► With an increasing Aging population around the world, the IOL market is expected tobecome 30 Million by 2020

► That's a staggering 105,000 surgeries on a daily basis around the world

► With the number of Ophthalmic surgeons more or less being stagnant it means that theaverage number of surgeries by a doctor has to increase exponentially for doctorsto keep the Cataract Backlog low

► The call of today is for surgeons to improve surgical efciency by increasing the surgerynumber and provide better outcomes for their patients

®► ASICO provides the Ultimate guide to surgical instruments for better outcomes Click here for Download 1

Guide for Improving Cataract Efficiency

Increasing Eye Surgery Efficiency to Meet Growing Global Need A series of surgeon profiles and analyses spotlighting innovations in ocular surgery efficiency and their impact on unmet eye care need and provider finances

Historically, surgical efficiency discussions have typically focused narrowly on cost and its impact on facility profitability and practitioners income. The rapid aging of world populations and new technology are broadening the efficiency discussion.

Indeed, as national health plans and private insurers ratchet down payments and demand proof of value, increasing surgical efficiency while maintaining outcomes will be essential for clinicians and provider facilities and systems to maintain financial viability.

1According to the Vision Loss Expert Group, By 2050 that could grow to 703 million visually impaired with 115 million blind . These increases will be driven largely by growth in the world population over age 60 nearly doubling from 12 percent to 22 percent with those over age 85 tripling.

About two-thirds of visually impaired people could recover good sight by treating just the two leading causes, refractive error and cataracts, which 2are responsible for about half of blindness worldwide, says the World Health Organization's (WHO) eye health action plan .

3Failure to train more ophthalmologists and support professionals could result in increased avoidable blindness in many less-wealthy countries .

Surgeon supply is a challenge even for wealthy countries. In the United States, cataract surgeries are expected to double to 8 million while surgeon 4supply drops 10 percent, more than doubling average caseloads in the next 20 years . Within seven years the U.S. will be short more than 6,000

5ophthalmologists, the most of any surgical specialty, according to government projections . Similarly, in Singapore ophthalmologist supply will 6need to grow 150 percent or more to meet eye care service demand in 2040, requiring expanded residency programs .

Clearly, increasing eye surgery efficiency will be a major part of the solution. In this series we profile surgeons who are innovating to improve the efficiency and effectiveness of both surgical procedures perse, and the organizations and support staff essential for providing these services – and are spreading these innovations across the world via surgical training and health system development programs.

What binds these innovators together is their commitment to ending avoidable visual impairment world wide – and a deep understanding that more-efficient eye surgery is critical.

Efficiency means more than numbers By efficiency Dr. Crandall means more than generating extra income or even treating more patients. “Part of efficiency in surgery is being elegant, which means fewer complications,” he said. Fewer complications means less time and resources consumed in follow up. More importantly, it means better health and economic outcomes for patients, their families and their societies.

®– from ASICO , a global leader in surgical instrument innovation

Reference: 1. Flaxman SR et al. Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis. The Lancet 2017; 5(12): PE1221-E1234. https://www.thelancet.com/journals/langlo/ article/PIIS2214-109X(17)30393-5/fulltext?elsca1=tlxpr. 2. Universal Eye Health - a global action plan, 2014-2019, World Health Organization, 2013. http://www.who.int/blindness/AP2014_19_English.pdf?ua=1. 3. Wang W et al. Cataract Surgical Rate and Global Socioeconomics: A Global Study. Investigative Ophthalmology & Visual Science. 2017;57:5872-5881. https://iovs.arvojournals.org/article.aspx?articleid=2579547. 4. Kent C. Preparing Your Practice for the Cataract Tsunami. Review of Ophthalmology. 10 May 2016. https://www.reviewofophthalmology.com/ article/preparing-your-practice-for-the-senior-tsunami. 5. National and Regional Projections of Supply and Demand for Surgical Specialty Practitioners: 2013-2025. U.S. Department of Health and Human Services, Health Resources and Services Administration, December 2016. https://bhw.hrsa.gov/sites/default/files/bhw/health-workforce-analysis/research/projections/surgical-specialty-report.pdf. 6. Ansah JP et al. Future requirements for and supply of ophthalmologists for an aging population in Singapore. Human Resources for Health 2015;13:86. https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0085-4.

Dr. Alan Crandall, Salt Lake City, USA

Meet us @

Booth 533Fall 2019 Newsletter - Volume II

Dr. Alan Crandall, USA

Tired of waiting? Pre-order today and avoid long lines Call +1-630-986- 8032 or email info@asico.com for more details!

Today a wide range of pre-choppers are available in the market, leading to confusion in the Doctor's minds as to which should be used when. To make this decision easy and simple, Dr Akahoshi has designed 2 new pre-choppers which can be used for Cataracts from varying density of Grade 1 to 4. A doctor using the karate technique can pre-chop Grade 1 - 4 cataracts with AE-4198 or AE-4183.

Akahoshi Nucleus Sustainer AE-2530

2.0mm or smaller incision• Can be used for multiple functions of manipulating nuclear fragments, Toric IOL and CTR

®• Suitable for the Counter Traction Implant technique to inject a 6.0 mm AcrySof lens through a

• Ideal to use with the Akahoshi Prechopper series for the Counter Prechop technique• 1.5mm tip easily supports the deepest part of the nucleus

• Can also be used as a chopper for phaco chop and Double Chopper Prechop technique• 0.4mm microball protects the posterior capsule

Dr. Takayuki Akahoshi, Japan

2Educational Video Link:®Acrysof is the registered trademarks of Alcon

Akahsohi Ball I/A Tip

45° port allows complete cortical cleaning by rotation, rather than swivel motion lowering mechanical stress on the incision

�42% more irrigation ow �as 0.7mm diameter compared to the traditional 1.0mm, allows maximum irrigation ow which results in better cortical cleaning efciency and a stable and deep anterior chamber 0� .3mm x 0.2mm oval port allows for maximum aspiration efciency U� niversal threading will t on any threaded I/A handpiece

Akahoshi Mini Skinny I/A Tip

New Bimanual I/A

Dr. Abhay Vasavada,India

3

Educational Video Link:

Educational Video Link:

Akahoshi Adjustable Speculum AE-1071, Akahoshi Hydrodissection Cannula II AE-7636

2 prong speculum for easy temporal access withmaximum even exposureFor narrow lids or deep set eyes

27 gauge cannula facilitates hydrodissectionUnique tapered tip design can be easily inserted beneath the capsulorhexis edgeDesign allows easy rotation of the nucleusTapered tip easily increases the intraocular pressure for sealing the wound Available in single use version, AS-7636

AE-2930M

Dr. Takayuki Akahoshi, Japan

CCC marker

®Axsys Toric Reference Marking Device AE-2929

4

Educational Video Link:

AE-2929

Patented USP 9,668,920

Akahoshi Intra-Operative Toric Axis Marker with CCC Guide

IOL Fixation Made Simple

Dr. Soon Phaik Chee,Singapore

AE-4903 also available

5

® 6

Dr. Jodbhir Mehta, Singapore

Dr. Edward Manche, USA

Educational Video Link:Dr. Manche SMILE instruments

Please click here to see the video of the SMILE procedure

One side is an elongated hook to allow identication of the lenticule edge regardless of optical zone size the other side is the smooth dissector with the laser lines on to allow the appropriate identication of the correct planes and guides the surgeon to the reach of the instrument in relation to lenticule size.

Advancut Clear Cornea Knife

Hydro+ Single Use Cannula

Our Booth @ AAO 2019 - Booth No. 533

Scan here to see the educational video channel by ASICO on YouTube

Disclaimer: ASICO , MCO, MicroCO, Vision News, MaxIRIS, AXsys, Innovative Forum, ASICO Exclusive and respective logos are registrated trademark and property of ASICO LLC

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Also available in reusable

Iris Hook

unique patented geometric bevels on the edge

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727

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527

MicroSurgical

Technology627

Also available in reusable

Tired of waiting?

Pre-order today and avoid

long lines

Call +1-630-986- 8032 or

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