In our busy surgery center, my colleagues and I perform
more than 200 laser cataract procedures each month.
There is no doubt in my mind that laser cataract surgery
has been a great addition to our practice, both
clinically and financially. Ge…
Author: CRST
Ocular Residual Astigmatism
The pace of innovation in refractive surgery is
among the most rapid of any field of medicine,
and such innovation depends on clinical and
industrial research’s occurring congruently.
Private practices tend to have flexibility and autonomy t…
Decentered, Three- Piece IOL and an Open Posterior Capsule
CASE PRESENTATION
A 62-year-old woman with a history of amblyopia in her
left eye underwent bilateral cataract surgery in April 2013.
The patient presents for an evaluation of a decentered IOL
and a visual disturbance in her right eye…
Aesthetic Interventions for the Ocular Area
Of all areas on the face, the eyes are arguably
the most expressive. They are also the first
place to which we we are drawn when looking
at someone. These are some of the reasons
why the ocular area has remained a hotbed of
discussion and int…
Sidebar: The Future of Cataract Wound Closure?
After cataract surgery, stromal hydration is the most common method of “sealing” clear corneal incisions. It is not a perfect solution to wound closure, however, because the effects are transient
and inconsistent with respect to endurance. Af…
New Insights Into Neurotoxins
Neurotoxins have come a long way since Botox
Cosmetic (onabotulinumtoxinA; Allergan) first
arrived on the market more than a decade
ago. Not only have aesthetic clinicians learned
more about these agents and the nuances of how and
where to in…
Laser Versus Manual Cataract Surgery
Capsulotomy technique during cataract surgery
has evolved significantly over the past 25 years.
Typical of extracapsular cataract extraction in
the 1980s, a can-opener technique by nature
created multiple small anterior capsular (radial) tears…
Complex Cataract Surgery on an Eye With an Opaque Cornea
CASE PRESENTATION
A 52-year-old Hispanic man suffered a traumatic injury to
his left eye from a piece of tile at a construction site in January
2013. He sought care locally during the subsequent month for
an infection that worsened de…
Adding Cosmetics in a Functional Practice
As the number of physicians entering the world of
aesthetic medicine continues to increase, many
practitioners are wondering if it is possible to
introduce cosmetic procedures into their already
busy functional surgery practices. Our experienc…
4 Ways Instagram Can Raise Your Medical Practice’s Profile
Making the most of social media to promote
your business is about diversifying platforms.
Not only can making use of multiple platforms
to convey your message increase your
exposure, but different platforms can also be used to
play to differe…
Intrastromal Incisions Using a Femtosecond Laser
The introduction of femtosecond lasers into
ophthalmology ushered in a completely new
way of creating corneal incisions. The technology’s
first established use was for the creation
of LASIK flaps, but the technique’s flexibility and
accur…
How to Decide Between Laser AK and a Toric IOL
I use laser astigmatic keratotomy and toric IOL placement
to correct astigmatism during cataract surgery. My
patients undergo a series of diagnostic tests that include
the use of an IOLMaster (Carl Zeiss Meditec), pachymetry
readings, refracti…
Toric IOLs in Eyes With Keratoconus
Cataract surgery has evolved into a refractive
procedure, and patients have high expectations
for good UCVA after surgery. Patients with keratoconus
who are successful in achieving good-quality
BCVA with rigid or scleral contact lenses often
…
Tips for Effective and Efficient Interactions With Patients
emThis month, we focus on becoming more efficient in day-to-day training/practice. Jeff Liu offers several valuable
suggestions that will help you during your first year as an ophthalmology resident and beyond.
br /—Sumit “Sam” Garg, M…
An Option to Treat Decentered Keratoconus and Post-LASIK Ectasia
Intracorneal ring segments (ICRSs) have been used for more than 15 years in keratoconic eyes to reshape the cornea, reduce corneal steepening and refractive error, and avoid or delay the need for a corneal transplant.
One type of ICRS is…
The Effects of Changing Demographics on Ophthalmology
The world’s population is growing. During my life
span, it has more than doubled—from about
3 billion in 1960 to more than 7 billion today.
Our population will continue to grow, reaching
more than 9 billion people worldwide by 2050, a Unit…
Point/Counterpoint: Is the Architecture of Laser Clear Corneal Cataract Incisions Satisfactory?
Yes, and it is getting better with experience and technological advances.
strongBy Kerry D. Solomon, MD/strong
I love the flexibility the femtosecond laser
gives me, and incisions created with this
technology will only ge…
Small Incisions, Big Controversy
The cover series of this edition of emCataract and Refractive Surgery Today/em examines issues related
to incisional architecture. With femtosecond
lasers and sophisticated diamond and metal blade
designs, surgeons have more options for crea…
New Sealant’s Many Uses After Cataract Surgery
During the past 2 decades, there has been an
evolution from larger, sutured incisions for
cataract surgery to smaller nonsutured incisions.
Surgeons pay meticulous attention to
constructing incisions that will not leak at the end of the
catar…
Why I Am Not Hanging up My Diamond Blade
It is hard to believe that the concept of correcting
astigmatism concomitant with cataract surgery is now
some 30 years old, as first suggested by Drs. Robert
Osher and William Maloney.sup1,2/sup
BACKGROUND
The use of …