There is definitive proof that laser cataract surgery
has entered the mainstream. I do not rely
on the literature, improvements in technology,
the number of units in place, or the procedures
performed to issue this declaration. Instead, I rely…
Author: CRST
Update on Laser Cataract Surgery
emThis installment of “Peer Review” highlights the most recently published articles on laser cataract surgery. Since
our last update in 2011, the use of femtosecond lasers in cataract surgery has rapidly gained acceptance by cataract
surge…
Update on Reimbursement Pathways
The femtosecond laser’s ability to create incisions
during refractive and cataract surgery has resulted
in new clinical benefits for ophthalmologists
and their patients. At the same time, however,
the dilemma of how to pay for the technology…
How to Manage PCO in an Aphakic Eye
emA 63-year-old woman presented with visually significant posterior capsular opacification (PCO) in her left eye. She has a
long-standing history of axial myopia in both eyes and dense amblyopia and staphyloma in her right eye
( 20/800). When…
Lessons Learned From My First 100 Laser Cataract Cases
In the United States, the use of the Victus
Femtosecond Laser Platform (Bausch + Lomb
Technolas) in cataract surgery is limited to the creation
of the capsulotomy. [Editor’s note: At press time,
the Victus received 510(k) clearance from the …
Aphakia in a Glaucoma Patient
MICHAEL E. SNYDER, MD
In this increasingly contact lens-intolerant aphake
with subtotal iris loss, any secondary implant lens would
require fixation to the scleral wall. His first sclerally
sutured IOL dislocated, likely as a result…
Is Laser Cataract Surgery Financially Reasonable for Your Practice?
Like most surgeons who have been in practice
for many years, I too have seen many highly
touted procedures come and go. So when first
approached about a new laser technology for
cataract surgery, I was more skeptical than interested. I
had wo…
The Expanding Role of the Comprehensive Cataract Surgeon
There is a large and growing population of patients
with coexisting cataract and glaucoma. More
than 20% of the 3.3 million patients in the United
States who undergo cataract procedures each
year take at least one ocular hypotensive medication…
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Take the Next Step: Convert to Venturi
With continuing innovation in phacoemulsification,
modern cataract surgeons have
been able to improve safety, results, and
patients’ satisfaction due in part to recent
advances in phaco system fluidics and vacuum. For many
surgeons, the nex…
Techniques to Improve Phaco After Laser Cataract Surgery
We are now in the process of watching the
development of cataract surgery as it
moves toward femtosecond laser surgery.
The advantages of laser cataract surgery
have been described in great detail and include (1) the
ability to take the preci…
Diagnosis and Treatment of Dysfunctional Lens Syndrome
Patients in their mid-50s often present to me for a
LASIK evaluation, because they no longer want to
use glasses for distance and reading. These baby
boomers who have difficulty seeing at distance
(due to congenital ametropia) and at near (due…
Tips and Tricks for Laser Cataract Surgery
Modifications to cataract surgery occur at a
number of different stages of the operation
when using the laser versus a manual
technique. This article discusses some
changes I have made to my procedure with my integration
of the Catalys Precis…
Techniques for Repositioning an IOL
Assuming that the IOL’s power is correct, there
are four problems that typically require a lens to
be repositioned. In my experience, repositioning
is needed when (1) a toric lens is off axis,
(2) a multifocal lens is decentered, (3) one of …
Marketing Laser Cataract Surgery in Your Practice
When marketing femtosecond laser technology
in conjunction with cataract surgery,
what our center calls ReLACS (Refractive
Laser-Assisted Cataract Surgery using the
LenSx Laser [Alcon Laboratories, Inc.]), it is helpful to
reference past mark…
Building a Visual Performance Clinic
Cataract surgery is an exceptional procedure.
Surgeons can correct distance vision, near
vision, and astigmatism with one operation,
and patients often come out of surgery with
only a minimal need—or none at all—for reading glasses.
Altho…
Sidebar: Mobile Surgical Company Offers Femtosecond Laser Access for Cataract Surgery
Sightpath Medical, a provider of mobile and fixed ophthalmic surgical solutions, has launched its new mobile femtosecond
laser for cataract service. Called MoFe, this service suite will include a femtosecond laser, an intraoperative wavefront
ab…
Strategies for Managing Difficult-to-Treat DED
Two categories of patients with dry eye disease
(DED) are particularly challenging to manage.
The groups include patients who are extremely
symptomatic but do not have many clinical
signs, and the reverse, those with significant clinical signs…
Patients’ Flow With Laser Cataract Surgery
It is always challenging for practitioners to change
their behavior patterns. Adopting and incorporating
new practice models presents a sometimes difficult
and even unsettling situation for the average health
care professional. In an increasin…
The Importance of Evidence-Based Medicine for Diagnosing Acute Red Eye
Adenoviral conjunctivitis is a common cause of
acute red eye. It is, however, frequently confused
with bacterial and allergic conjunctivitis, largely
due to similar and often overlapping signs and
symptoms. Implementing a comprehensive protoco…