By Elizabeth Yeu, MD; George O. Waring IV, MD
    ASCRS 2013 Annual Meeting
    Refractive Mgmt/Intervention

    In this interview from the 2013 American Society of Cataract and Refractive Surgery Annual Meeting, Dr. George O. Waring IV talks with Dr. Elizabeth Yeu about the evolving paradigm in the surgical correction of presbyopia. As we learn more about the mechanism of accommodation, the pathology of presbyopia and its prevalence are being redefined, says Dr. Waring, who sees a growing demand for surgical correction of presbyopia before cataract surgery is indicated. Although laser blended vision remains a primary approach, he believes the latest generation of presbyopia-correcting multifocal IOLs satisfies patient expectations like never before. New devices on the horizon include presbyopia-correcting corneal inlays, notably the Kamra inlay (AcuFocus). Already commercially available outside the United States, the Kamra inlay increases depth of focus through a pinhole in the device. Corneal inlays represent a viable alternative for the presbyopic patient with an intact lens and a desire to preserve stereoacuity. Dr. Waring also describes potential future technologies that may provide accommodative restoration through treatment to or around the ciliary sulcus.