One of the most important and challenging decisions
that surgeons face is choosing the right
implant technology for each patient when correcting
presbyopia and attempting to deliver a
spectacle-free refractive solution at the time of cataract …
Author: CRST
Point/Counterpoint Does Presby-LASIK Have a Role?
There is little data to indicate its
long-term effectiveness.
strongBy John F. Doane, MD/strong
Presbyopic ablations with an excimer laser are
not new. In fact, during my fellowship in 1995
to 1996, my mentors Luis Ru…
Ever-Changing Business Models in Ophthalmology
Concierge medicine—when a patient pays an
additional fee to the physician for expanded (or
quicker) service—is becoming increasingly popular
in primary care, analysts say. The term emlifestyle
health care, /em on the other hand, refers…
Cataract Surgery in the Setting of Pseudoexfoliation
Pseudoexfoliation (PXF) is a progressive condition
involving the deposition of an abnormal
fibrillar protein. Accumulations of this protein
in the trabecular meshwork can elevate IOP,
and it negatively affects pupillary dilation if it is depos…
Increased Myopia After PRK Enhancement
CASE PRESENTATION
A 37-year-old man underwent bilateral LASIK 8 years ago with the IntraLase FS laser and Visx Star S4 IR system (both from Abbott Medical Optics). His preoperative manifest refractions were -2.75 OD and -3.00 OS (Figure …
IOL Selection Considerations in Glaucoma Patients
Ophthalmologists must consider many factors
when trying to optimize visual outcomes after
cataract surgery in patients with glaucoma.
One of the most important is the choice
of IOL, both in terms of the material and design and
especially rega…
Bargain No More
Just as US citizens recognize death, taxes, and presbyopia
as inevitable, they are largely resigned to the
fact that prices will rise for most of the goods and
services on which modern lives depend. The technical
rationale may be lost in the h…
Antibiotics in Premium IOL Surgery
With today’s high rates of successful
cataract surgery and patients’ increased
expectations, the pressure on surgeons
to achieve perfection has grown. Add to
that the use of premium IOLs with their additional
out-of-pocket costs, and the ex…
This Month’s Videos on Eyetube.net
E-PDEK WITH PHACOEMULSIFICATION
IN A FAILED PENETRATING
KERATOPLASTY GRAFT
strongSoosan Jacob, MS, FRCS, DNB/strong
ema href=”http://eyetube.net/?v=ipofi”eyetube.net/?v=ipofi/a/em.
Dr. Jacob demonstrat…
Keratorefractive Surgery in Glaucoma Patients
ema href=”http://eyetube.net/?v=lufad”eyetube.net/?v=lufad/a/em.
Many people want to decrease their dependence
on glasses and contact lenses, and
those with glaucoma are no exception.
Oftentimes, patients will seek the opinion…
Presenting and Pricing Presbyopia- Correcting IOLs
In the past when patients considered cataract surgery,
their discussion with the ophthalmologist was somewhat
limited. The ophthalmologist would remove the
cataract, and the patient would typically be happy
with his or her improved corrected v…
Can Corneal Inlays Grow the Presbyopic Treatment Market?
Three corneal inlays are
designed to reverse presbyopia,
but none is currently
available in the United
States. The Kamra (AcuFocus) has
been submitted for US approval
and has received a favorable vote
from the FDA Ophthalmic Devices Panel. …
Defining MIGS
The past few years have seen a rise of less invasive
glaucoma surgical techniques, including the
emergence of microinvasive glaucoma surgery
(MIGS). With this rise, however, come questions
over what truly qualifies as a MIGS procedure and what…
Single-Step Transepithelial PRK
ema href=”http://eyetube.net/?v=edriv”eyetube.net/?v=edriv/a/em.
The concept of transepithelial PRK is not new,
having first been described in 1999.sup1/sup Surgeons
have always been lured by the elegance and
simplicity of…
Dislocated Bag-Lens- Aniridia Ring Complex
CASE PRESENTATIONA 62-year-old white farmer sustained a contusion injury tohisrighteyefroma2×4boardthatlefthimwitha 10-mm traumatic iridoplegia and nonsubluxated traumatic cataract. Once the eye quieted, I performed cataract surgery. Rec…
Sidebar: Micropulse Laser Trabeculoplasty
The popularity of selective laser trabeculoplasty has risen in recent years owing to its significantly lower laser fluency and enhanced predictability compared to argon laser trabeculoplasty (ALT). Selective laser trabeculoplasty (SLT) has also be…
Perfecting Presbyopia- Correcting IOL Surgery
Intraoperative aberrometry has become a valuable tool
for all toric and presbyopia-correcting IOL cases in my
practice. Patients’ high expectations combined with the
complex optics of these lenses makes it imperative that
we surgeons fully c…
The Role of Monovision
As cataract-IOL surgery becomes less about
opacity and more about the optical improvement
of unaided focus, patients’ expectations
for their postoperative visual performance rise
ever higher. That LASIK is by far the most popular and
widely…
Chief Medical Editor’s Page
I have been predicting this for years, but I can now
confidently report that hipsters have embraced the
monocle. Not commonly seen since the television
show “Hogan’s Heroes” went off the air in 1971,
the monocle is back. Nearsights, an o…
Sidebar: Pattern Scanning Laser Trabeculoplasty
Pattern Scanning Laser Trabeculoplasty (PSLT) technology
(not available in the United States; Topcon
Medical Laser Systems) is a new approach to treating
glaucoma via the trabecular meshwork (TM). Pattern
scanning laser technology provides a c…