Office-Based, Bilateral Visian ICL Results Post FDA Approval: Keeping Up with the Joneses

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Office-Based, Bilateral Visian ICL Results Post
FDA ApprovalKeeping Up with the Joneses

Brian S. Boxer Wachler, MD
BEVERLY HILLS , CA
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Financial DisclosuresDr. Boxer Wachler consults
for Staar Surgical


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Who Are the "Joneses"?
LASIK, PRK, CK, among others, which are all
performed bilaterally in the office. Its now
time for ICL to make the move into your OFFICE
procedure room (not ASC anymore)
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How can intraocular surgery be performed in an
office-based surgery suite?
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AAAHC Facility and Environment Checklist

• Section 8, cont
• Adequate lighting and ventilation are provided in
  all areas.
• Facilities are clean and properly maintained.
• Coved floors.
• Non-flaking ceiling tiles.
• Monthly cleaning of walls, ceilings and all other
  non-surgical surfaces.
• Procedures minimize the sources and transmission
  of infections.
• Procedures for proper identification, management,
  handling, transport, treatment, and disposition
  of hazardous materials and wastes whether solid,
  liquid or gas.

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Coved Floors
Non-Flaking Tile Ceiling
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Surgeon/Staff Preparation
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Our Post-FDA Approval ICL Results

• 49 eyes of 26 patients
• Preop SE myopia -8.64 /- 3.01 D
• (range -3.5 D to -14.75 D)
• ICL mean -6.4 /- 1.1 D
• All plano target
• 3 months SE postop accuracy
• 0.06 /- 0.38 D (range 0.62 to -0.50 D)

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UCVA 3 Months Postop
of Cases
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Change in BSCVA from Preop
of Cases

• 1 case of halos
• No infections, cataracts, increased IOP, or other
  side effects.

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Side Effects

• 1 case of halos
• No infections, cataracts, increased IOP, or other
  side effects.

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Patients describe their VA likeHD TV yes,
its that clear

• Visian ICL can be successfully performed
  bilaterally, in office-based surgery suite
• Vision results are excellent