One of the most rewarding parts of being on the
business side of the development and commercialization
of ophthalmic technology is the
opportunity to achieve meaningful innovations
that have an impact on patients’ care. At OptiMedica
Corp.,…
Author: CRST
When the Pupil Stays Small
A number of situations require the management of a
small pupil. Although modern cataract techniques,
especially chopping techniques, allow surgeons to
consider removing a cataract without enlarging
the pupil, the complication rate is higher wh…
What to Do When Customers Criticize You Online
Nobody likes negative remarks or criticism, but
such is the world of reviews. With the proliferation
of mobile review sites like Yelp, people
have an outlet for their feelings about their
consumer experiences. The old chestnut still rings true…
Anticipating and Handling IFIS
An awareness of the potential for intraoperative
floppy iris syndrome (IFIS) at the time of cataract
surgery is the key to its management. Tools include
presurgical topical agents, intracameral mydriatics,
mechanical pupillary dilators, highly…
Investing in New Devices for Cataract Surgery
During the past several years, there has been a
surge in new technology for use during cataract
surgery to improve patients’ outcomes.
Many of the advances focus on improving
refractive outcomes. Biometry and topography devices
have been up…
The Literature
OUTCOMES OF FEMTOSECOND LASER
CATARACT SURGERY WITH A DIFFRACTIVE
MULTIFOCAL INTRAOCULAR LENS
emLawless M, Bali SJ, Hodge C, et al/emsup1/sup
ABSTRACT SUMMARY
Lawless et al analyzed the visual and refrac…
Deposits and Neovascularization After Implantation of Intrastromal Corneal Rings
Case Presentation
Nine years ago at the age of 46, a woman underwent
the insertion of Intacs (Addition Technology, Inc.) in her
right eye for the treatment of keratoconus. The surgeon
was relatively inexperienced with this procedure…
This Month’s Videos
POCKET IOL RESCUE
ema href=”http://eyetube.net/video/dabig”eyetube.net/video/dabig/a/em.
strongBy Jonathan L. Prenner, MD/strong
Dr. Prenner demonstrates how to retrieve a
dislocated IOL with a maneuver…
Integrating Laser Cataract Surgery With Patient Flow
As the face and climate of modern medicine continue
to change, we ophthalmologists can no
longer simply conform to traditional medical
models. Doing so will jeopardize the success of
our practices and our relationships with patients, who
usua…
How to Reduce Endothelial Trauma in Cases of Dense, Brunescent Nuclei
emWhat methods have you adopted to help decrease endothelial
trauma when removing dense, brunescent nuclei?/em
em—Topic prepared by R. Bruce Wallace III, MD./em
JOHN A. HOVANESIAN, MD
The first rule for a…
Show Me the Evidence
Little strikes more fear in my heart than a group
of 40- to 70-year-old women in my waiting room
preparing for my consultation. They frequently have
dry eye disease (DED), have visited multiple eye care
professionals, and feel angry that no on…
Positive and Negative Dysphotopsia
Case Presentation
A 75-year-old monocular man developed a functionally significant cataract in his left eye. He had no significant ocular
conditions in that eye but had lost his right eye to trauma. He was taking tamsulosin for benign…
How Laser Cataract Surgery Has Changed Our Phaco Technique
Femtosecond laser cataract surgery is relatively
new, but it has evolved considerably over the
past 3 years and now has a prominent place in
cataract surgery throughout the world. As with
all new technologies, a learning curve has been associa…
My Preferred Phaco Platform
The WhiteStar
Signature
strongBY SUMIT “SAM” GARG, MD/strongbr/As a user of the WhiteStar Signature System (Abbott
Medical Optics Inc.) for the past 6 years, I greatly
appreciate its flexibility, which allows me to maximiz…
Treating Astigmatism in the Cataract Patient
The surgical correction of astigmatism was first
reported in 1885 by the Norwegian physician
Hjalmar Shiotz, who reduced corneal toricity by
greater than 12.00 D with a full-thickness corneal
incision.sup1/sup Almost a century later, in 19…
My Preferred Phaco Chop Technique
BY DANIEL H. CHANG, MD
ema href=”http://eyetube.net/?v=porij”eyetube.net/?v=porij/a/em.
Efficient removal of the nucleus is essential to
minimizing corneal edema and delivering excellent
early visual outcomes. To se…
One Thing I Recently Changed
Dimple-Down
Maneuver
strongBy Lisa Brothers Arbisser, MD/strong
Not long ago, I began performing laser cataract
surgery. One of its main advantages is the elegant,
reproducible astigmatic keratotomy. Time will tell if
…
Preoperative Diagnostics and Pharmacological Intervention
Today, cataract patients are more aware than ever
before of subtleties in their surgical outcomes,
whether or not they are paying for premium
technologies. Prolonged blurred vision, pain, and
any adverse event—no matter how minor—influence…
Enhancing the Speed of Visual Recovery After LASIK
The popularity of LASIK over PRK demonstrates
that patients care about more than their visual
outcome. In our experience, today’s prospective
candidates for refractive surgery are less
likely to ask about their final visual acuity than about…
Managing Dry Eye Disease in Cataract Patients
Dry eye disease (DED) is a multifactorial syndrome
that can cause visual disturbance,
ocular discomfort, and permanent damage to
the ocular surface. In 2007, the International
Dry Eye Work Shop (DEWS) amended the definition of
DED to include …