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Memorial Lecture - Dr. Paul S. Koch "Cataract Surgery in Two-legged Patients: What to Do When You Don’t Get What You Want" |
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Happily, most cataract operations are fairly routine and predictable. My standard operative report is preprinted and usually I just need to sign it. But not every operation is routine, so there is a space on the form for what we call "Variations, Complications, and Interesting Situations." If one or more of them should pop up I write a detailed description of the occurrence in that space. This presentation comes from those handwritten notes. I will be showing video clips from cases that needed a more detailed operative report. Each clip will show a variation in a technique, a surgical complication, or an interesting situation.
For 20 years I filmed every operation I performed, some good, some adequate, and some that still cause me to cringe. For this presentation I will select some of my favorite cases. Some will be unique, and some a twist on old themes, but every one of them will be something that happened to me (sigh).
Biography Dr. Paul Koch is a Founder and the Medical Director of Koch Eye Associates. His specialty is Cataract, Lens Implantation, and Refractive Surgery.
Dr. Koch has been named one of the Top 100 Ophthalmologists and one of the Top 15 Cataract Surgeons in North America by Ophthalmology Times. He has been cited in each issue of the Best Doctors in America. He has won many awards including the Mericos H. Whittier Foundation’s Lifetime Achievement Award, the American Academy of Ophthalmology’s Honor Award, the David Kelman Foundation’s Golden Hands Award, the Irish-American Ophthalmology Society’s Top-Gun Phaco Award, the Hoffer Award (twice), and the International Film Festival of the American Society of Cataract & Refractive Surgery Award (four times). He was in the inaugural group of inductees into the Bishop Hendricken High School Hall of Fame.
Dr. Koch has written seven books on eye surgery, six of them about cataract surgery, which are the standard reading materials for residency programs in the US and abroad, and one about corneal refractive surgery. He has also written many journal articles, book chapters, and specialty editorials. He is Chief Medical Editor of Ophthalmology Management Magazine.
He has helped popularize many advances in cataract surgery, including techniques that permit surgery to be performed comfortably without anesthetic injections, and with vision recovery beginning only a few minutes after the operation is completed.
Dr. Koch was one of the first refractive surgeons in America performing keratomileusis (the original manual technique for LASIK) in 1979, keratophakia in 1980, and radial keratotomy in 1983. (He is also a radial keratotomy patient himself.) Now he performs laser refractive surgery for myopia, hyperopia, astigmatism and soon, pending FDA approval, presbyopia. Dr. Koch is New England’s most experienced laser surgeon. He is also among the most experienced refractive lens implant surgeons in America. These implants are used for patients who have extreme refractive disorders and are implanted at his surgery center in Warwick. He was one of the Clinical Investigators for the Crystalens, the first FDA-approved accommodating intraocular lens.
Dr. Koch grew up in West Warkwick, but now lives in East Greenwich with is wife, Joanne, and children Katie and Paul.
Education
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