Most ophthalmologists are familiar with
computerized corneal topography maps
and have been using them diagnostically
in cataract and refractive surgery for nearly
2 decades. Because of the ease of assessing corneal
data in this format (vs num…
Author: CRST
Getting the Most From Topography
In the early 1980s, keratorefractive surgery was developing
via a steady stream of incisional, excisional, and
onlay techniques that changed the cornea’s shape
and thus its curvature. It became clear that simply
measuring visual acuities and…
Analyzing Your Data
If we had no idea what our income was last year, we
refractive surgeons would be hard pressed to say if it
had been a good or bad year aside from remembering
some successful cases. Financially, US tax law forces us
to report our income, so we …
Choosing an IOL After LASIK
The number of post-LASIK patients seeking cataract
surgery is on the rise, representing a challenge
as well as an opportunity. The combination
of challenging IOL calculations, imperfect
targeting of emmetropia, and very high expectations
requ…
Managing Vitreous Loss During Cataract Surgery
Because vitreous is virtually invisible, I recommend
using preservative-free triamcinolone acetate
(Triesence; Alcon) to enhance visualization during
anterior vitrectomy. Many surgeons still
use cellulose sponges for anterior vitrectomy and to…
Refractive Corneal Surgery Without an Excimer Laser
Across the globe, laser vision correction superseded
incisional keratotomy as the dominant
form of corneal refractive surgery in the first half
of the 1990s. Since then, more than 34 million
eyes have undergone excimer laser vision correction …
Tweeting About Health Care in 140 Characters or Fewer
As the presence of social media becomes widespread, the uses of the popular sites continue to grow and evolve. For example, Twitter was initially a platform used by tech companies to broadcast updates on their internal work as well as random snipp…
10 Pearls for Writing Manuscripts
emWhere do I start writing my manuscript? What journal should I submit to? Writing an excellent manuscript is
an art that can take years to learn. Most of us approach this exercise with a fair amount of trepidation. In this
installment of “R…
Retropupillary IOL for Aphakia: Surgical Technique
Many techniques have been described for correcting
aphakia with inadequate capsular support.
The most common IOLs that are used
include anterior chamber, posterior chamber,
iris-fixated, and scleral-sutured IOLs; however, there is no
current …
Patient-Reported Outcomes After LASIK
Patient-reported outcomes (PROs) are defined by
the FDA as “any report of the status of a patient’s
health condition that comes directly from the
patient, without interpretation of the patient’s
response by a clinician or anyone else.”…
Concierge Cataract
A recent study in emOphthalmology/emsup1/sup has tabulated
what we already know: Cataract surgery is a
great deal for society by both financial and
quality-of-life measures—and the deal has gotten
better (well, cheaper, from society…
LASIK and the Crystal Ball
Oh, for the good old days when you could
track LASIK volumes based on the Consumer
Confidence Index and feel pretty secure knowing
that the number of procedures would
increase or hold stable. Market Scope estimates the
2013 refractive surgery…
Descemet Membrane Endothelial Keratoplasty
The past 10 years have been revolutionary for
corneal transplantations. Lamellar surgery has
replaced full-thickness procedures for many corneal
diseases. Anterior lamellar keratoplasty, both
superficial and deep, has become widely accepted be…
Zonules: to Have or to Have Not
em“There are those who look at things the way they are,
and ask why? I dream of things that never were, and ask
why not?”/em
em—Robert F. Kennedy/em
This article reviews some of my thought processes
while perfo…
Transforming Treatment Through Drug Delivery
Because I am an ophthalmologist who splits his
time between clinical work and research, my laboratory
is focused on truly translational projects
that I hope and believe will have an impact on
patients’ lives. Drug delivery is important to me…
Innovations
Hydrodissection
Cannula for Laser
Cataract Surgery
a href=”http://www.sterimedix.com”www.sterimedix.com/a
Designed in conjunction
with a number of leading
ophthalmic surgeons
in Europe and the United
States, this c…
Optimize Your Ride
We cataract surgeons tend to think of
ourselves as either Venturi or peristaltic
surgeons, advocating our preferred fluidics
style much as a driver might argue the
benefits of a manual versus automatic transmission on
a car. Although both typ…
Morgagnian Cataract
Relative US rarities today, Morgagnian cataracts
are hypermature with liquefied cortex. The
mobile, dense nucleus inside the bag sinks within
the lens milk when the patient is upright. As
with intumescent cataracts, the lens capsule is under
…
In Treating DED, Success Means Considering All Factors
Eye care professionals often think of Sjögren syndrome
solely as a possible cause of their patient’s
dry eye disease (DED). They may fail to realize
the implications of what a diagnosis of Sjögren
means for a patient. In primary Sjögren s…
Operating on Small and Large Eyes
Cataract surgeons regularly encounter patients
with ocular comorbidities and high-risk features
for intraoperative and postoperative complications.
In my practice, 60% of binocularly sighted
patients have a condition or an anatomic characteri…