to contribute to the field of Ophthalmology and

now with the launch of this e-journal, we believe we can cater to all your needs once again.

With fresh enthusiasm to dedicate ourselves and to serve you better, we have given

our best in delivering the necessary information on the new technologies and on news

about the forthcoming conferences.

Happy Reading,

Warmest Regards,

P.S.N. Appasamy

IN THIS ISSUE

“Implantation of Toric IOL involves

a c c u r a t e d i a g n o s i s o f C o r n e a l

Astigmatism, performing accurate

biometry, appropriate IOL calculation,

good surgical technique & verification /

re-correction of axis where necessary.”

Points out Dr. Arulmozhi Varman, a leading Ophthalmologist

from Chennai.

A lot of research and effort has gone into this study...

Dr. Soosan Jacob's research abstract

on her Paper titled “Contact lens

assisted collagen cross linking (CACXL):

A new technique for cross linking thin

Corneas”.

Treating the Keratocone is the topic

that is making the rounds and with FDA approvals in the

pipeline for a few other techniques, this will definitely prove to

be one ground breaking research

Continue reading further in pg: 4 Continue reading further in pg: 3

Cover story - Toric IOLs

in Ophthalmic Practice

Page 5

Page 6

Spot Light

Page 3

New Techniques

Page 4

Product Focus

Page 2

Events and

Conferences

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nd72 All India Ophthalmological conference was held in Agra this year at hotel Jaypee

Palace. The conference was inaugurated by Dr. Lalit Varma, General Secretary, AIOS

along with Dr. Suresh Maskati in the presence of Dr. Tara Prasad Das, Dr. Anitha Panda

& Dr. Rajvardhan Azad. Thank you very much for visiting us during the conference and

for making the show a huge success!!

AIOS 2014

EVENTS AND CONFERENCES

UPCOMING CONFERENCES

ASCRS Symposium On Cataract, IOL and

Refractive Surgery 2014th thFri 25 Apr 2014 to Tue 29 Apr 2014

http://annualmeeting.ascrs.org/

Visit us in booth - 166

thFrench Society of Ophthalmology 120 Congress 2014th thSat 10 May 2014 to Tue 13 May 2014 Paris, France

http://www.sfo.asso.fr/congres

Visit us in booth - T38

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Appasamy Associates has always been lucky to find the best talents and this indeed has

proved to be one of our best strengths. We are humbled by such personalities who, year after

year, strive hard for the growth of this organisation.

Mr. S. Gurumoothy, our zone manager for the states of Andhra Pradesh and Karnataka, is

one such pillar and we are proud to say that he has been a part of our organisation since the early

80s. His dedication is heart-warming and we dedicate this as a token of our appreciation.

Mr. S. Gurumoorthy can be contacted at appasamyvijayawada@gmail.com

My new technique called Contact lens Assisted Cross-1linking, or CACXL , for cross-linking thin Corneas acts by

artificially increasing the thickness of the ultraviolet (UV)

absorption medium anterior to the endothelium by using a

riboflavin-soaked contact lens and a pre-contact lens riboflavin

film.

With this technique, cross-linking can be performed on a

greater number of Patients and also on Patients with thinner

Corneas than those who undergo conventional Corneal cross-

linking. CACXL is not dependent on the swelling properties of

the Cornea, as in hypo-osmolar cross-linking and produces a

more stable riboflavin film.

A daily disposable Bausch + Lomb SofLens made of

hilafilcon B is soaked in riboflavin 0.1% solution for 30 minutes,

while the same solution of riboflavin is also applied to the

Cornea every 3 minutes for the same period of time.

The riboflavin-soaked contact lens is then applied to the eye

and A pre-contact lens riboflavin film is also applied over the

contact lens.

The technique has shown very good anatomic and visual results in early reported cases. The type of lens used should be thin and

must not have a built-in UV barrier or it will negate the effect. Contact lens assisted CXL is thus a new technique for cross-linking in

Corneas less than 400 µm thick.

Contributed by,

Dr. Soosan JacobDr. Agarwal's Eye Hospital, Chennai

NEW TECHNIQUES

1. Jacob S, Agarwal A et al. Contact lens assisted collagen cross linking (CACXL):

A new technique for cross linking thin Corneas. JRS 2014

Building Blocks

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PRODUCT FOCUS

JERICHOMulti Spot Laser

Instant and easy access

Less heat diffusion to the retina & Choroid

Effective touch screen interface

High speed Scanners enhances

rapid delivery

Safety filters enables comfortable

Physician's view and eliminates

colour distortion.

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1. Pre-operative Evaluation

2. Surgical Technique

3. Post-op Verification and Readjustment

Pre-existing Corneal astigmatism is the most common cause for residual astigmatism. After modern cataract surgery, incision size

has come down steadily. Design of IOL and placement of incisions have played a major role in bringing down surgically induced

astigmatism (SIA). Temporal incisions of size 2.2 mm or less can for all practical purposes be taken as astigmatically neutral. Incision

placed closer to vertical axis will induce a predictable degree of astigmatism. This factor can be used to our advantage to nullify pre-

existing astigmatism by placing incisions specific to our requirements.

Pre-existing astigmatism of above 1D (some prefer 1.5D) are ideally suited to be addressed by Toric IOL implantation. Toric IOLs come

in two designs: single piece haptic and plate haptic. Lens material used is either hydrophobic or hydrophilic with hydrophobic coating for

better adherence to posterior capsule. The laser marks indicating the axis of cylinder in the Intraocularlens is etched at the optic –haptic

junction in lenses with loop haptics and along the long axis in plate haptic lenses. Toric lenses have to be placed in the desired axis in the

eye. The muscular shaped loop design of Supraphob preloaded hydrophobic Toric lens from Appasamy Associates has better strength

to retain the lens in its designated axis in the long run too.

Supraphob Toric comes in the following powers:

Pre-op Evaluation

Introduction

TORIC IOLs IN OPHTHALMIC PRACTICE

Cataract surgery has made several leaps with the introduction of intraocular lenses. What once began as a means to avoid aphakic

glasses and its inherent side effects of magnification has now gained enormous potential in the recent past. This new generation IOL is a

technogical marvel giving a whole new meaning to emmetropia.

Monofocal lenses provided patients independence from glasses. The next obvious development would be to achieve the same for

near vision. This gave rise to Multifocal IOLs. Surprisingly, treating astigmatism using IOL is not very widespread considering the fact that

a sizable population does suffer from this refractive error. Available data indicates that approximately 70% of the general cataract

population has at least 1.00 D of astigmatism. This indicates that the best of monofocal lenses, surgical methods or calculation cannot

achieve emmetropia. I mplantation of Toric IOL will involve accurate diagnosis of corneal astigmatism, performing accurate biometry,

appropriate IOL calculation, good surgical technique, verification & re-correction of axis where necessary. These points will be illustrated

under following headings.

To read this article further

click here

1.5 D

2.25 D

3.00 D

3.75 D

4.50 D

5.25 D

6.00 D

1.03 D

1.55 D

2.06 D

2.57 D

3.08 D

3.60 D

4.11 D

SP TORIC T3

SP TORIC T4

SP TORIC T5

SP TORIC T6

SP TORIC T7

SP TORIC T8

SP TORIC T9

SP TORIC CYLINDER POWER AT IOL PLANE CYLINDER POWER AT CORNEAL PLANE

by,

Dr. Arulmozhi VarmanMedical Director, Uma Eye Clinic, Chennai, India

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SPOT LIGHT

Your suggestions and feedback will be much appreciated.

Please write to us on oculotimes@appasamy.com or call us at +91 44 3293 2407

SMILE SPACE

I overheard two EMT volunteers talking about the time they went to the aid of

an elderly man. As one took down his information, the other opened his shirt

to attach EKG cables.

"Any history of heart trouble?" asked the first volunteer.

"None," said the patient.

Looking at the telltale scars of bypass surgery, the second

volunteer wasn't so sure. "In that case," he said, "do

you remember when the lion attacked you?"

My mother has tried her hand at several careers, some even concurrently.

Imagine the surprise of both a hospital patient and

my mom when the patient woke up after surgery and,

upon seeing who her nurse's aide was, yelled,

"What are you doing? You're the woman

who helped me pick out interior paint colors!

Dr. Keiki Mehta, is a leading ophthalmic surgeon in India, a prolific teacher and a pioneer in cataract and

refractive surgery in the country.

In addition to his clinical practice, Dr. Mehta conducts free eye camps nationwide, is Chairman of the Low

Vision Centre at Maharashtra, and runs a 25-bed free eye hospital in a rural area of Karjat. Dr. Mehta is

currently Medical Director and Chief of Surgery for the Mehta International Eye Institute and Colaba Eye

Hospital, which he founded and which is now considered to be Asia's most advanced Ophthalmic institute.

He also holds a professorship at the D. Y. Patil Medical College and Hospital in Mumbai and serves as

Chairman and Organizing secretary of the Eye Advance Congresses.

Over the course of his long and distinguished career, Dr. Mehta performed the first intraocular implant

and the first LASIK procedure in India and has earned a reputation as the "Father of Indian

Phacoemulsification" for his efforts in that field.

Dr. Mehta's numerous awards include the American Implant Society's prestigious Appreciation Award for creation of the first soft

intraocular lens implant and the National Eye Research Foundation's Grand Honors Award for Ophthalmology research, the only Indian

ever to receive the award. He was also awarded the very prestigious "Padma Shree Award" from the hands of the President of India in

2008 for outstanding services to the cause of Ophthalmology in India.

Dr. Mehta will also be this year's Honored guest at ASCRS-ASOA Annual Symposium and Congress that is to be held in Boston later this

month. He will receive the Honored Guest award along with Dr.PhilipHessburg, of Minnesota.

Image courtesy www.icoph.org