Since the introduction of the femtosecond laser for
cataract surgery, the landscape of cataract surgery
has changed dramatically. Lasers have raised the
bar in terms of the accuracy and precision surgeons
expect. Having had the opportunity to …
Author: CRST
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…
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…
This Month’s Videos on Eyetube.net
PUPILLARY CERCLAGE TECHNIQUE
FOR A PERMANENTLY DILATED
PUPIL
ema href=”http://eyetube.net/?v=ewewi”eyetube.net/?v=ewewi/a/em
strongBy Alan Carlson, MD/strong
Dr. Carlson combines cataract surgery with a
pu…
The Literature
FOUR-YEAR VISUAL, REFRACTIVE, AND
CONTRAST SENSITIVITY OUTCOMES AFTER
WAVEFRONT-GUIDED MYOPIC LASIK USING
AN ADVANCED EXCIMER LASER PLATFORM
emShaheen MS, Massoud TH, Ezzeldin H, Khalifa MA/emsup1/sup
ABSTRACT SU…
Update on the Utilization of UBM for Cataract and IOL Applications
In a cataract practice, ultrasound biomicroscopy
(UBM) is useful for patients
who are experiencing complications after
IOL implantation when the media are
hazy. In some situations, specialists may
not be able to see through the cornea well
…
What Determines the Success of a LASIK Practice?
Over the past 18 years, I have attended countless
meetings, symposia, and dinners with people
spanning the entire arc of our industry, in an
attempt to find the answer to one question:
What drives LASIK volume? Naturally, everyone has his
or …
Proper Toric IOL Alignment Begins With Centration
The challenges of properly aligning toric IOLs
are familiar. Even with careful marking of the
intended axis of correction
on the peripheral cornea,
the IOL will often align correctly
with the mark on one side but not
on the other. Perhaps th…
Toric IOL in the Setting of a Ruptured Posterior Capsule
A tear in the posterior capsule is
always unwelcome but particularly
so when a premium IOL
is planned. As illustrated in the
following case example, a toric IOL need
not necessarily be abandoned.
CASE PRESENTATION
A 28-…
Chief Medical Editor’s Page
In Rochester, New York, just down the road from a
giant in ophthalmic industry, one of the epic failures
in business unfolded. Steve Sasson, an engineer at
Kodak, invented the digital camera in 1974. His prototype
weighed more than 8 pounds, …
The Intumescent White Cataract and the Case of the Secret Foreign Body
A healthy 33-year-old man with no prior ocular
history was referred to me for a 6-week history
of markedly reduced vision in his left eye.
He did not recall the exact time of onset and
specifically denied any ocular trauma. What ensued was
un…
Corneal Scarring After Refractive Surgery
CASE PRESENTATION
A 36-year-old man underwent surface ablation for bilat- eral moderate myopia with astigmatism. Unfortunately, he developed unilateral keratitis in his left eye on the second postoperative day. The eye had a central epit…
Improving Centration With OCT-Guided Laser Capsulotomy
Femtosecond laser capsulotomy is the latest development
in the ongoing evolution of cataract
surgery. Laser creation of the capsulorhexis, the
laser increases the precision of the opening’s size,
shape, and position, which has a significant …
Repairing the Iris During Cataract Surgery
Abnormalities of the iris and pupil may be preexisting,
or they may occur during or even after
cataract surgery (see emAbnormalities of the Iris)./em Cataract surgery ceases to be conventional
when the iris requires surgical repair. Althoug…
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…
How Will the ACA Affect Your Practice in 2014?
In 2014, the Affordable Care Act (ACA) will not have
much effect on ophthalmic surgeons, at least not as
much as the Obama administration had hoped. Why?
There have been massive problems with the implementation
of the most complex piece of US…
Sidebar: The Utility of a Vacuum-Based Pump System in Complex Cataract Cases
When confronted with complex cataract cases, the surgeon must have high confidence in his or her phaco machine and must know how to use it well to be successful. In such cases, precise vacuum/aspiration control can aid the surgeon. I use the Stell…
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…
Dry Eye Diagnostics
Traditionally, clinicians have made the diagnosis
of dry eye disease (DED) based on a patient’s history,
slit-lamp examination, Schirmer testing, tear
breakup time, and conjunctival and corneal staining.
Since the revolutionary introduction …
Better Late Than Never
Polio is a virus that affects motor neurons,
leading to paralysis, whereas keratoconus is
a degenerative disorder that causes irregular
astigmatism and distorts vision, with multiple
images, streaking, and sensitivity to light. What could
the…