Eyetube.net has proven to be a valuable resource for
eye care professionals, because it allows for the rapid
dissemination of new techniques and ideas for surgical
procedures and patients’ care. Available videos
demonstrate how to safely and…
Author: CRST
INNOVATIONS
bTru-Size Diamond Knife/bbr /Bausch + Lomb Storz Ophthalmic Instruments (Rochester, NY)
announced the US release of its Tru-Size Diamond Knife. According to
the company, the knife’s incisional widths engraved on the diamond
blade ensure…
emENDOPHTHALMITIS PROPHYLAXIS/em: Progress in Understanding Prophylaxis for Endophthalmitis
Recent publications have helped to clarify therole of topical antibiotics in the prophylaxis ofendophthalmitis after cataract surgery.Administering topical antibiotic drops, inaddition to standard povidone-iodine antisepsis, hasbecome a standard o…
Sidebar: The Goal: Amazing Outcomes
As progressive-minded ophthalmologists, we have one goal: outcomes. With the large number of baby boomer patients expecting exciting advances in cataract surgery, it is mandatory that we provide excellent postoperative visual acuity. I use…
10 Years of Tecnis
It has been a decade since we surgeons first realized
that IOL optics could reduce or eliminate spherical
aberration (SA) to restore a youthful quality of
vision for pseudophakes. That discovery, which led
to the introduction of the first succ…
Prevention of Endophthalmitis
Endophthalmitis is an uncommon complication
of cataract surgery, with rates ranging from
0.07% to 0.13%, and more recently as high as
0.38%, as reported in a multicenter ESCRS
study.sup1-3/sup Because of the devastating nature of endophtha…
CHIEF MEDICAL EDITOR’S PAGE
Last year was an outstanding one for ophthalmology.
I spent time over the holidays thinking
of the best of 2010. My thoughts were
guided by Gillian McDermott’s excellent article
on the subject that appeared in emCataract and Refractive Surg…
Four Errors in Prescribing Antibiotics
Topical and/or intracameral antibiotics play a key
role in any strategy designed to maximize
endophthalmitis prophylaxis. The optimal strategy
for reducing the incidence of endophthalmitis
always includes the two classic goals of (1) decreasin…
Managing the Unhappy Cataract Patient
In this era of immediate gratification and premium
IOLs, patients have become more demanding. The
following scenario is common. A postoperative
cataract patient presents with a visual acuity of
20/20- and a manifest refraction of -0.25 D. Upon…
emCOMPLEX CASE MANAGEMENT/em: Posterior Polar Cataract and Astigmatism
bCASE PRESENTATION/bbr /A 49-year-old, soon-to-be-retired police officer is
referred to you for a cataract evaluation. He complains of
severe glare when driving at night. The patient states that
he has never worn glasses and hopes to mini…
Presurgical Management of MGD
Meibomian gland dysfunction (MGD) is believed
to be one of the most common sources of
patients’ complaints in eye care practices.sup1/sup
Although estimates vary, MGD may be a contributing
factor in more than 60% of all dry eye sufferers…
emPoint/Counterpoint/em: What to Do When Phacoemulsification Goes Bad
emKeep the incision small./embr
bDAVID A. GOLDMAN, MD/b
During phacoemulsification, if the posterior
capsule tore and nuclear material remained, I
would first inject a dispersive viscoelastic to
stabilize the anterior chamber…
Sidebar: Ocular Health and Cataract Surgery
It is no secret that today’s cataract surgical patients have
high expectations, whether they will receive new-technology
IOLs or monofocal implants. Because patients know that
cataract surgery is associated with excellent postoperative
visua…
emPHACO PEARLS/em: Your Sister Needs Refractive Cataract Surgery
I am pleased to be working with William J. Fishkind, MD,
as a section editor of the “Phaco Pearls” column. Like
Dr. Fishkind, I will be inviting well-known cataract surgeons
to share their recommendations on how to handle
various phaco cha…
Refractive Lens Exchange: Who,When,and How?
Iconsider the option of refractive lens exchange (RLE)
most actively for presbyopic hyperopes. Patients
whose needs go beyond the limits of reading vision
LASIK or monovision LASIK are the best candidates
for this procedure.
The Tecnis…
emMY MOST DIFFICULT CASE/em: Please Have Your Cataract Removed by My Partner
When a bad outcome occurs in a patient’s
first eye and he or she ultimately decides to
proceed with surgery on the second eye,
the potential for disaster that day in the OR
is palpable. This article details my worst case ever and
how I avoi…
5 Questions I. Howard Fine,MD
bWhat is your most memorable
experience in this industry?/bbr /My most memorable experiences in
ophthalmology have been delivering
both the Charles D. Kelman Innovator’s
Lecture and the Binkhorst Medal
Lecture at ASCRS meetings. These…
CHIEF MEDICAL EDITOR’S PAGE: The Best of 2010
Ilove lists. What is the greatest rock and roll song of
all time, the biggest sports upset ever, and the best
ice cream flavor? My answers are “Stairway to
Heaven,” the 1980 US Olympic hockey team’s triumph
over the Soviet Union’s, and…
Technological Improvements Enhance Patients’ Outcomes
Refinements in phaco techniques and technologies
continue to optimize nuclear and cortical
removal and enhance patients’ outcomes.
Advances in IOL technology continue to allow
for enhanced visual acuity.
bTODAY’S PHACO PLATFORMS…
COMPLEX CASE MANAGEMENT: Decentered LASIK Ablation
bArthur Cummings, Frcsed; Louis E. Probst, Md; And Paul J. Dougherty, Md/bbr /A 27-year-old man underwent bilateral LASIK in March
2010 at another clinic. The surgeon used the IntraLase FS
laser (Abbott Medical Optics Inc., Santa Ana, CA) …