I attended the 25th International Congress of German
Ophthalmic Surgeons Meeting in Nürnberg, Germany,
from June 14 to 16, 2012. The DOC, as the meeting is
known, is one of my all-time favorites and is masterfully
led by Armin Scharrer, MD. T…
Author: CRST
Techniques for Inserting and Removing OVDs
strongWhat is your preferred viscoelastic
agent and method for injecting and
removing it for routine cataract
surgery?/strong
—Topic prepared by R. Bruce Wallace III, MD.
h4Frank A. Bucci Jr, MD/h4
The ophthalmic …
Dealing With an Unstable Lens
Removing a cataract from an eye with zonular instability
can be challenging, but a variety of capsular
support devices have been developed to make
surgery safer and easier. In cases of severe zonular
instability, surgeons will often use flexib…
Vitreous Prolapse
h4CASE PRESENTATION/h4
A 62-year-old man has no profound history of trauma but does have a history of boxing while in the military. He developed
a functionally significant cataract over time and presented with a mature cataract. On examina…
Femtosecond Lasers in Cataract Surgery: Survey of First Users
A survey of 63 surgeons
(30 centers) using a femtosecond
laser in the United
States to perform cataract
surgery was recently conducted to
provide information to the ophthalmic
community on how this technology is
being incorporated into prac…
“Oetrogenic” Hyphema in an Eye With a Small Pupil and a Floppy Iris
iat·ro·gen·ic: eminduced inadvertently by a physician or surgeon
or by medical treatment or diagnostic procedures/em
oet·ro·gen·ic: eminduced inadvertently by Oetting by medical
treatment or diagnostic procedures/em
…
Innovations
h4Pure Efficiency
Phaco Sets/h4
br /
strongPrice/strong N/Abr /
strongCompany/strong Geuder AGbr /
strongPhone/strong +49 6221 3066br /
strongWeb/strong a href=”www.geuder.de”www.geuder.de/abr /
strongKey…
Myopia and Against-the-rule Astigmatism in a Young Patient
h4CASE PRESENTATION/h4
A 23-year-old man is referred to you for refractive surgery
by his father, a local ophthalmologist. The patient has
low myopia, 0.75 D of against-the-rule astigmatism, and
normal pachymetry readings. The father wan…
One Surgeon’s Approach to Tackling Smaller Incisions
As incisions for cataract surgery continue to diminish
in size, the surgeon is faced with several challenges.
“Oarlocking” may limit the maneuverability
of the phaco and I/A tips. Tearing, molding, or
stretching of the incision is also mor…
The Next Horizon in Creating the LASIK Flap
I have been creating oval flaps with the iFS
Femtosecond Laser (Abbott Medical Optics Inc.) for
the past year. The conventional round flap works
well, and I have created it many times throughout
my 16 years’ experience as a LASIK surgeon. Ho…
Teaching Cataract Surgery on Simulated Systems
For as long as I can remember, the core elements of
teaching residents the art and science of cataract
surgery depended on the ubiquitous pig’s eye.
What a mess it was!
The lack of “feel” when emulsifying the consistently
immat…
Using a Laser to Create Intrastromal Arcuate Incisions
In April of this year, the iFS
Advanced Femtosecond Laser
(Abbott Medical Optics Inc.)
received FDA clearance for use in
the creation of arcuate incisions in
corneal surgery, including cataract
surgery. Where I practice, my colleagues
and I…
Device for Enlarging the Pupil
The Oasis Iris Expander (Oasis Medical, Inc.) is a
molded, single-piece polypropylene device that
expands to a 7-mm rectangular shape after insertion
and maintains access and visibility throughout
the cataract surgical procedure (Figure 1). Th…
Instrumentation to Complement Laser Cataract Surgery
The LenSx Laser (Alcon Laboratories, Inc.) is an exciting
addition to surgical practices across the country.
In my experience, the laser helps achieve more
comprehensive, titratable outcomes for cataract
patients and for those who are candidat…
What Will Energize and Reshape Laser Vision Correction?
h4Matching Potential Patients
With Surgeons/h4
By David Peskin
LASIK surgeons face many challenges today when reaching
out to new customers. Poor consumer confidence in LASIK, a
lack of knowledge about the procedure and its cus…
Two Lasers for Refractive Surgery
The most recently released lasers for refractive
surgery in the United States are the WaveLight
FS200 and the WaveLight EX500 (both from
Alcon Laboratories, Inc.). Together, they have
dramatically increased the speed of refractive surgery….
Diagnostic Instruments: My Five Picks
If I were setting up a new cataract surgery practice
today, the five diagnostic areas I would cover would
be IOL power calculations, topography, optical coherence
tomography, autorefraction, and intraoperative
aberrometry.
h4IOL POWER…
Single-handed Automated Injector
The Intrepid AutoSert IOL Injector (Alcon
Laboratories, Inc.) is a motor-assisted, automated
injector that attaches to Alcon’s Infiniti Vision
System (Figure). The surgeon controls the injector’s
operation via surgeon-selected parameters a…
What Does Social Media Participation Mean for Patients’ Privacy?
The doctor-patient relationship is confidential by
nature. Although we encourage you to participate
intelligently in social media, at times, this advice can
complicate things. A single violation of the Health
Insurance Portability and Accounta…
Electronic Leveling Device for Implantation of a Toric IOL
I give my patients the option of having a toric IOL
implanted during cataract surgery. As opposed to conventional
IOLs, toric IOLs correct preexisting corneal
astigmatism during cataract surgery. Achieving the best
result with a toric IOL requ…