Month: April 2014

OPUS-2: Lifitegrast improves symptoms but not signs of dry eye disease

BOSTON — Of two co-primary endpoints of the OPUS-2 study, signs and symptoms of dry eye disease, one was met and one was not, according to a speaker here. “The study robustly met the primary endpoint for symptom, with a P value of .0001; however, there was no statistically significant difference for the endpoint sign of corneal staining,” Joseph Tauber, MD, said at the American Society of Cataract and Refractive Surgery annual meeting.

Femtosecond laser studied for use in deep anterior lamellar dissection

BOSTON — Deep anterior lamellar grafts for keratoconus and other anterior stromal pathology, in time, may be performed more successfully with femtosecond lasers and more reliably than the big bubble technique, according to a speaker here.“The classic challenge of deep lamellar keratoplasty has been poor optical outcomes,” Roger F. Steinert, MD, said at the American Society of Cataract and Refractive Surgery annual meeting. “Why does that happen? I think it is primarily an interface issue.”

Femtosecond laser zigzag deep lamellar keratoplasty treats corneal stromal pathology

BOSTON — A technique that combines femtosecond laser zigzag deep lamellar keratoplasty with Anwar’s big bubble technique yields rapid recovery of corrected distance visual acuity in patients with stromal pathology, primarily keratoconus, according to a speaker here.Marjan Farid, MD, described the technique to colleagues at the American Society of Cataract and Refractive Surgery annual meeting.

Your practice could be at risk without a legally compliant employee handbook

Physicians take great care, and significant effort, to build their practices. Many practices, however, are exposed to potential liability and financial disaster concerning employment law issues.There are easy steps that practices can take to avoid this exposure (the proverbial “ounce of prevention”), and yet many do not. This is the first in a series of articles regarding employment law issues affecting medical practices. This article focuses on employee handbooks.

ASCRS looks to build on the successes of the past year

BOSTON — After a busy year, outgoing American Society of Cataract and Refractive Surgery President Eric D. Donnenfeld, MD, outlined ways in which the organization plans to improve on its success under new leadership. Incoming ASCRS President Richard A. Lewis, MD, will play an important part in cementing the role glaucoma plays in the organization during his tenure as president, Donnenfeld said at the opening ceremonies of the annual meeting. Speaking for Lewis, who was unable to attend the meeting, Donnenfeld said, “I’m pleased to announce that the 2015 ASCRS (Read more...)

Speaker: Presbyopic LASIK treatment targets near, intermediate vision, preserves distance vision

BOSTON – Patients who have undergone previous LASIK will all age and become presbyopic. These are the patients who are motivated to continue a spectacle-free lifestyle, according to a speaker here. “Some of these patients over the years have regressed; some still have some residual refractive error,” Robert Ang, MD, said at the American Society of Cataract and Refractive Surgery annual meeting. “These are our patients who come back to us after many years and still want less dependence on spectacles.”

Surgeon reports high patient satisfaction with hydrogel corneal inlay

BOSTON – Overall patient satisfaction is 98% after implantation with the Raindrop inlay, according to a surgeon here. The Raindrop inlay is a hydrogel corneal inlay limited to investigational use in the U.S. As an investigator in the ReVision Optics Raindrop Near Vision Inlay U.S. IDE Trial for emmetropes only, Jeffrey Whitman, MD, has implanted 82 eyes of 82 patients, with outcomes at 1 year available for 45 of those patients. At 1 week, uncorrected near visual acuity in the inlay eye improved, and continued to improve, with 93% of (Read more...)

BioTissue introduces procedure to treat conjunctivochalasis, restore tear reservoir

BioTissue Inc. is introducing an amniotic membrane-based treatment for conjunctivochalasis dry eye at the American Society of Cataract and Refractive Surgery meeting in Boston, the company announced in a news release. The Reservoir Restoration procedure uses cryopreserved amniotic membrane to restore the tear reservoir and tear meniscus, and inhibits metalloproteinase activity. The procedure involves the company’s proprietary AmnioGraft replacement tissue product.

Speaker: Treat preexisting dry eye disease before LASIK

BOSTON – Dry eye is one of the most common complications of LASIK surgery, but severity is worse in prior dry eye disease patients, according to a speaker here. Postoperatively, occurrence of dry eye peaks at 1 week to about 3 months, regardless of prior dry eye disease, and chronic dry eye disease occurs in about one in five post-LASIK patients and in about 3% to 7% post-PRK patients, Elizabeth Yeu, MD, told colleagues at Cornea Day preceding the American Society of Cataract and Refractive Surgery annual meeting.

Cornea Donor Study: Donor age inconsequential in PK for endothelial disease

BOSTON — Ten-year results of the Cornea Donor Study indicate that donor age is not an important factor in most penetrating keratoplasties for endothelial disease, a speaker said here. With 1,090 patients evaluated and 105 surgeons, 80 sites and 43 eye banks involved, this study has been “a tremendous collaborative effort by the eye banking community,” Edward J. Holland, MD, said at Cornea Day preceding the American Society of Cataract and Refractive Surgery annual meeting. The primary objective of the study was to determine whether success of PK performed for (Read more...)

Femtosecond laser has applications in glaucoma surgery

BOSTON — Considering the recent technological progress of femtosecond laser platforms, aided by 3-D imaging, glaucoma surgeons may now find femtosecond lasers beneficial in their own practices, according to a speaker here at Glaucoma Day preceding the American Society of Cataract and Refractive Surgery annual meeting. “Femtosecond laser cataract surgery is a novel technology,” Eric D. Donnenfeld, MD, told attendees. “Patients are enjoying it. It’s computer-controlled with laser accuracy, it improves capsulotomies in difficult eyes, it reduces phacoemulsification time and energy, and treats astigmatism. I think it may be very (Read more...)

Risk factors for infectious keratitis vary with demographics

BOSTON — Infectious keratitis remains a significant cause of corneal morbidity and corneal blindness in Asia, although local risk factors vary with region and demographics, according to a speaker here. “Corneal trauma is the main risk factor for developing countries. But in developed East Asian countries, it is clear that contact lens wear is the important risk factor,” Donald T.H. Tan, MD, said, giving results from the phase 1 Asia Cornea Society Infectious Keratitis Study (ACSIKS) at Cornea Day preceding the American Society of Cataract and Refractive Surgery annual meeting.