In cataract surgery, the initial part of the learning curve is steep, which is why ophthalmic training programs provide close supervision in the OR. During the first 100 cataract cases, residents learn basic concepts under the active guidance of a…
Author: CRST
Complex Case Management: Incomplete Flap due to Lost Suction
h4CASE PRESENTATION/h4
A 40-year-old man underwent attempted LASIK with laser flap creation. His preoperative manifest and cycloplegic refractions were -4.00 D OU. Central corneal thickness measured 530 μm. Topography showed regular with-the…
Innovations
h3Head Mounted Perimetry/h3
NovaVision, Inc. (Boca Raton, FL), introduced the Head Mounted Perimetry (HMP)—a portable, wireless device that aids in the profes- sional assessment and early detection of glaucoma, ambly- opia, and visual field…
Focus on Complications and Complexity: Dry Eye After LASIK
Essentially all patients have dry eyes at least transiently after LASIK.sup1/sup Dry eye disease is arguably the
most common problem facing refractive surgeons 2-4 today. Because the cornea overlying the flap is significantly anesthetic for 3…
Focus on Complications and Complexity: Excimer Laser Enhancement After RK
PI have performed tens of thousands of RK surgeries over the years, and I have had to provide excimer laser enhancements to some of these patients. This article reviews the necessary workup and discusses the appropriate options for treatment.
…
Focus on Complications and Complexity: Managing Infectious Keratitis
Infectious keratitis is a rare but sight-threatening complication of LASIK. Its incidence has risen during the past decade, and trends in causative organisms sup1/sup have shifted. The prompt diagnosis of the condition and the early initiation…
Chopping 101
Prior to 1993, the most common technique for nuclear disassembly was probably divide and conquer. Surgeons would sculpt four trenches in the nucleus and then crack them apart to create four triangular segments,sup1/sup each of which was emulsi…
Focus on Complications and Complexity: Corneal Epithelial Defects Associated With LASIK
A LASIK-associated corneal epithelial defect is a potentially significant complication that may result in suboptimal visual results. This article discusses the etiology, management, and prevention of this clinical challenge.
h4CLASSIFICAT…
Making Phacoemulsification Safer
Advances in phaco machine modalities have made the procedure much safer. For example, whether you are using a bimanual or coaxial technique, smaller incisions reduce the amount of fluid in the eye, making the chamber more of a closed system. Small…
Focus on Complications and Complexity: Battling Post-LASIK Striae
n my experience, the incidence of micro- or macro-striae in the LASIK flap has decreased significantly over the past 5 years. I attribute this change to surgeons’ having successfully recognized, managed, and, finally, mostly prevented the occurr…
Clear the Runway for a Flying Eye Hospital
hat is perhaps the most singular DC-10 aircraft in today’s skies carries a team of international ophthalmic experts each year to between eight and 10 developing countries worldwide. These volunteer medical professionals provide ophthalmic surgic…
Focus on Complications and Complexity: Decentered Ablations
A cornerstone of successful laser vision correction is the accurate centration of the ablation zone over the entrance pupil. Symptoms of poor visual acuity, poor quality of vision, loss of contrast sensitivity, halos/glare/starbursts, and multiple…
5 QUESTIONS WITH ROBERT GRANT
h4How did you come to pursue a career in the ophthalmic industry?/h4
I joined the ophthalmic industry in the early 1990s when I was appointed as the Asia-Pacific sales and marketing manager of HGM Medical Lasers in Salt Lake City. I recall at…
Steps to Ensure Safety Save Time in the Long Run
When my surgical team and I work to
improve the efficiency of cataract surgery,
safety is actually the primary concern.
Many of the steps that we incorporate
purely for safety may add time or cost to the procedure,
but they will prove to incr…
INNOVATIONS
h4Osher Toric
Alignment System/h4
Haag-Streit USA Inc. (Mason, OH) introduced the new Osher Toric
Alignment System to assist surgeons with accurately placing toric IOLs.
The system was conceived by
Robert H. Osher, MD, of the
Cincinnati …
Cataract Surgery in the Keratoconic Patient
emHow do you treat cataracts in patients
with keratoconus? What is the role of
toric IOLs in these cases, and when are
they contraindicated? How do you
treat the patient if he or she has previously
received a corneal transplant?/em
…
COMPLEX CASE MANAGEMENT: Late Post-LASIK Enhancement
h3CASE PRESENTATION/h3
A 22-year-old woman had a 10-year history of rigid gas permeable
(RGP) contact lens wear. She had wanted to undergo LASIK
since watching her mother’s procedure 9 years earlier. The visual
acuity of her right and le…
2011: an Eyeball Space Odyssey
The “Inside Eyetube.net” column is soaring into a
new decade with lots of interesting tips and
tricks for choosing an IOL, improving your phaco
technique, entering the cross-linking world, and
staying up to date on the latest technologies …
OR Safety and Efficiency: Preparation and Customization
In Canada today, a large percentage of cataract surgery
is still performed in multidisciplinary public hospitals.
The significant economic pressure on Canadian surgeons
during the past 2 years has resulted from
reduced net funding for these ho…
Descemet Stripping Automated Endothelial Keratoplasty
emThis installment of “Peer Review” highlights the most recently published articles on Descemet stripping
endothelial keratoplasty (DSEK) and Descemet stripping automated endothelial keratoplasty (DSAEK).
Because of the volume of current p…