The Continuing Understanding of Presbyopia

AS WE PUT THE FINAL TOUCHES UPON THIS ISSUE OF Presbyopia Physician, it is ever more evident that presbyopia is not just a refractive error issue, but rather a dynamic aging process that progressively destabilizes accommodation over several decades. Drs. AnnMarie Hipsley and Edwin Price describe how presbyopia is just a symptom of advancing ocular rigidity in the aging eye. It is great to see authors further hone in on how to sophisticate patient management and customize treatment options for the presbyopia spectrum, as written by Drs. Cecelia Koetting, Melissa Barnett, and Pamela Lowe. What will it take to catapult medical presbyopia care? How do we marry various presbyopia management options? How do we best educate our pre-presbyopic patients? How do we make presbyopia patient care thoughtful, digestible, efficient, and GREAT? Currently, some of my (EY) longer patient conversations that require greater amounts of chair time are the LASIK evaluations in the over 40-year-old age group. What does great presbyopia care look like? Is it developing a new pharmaceutical or laser? Is it writing the next peer review consensus statement?

Speaking of greatness, I (JL) was excited to see a familiar name in our great lineup, Kenneth Kenyon, MD. As a young corneal resident in Boston, I had the honor and pleasure of working alongside Dr. Kenyon (and other amazing doctors such as Janet Rand, OD, Johnathan Talamo, MD, and Kimberly Sippel, MD) at Corneal Consultants of Boston. I was welcomed into the group and the next level care in which I was able to participate holds a special place in my optometric heart, and has motivated me in my career. Although this professional “path crossing” was rather unexpected and serendipitous I have followed Dr. Kenyon’s work regarding corneal dystrophies as I do with many of my colleagues that are leading eyecare forward.

In this issue hopefully our great contributors will inspire you to be great. Articles discuss approaching patients with empathy, the treatment journey, and the tsunami of activity in the field. Mechanisms of action and potential uses are discussed for products and techniques in development, and there is more about basic eye anatomy We also have a discussion about myopia, a look at mixing and matching IOLs, and an article about a wonderful outreach program in Africa.

I think we can all agree greatness is in the eye of the beholder and each career path is different,. And I hope we can agree it takes a village. Lean in, reach out, and reconnect with your village personally and professionally. Happy Holidays! ■

Chief Co-Editors

Jacob Lang, OD and Elizabeth Yeu, MD