ASCRS News: Annual Meeting Preview
April 2022
by Ellen Stodola
Editorial Co-Director
Warren Hill, MD, will give the second Richard L. Lindstrom, MD, Lecture, presenting on the accuracy in IOL power selection and discussing “Are we there yet?” The inaugural Lindstrom Symposium and Lecture was held in 2021, with presentations on cataract, refractive, cornea, and glaucoma surgery, as well as industry collaboration.
Dr. Hill spoke to EyeWorld about his upcoming lecture and some of the topics he plans to touch on, noting that he will likely give some historical perspective and look at where we are currently and what’s on the horizon.
Dr. Hill said there is much to discuss on the topic of IOL power selection in the short time of the lecture. “For a topic as large as this and as all-encompassing and important as what we do as anterior segment surgeons, that’s not a lot of time,” he said. As anterior segment surgeons, he continued, we are judged by our patients and peers by our refractive outcomes, so it’s important.
“Where we are right now in terms of accuracy is very different than when I began my career in the mid-1980s,” Dr. Hill said, adding that the landscape is even very different from several years ago. “I think most anterior segment surgeons would agree that 5–10 years ago, it was a different ballgame for refractive outcomes. We now have much better tools to work with.” Being able to consistently move past a 90% ±0.50 D accuracy is going to require a collection of clear-thinking individuals coming up with new ideas, industry helping us with better and more sophisticated measurements, and all of that coming together in new solutions, he noted.
“I think most anterior segment surgeons would agree that 5–10 years ago, it was a different ballgame for refractive outcomes. We now have much better tools to work with.”
Warren Hill, MD
Dr. Hill mentioned how much attention is paid in his practice to accuracy of IOL power selection. “Our half diopter accuracy is better than 90%,” he said. It is possible to attain this level of accuracy, but it takes a lot of work. Dr. Hill added that when he talks to physicians around the world who have similar outcomes, they all note the importance of being meticulous, optimizing the ocular surface prior to biometry, validating every aspect of biometry, and refining outcomes based on past experience. The common thread is the commitment to excellence, Dr. Hill said. He plans to go into detail on how to get to the highest possible accuracy because with IOLs like multifocal and torics, the highest possible level of accuracy is required.
Panelists for the Lindstrom Symposium will include Dimitri Azar, MD, Reay Brown, MD, Clara Chan, MD, and Steven Dell, MD, with moderator Edward Holland, MD.
About the physician
Warren Hill, MD
East Valley Ophthalmology
Mesa, Arizona
Relevant disclosures
Hill: Haag-Streit
Contact
Hill: hill@doctor-hill.com
