Brian S. Boxer Wachler, MD

Office-Based, Bilateral Visian ICL Results Post FDA

Approval:Keeping Up with the Joneses

BEVERLY HILLS , CA

Financial Disclosures:Financial Disclosures:Dr. Boxer Wachler consults Dr. Boxer Wachler consults

for for Staar SurgicalStaar Surgical

Who Are the "Joneses"?Who Are the "Joneses"?

LASIK, PRK, CK, among others, which are all performed bilaterally in the office.

It’s now time for ICL to make the move into your OFFICE

procedure room

(not ASC anymore)

How can intraocular How can intraocular surgery be performed in surgery be performed in an office-based surgery an office-based surgery

suite?suite?

AAAHC Facility and Environment AAAHC Facility and Environment ChecklistChecklist

Section 8, con’tSection 8, con’t Adequate lighting and ventilation are provided Adequate lighting and ventilation are provided

in all areas.in all areas. Facilities are clean and properly maintained.Facilities are clean and properly maintained.

Coved floors.Coved floors. Non-flaking ceiling tiles.Non-flaking ceiling tiles. Monthly cleaning of walls, ceilings and all other non-Monthly cleaning of walls, ceilings and all other non-

surgical surfaces.surgical surfaces. Procedures minimize the sources and Procedures minimize the sources and

transmission of infections.transmission of infections. Procedures for proper identification, Procedures for proper identification,

management, handling, transport, treatment, management, handling, transport, treatment, and disposition of hazardous materials and and disposition of hazardous materials and wastes whether solid, liquid or gas.wastes whether solid, liquid or gas.

Coved FloorsCoved Floors

Non-Flaking Tile CeilingNon-Flaking Tile Ceiling

Surgeon/Staff Surgeon/Staff PreparationPreparation

Our Post-FDA Approval ICL Our Post-FDA Approval ICL ResultsResults

49 eyes of 26 patients49 eyes of 26 patients Preop SE myopia -8.64 +/- 3.01 DPreop SE myopia -8.64 +/- 3.01 D

(range -3.5 D to -14.75 D)(range -3.5 D to -14.75 D) ICL mean -6.4 +/- 1.1 DICL mean -6.4 +/- 1.1 D All plano targetAll plano target

3 months SE postop accuracy3 months SE postop accuracy +0.06 +/- 0.38 D (range +0.62 to -0.50 D)+0.06 +/- 0.38 D (range +0.62 to -0.50 D)

UCVA 3 Months PostopUCVA 3 Months Postop

10

71

8896

0

20

40

60

80

100

20/15 20/20 20/25 20/30

% % of of

CasesCases

07

64

27

20

20

40

60

80

100

-2 lines -1 line no change +1 line +2 lines

% % of of

CasesCases

Change in BSCVA from PreopChange in BSCVA from Preop

1 case of halos1 case of halos No infections, cataracts, increased IOP, or other side effects.No infections, cataracts, increased IOP, or other side effects.

Side EffectsSide Effects 1 case of halos1 case of halos No infections, cataracts, increased No infections, cataracts, increased

IOP, or other side effects.IOP, or other side effects.

Patients describe their VA Patients describe their VA likelike

“HD TV” – yes, it’s that “HD TV” – yes, it’s that clearclear

Visian ICL can be Visian ICL can be successfully successfully performed performed bilaterally, in bilaterally, in office-based office-based surgery suitesurgery suite

Vision results are Vision results are excellentexcellent