cul TIMES THIS FEATURE COVERS IN THIS ISSUE Volume - 1 / Issue - 1 April 2014 Events and Conferences New Techniques Product Focus

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1 Volume - 1 / Issue - 1 April 2014 THIS FEATURE COVERS Events and Conferences Page 2 New Techniques Dear Readers, Wi 36 years of experience and excellence in e field of manufacturing Ophalmic medical equipment and Intra ocular lenses in e country, we bring to you our very first e-journal "OCULO "- Appasamy Associates' e-journal on e Ophalmological world. This is an initiative to keep our readers well-updated wi all e latest news and happenings in e World of Ophalmology It has been our constant endeavour to contribute to e field of Ophalmology and now wi e launch of is e-journal, we believe we can cater to all your needs once again. Product Focus Cover story - Toric IOLs in Ophalmic Practice Page 3 Page 4 Wi fresh enusiasm to dedicate ourselves and to serve you better, we have given our best in delivering e necessary information on e new technologies and on news about e forcoming conferences. Happy Reading, Warmest Regards, P.S.N. Appasamy Spot Light Page 5 Page 6 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 Ophalmologist from Chennai. A lot of research and effort has gone into is study... Dr. Soosan Jacob's research abstract on her Paper titled Contact lens assisted collagen cross linking (CACXL): A new technique for cross linking in Corneas. Treating e Keratocone is e topic at is making e rounds and wi FDA approvals in e pipeline for a few oer techniques, is will definitely prove to be one ground breaking research Continue reading furer in pg: 4 Continue reading furer in pg: 3

2 AIOS 2014 EVENTS AND CONFERENCES nd 72 All India Ophalmological conference was held in Agra is year at hotel Jaypee Palace. The conference was inaugurated by Dr. Lalit Varma, General Secretary, AIOS along wi Dr. Suresh Maskati in e presence of Dr. Tara Prasad Das, Dr. Ania Panda & Dr. Rajvardhan Azad. Thank you very much for visiting us during e conference and for making e show a huge success!! UPCOMING CONFERENCES ASCRS Symposium On Cataract, IOL and Refractive Surgery 2014 Fri 25 Apr 2014 to Tue 29 Apr Visit us in boo French Society of Ophalmology 120 Congress 2014 Sat 10 May 2014 to Tue 13 May 2014 Paris, France Visit us in boo - T38 2

3 NEW TECHNIQUES Contributed by, Dr. Soosan Jacob Dr. Agarwal's Eye Hospital, Chennai My new technique called Contact lens Assisted Cross- 1 linking, or CACXL, for cross-linking in Corneas acts by artificially increasing e ickness of e ultraviolet (UV) absorption medium anterior to e endoelium by using a riboflavin-soaked contact lens and a pre-contact lens riboflavin film. Wi is technique, cross-linking can be performed on a greater number of Patients and also on Patients wi inner Corneas an ose who undergo conventional Corneal crosslinking. CACXL is not dependent on e swelling properties of e 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 e same solution of riboflavin is also applied to e Cornea every 3 minutes for e same period of time. The riboflavin-soaked contact lens is en applied to e eye and A pre-contact lens riboflavin film is also applied over e contact lens. 1. Jacob S, Agarwal A et al. Contact lens assisted collagen cross linking (CACXL): A new technique for cross linking in Corneas. JRS 2014 The technique has shown very good anatomic and visual results in early reported cases. The type of lens used should be in and must not have a built-in UV barrier or it will negate e effect. Contact lens assisted CXL is us a new technique for cross-linking in Corneas less an 400 µm ick. Building Blocks Appasamy Associates has always been lucky to find e best talents and is indeed has proved to be one of our best strengs. We are humbled by such personalities who, year after year, strive hard for e grow of is organisation. Mr. S. Gurumooy, our zone manager for e states of Andhra Pradesh and Karnataka, is one such pillar and we are proud to say at he has been a part of our organisation since e early 80s. His dedication is heart-warming and we dedicate is as a token of our appreciation. Mr. S. Gurumoory can be contacted at appasamyvijayawada@gmail.com 3

4 PRODUCT FOCUS JERICHO Multi Spot Laser Instant and easy access Less heat diffusion to e retina & Choroid Effective touch screen interface High speed Scanners enhances rapid delivery Safety filters enables comfortable Physician's view and eliminates colour distortion. 4

5 TORIC IOLs IN OPHTHALMIC PRACTICE by, Dr. Arulmozhi Varman Medical Director, Uma Eye Clinic, Chennai, India Introduction Cataract surgery has made several leaps wi e 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 e 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 e same for near vision. This gave rise to Multifocal IOLs. Surprisingly, treating astigmatism using IOL is not very widespread considering e fact at a sizable population does suffer from is refractive error. Available data indicates at approximately 70% of e general cataract population has at least 1.00 D of astigmatism. This indicates at e best of monofocal lenses, surgical meods or calculation cannot achieve emmetropia. Implantation 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. 1. Pre-operative Evaluation 2. Surgical Technique 3. Post-op Verification and Readjustment Pre-op Evaluation Pre-existing Corneal astigmatism is e 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 preexisting 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 eier hydrophobic or hydrophilic wi hydrophobic coating for better adherence to posterior capsule. The laser marks indicating e axis of cylinder in e Intraocularlens is etched at e optic haptic junction in lenses wi loop haptics and along e long axis in plate haptic lenses. Toric lenses have to be placed in e desired axis in e eye. The muscular shaped loop design of Supraphob preloaded hydrophobic Toric lens from Appasamy Associates has better streng to retain e lens in its designated axis in e long run too. Supraphob Toric comes in e following powers: SP TORIC CYLINDER POWER AT IOL PLANE CYLINDER POWER AT CORNEAL PLANE SP TORIC T3 SP TORIC T4 SP TORIC T5 SP TORIC T6 SP TORIC T7 SP TORIC T8 SP TORIC T9 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 To read is article furer click here 5

6 SPOT LIGHT Dr. Keiki Mehta, is a leading ophalmic surgeon in India, a prolific teacher and a pioneer in cataract and refractive surgery in e country. In addition to his clinical practice, Dr. Mehta conducts free eye camps nationwide, is Chairman of e 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 e Mehta International Eye Institute and Colaba Eye Hospital, which he founded and which is now considered to be Asia's most advanced Ophalmic institute. He also holds a professorship at e D. Y. Patil Medical College and Hospital in Mumbai and serves as Chairman and Organizing secretary of e Eye Advance Congresses. Over e course of his long and distinguished career, Dr. Mehta performed e first intraocular implant Image courtesy and e first LASIK procedure in India and has earned a reputation as e "Faer of Indian Phacoemulsification" for his efforts in at field. Dr. Mehta's numerous awards include e American Implant Society's prestigious Appreciation Award for creation of e first soft intraocular lens implant and e National Eye Research Foundation's Grand Honors Award for Ophalmology research, e only Indian ever to receive e award. He was also awarded e very prestigious "Padma Shree Award" from e hands of e President of India in 2008 for outstanding services to e cause of Ophalmology in India. Dr. Mehta will also be is year's Honored guest at ASCRS-ASOA Annual Symposium and Congress at is to be held in Boston later is mon. He will receive e Honored Guest award along wi Dr.PhilipHessburg, of Minnesota. SMILE SPACE I overheard two EMT volunteers talking about e time ey went to e aid of an elderly man. As one took down his information, e oer opened his shirt to attach EKG cables. "Any history of heart trouble?" asked e first volunteer. "None," said e patient. Looking at e telltale scars of bypass surgery, e second volunteer wasn't so sure. "In at case," he said, "do My moer has tried her hand at several careers, some even concurrently. Imagine e surprise of bo a hospital patient and my mom when e patient woke up after surgery and, upon seeing who her nurse's aide was, yelled, "What are you doing? You're e woman who helped me pick out interior paint colors! you remember when e lion attacked you?" Your suggestions and feedback will be much appreciated. Please write to us on oculotimes@appasamy.com or call us at