Author: Healio ophthalmology

Swept-source OCT protocol may limit prone position time after macular hole surgery

A swept-source OCT imaging protocol helped reduce the prone position time of patients undergoing vitrectomy without reopening the macular hole, according to a study.Compared with conventional fundus examinations by indirect ophthalmoscopy, patients imaged with SS-OCT experienced statistically significantly less time in the prone position before macular hole closure. Researchers studied 129 eyes of 125 consecutive patients with macular hole who had undergone vitrectomy. The prone position was halted by a surgeon’s decision in 69 eyes of 66 patients in the conventional group, while it was halted after SS-OCT detected closure (Read more...)

PUBLICATION EXCLUSIVE: Visualization during surgery continues to evolve

Intraoperative OCT is showing promise as a useful adjunct, especially in vitrectomy and lamellar keratoplasty. However, indications are limited, as vitrectomy only represents about 2% of ophthalmic surgical procedures in the U.S., or about 250,000 procedures per year. Endothelial and lamellar anterior keratoplasty represent only 0.25% of procedures, or about 30,000 per year.In vitrectomy, early adopter surgeons are finding intraoperative OCT helpful when peeling epiretinal membranes and treating other vitreoretinal interface pathologies. Intraoperative OCT can help differentiate retinoschisis from retinal detachment. It is also potentially helpful in select surgical procedures (Read more...)

Medical marijuana uptake hinges on physician training, best practices

Since California became the first state to legalize medical marijuana in 1996, 28 states have followed suit, increasing the number of patients that physicians encounter who wish to utilize medical marijuana – or who already do. This makes it increasingly important for physicians to be aware of their states’ laws and infrastructure that relate to medical marijuana use. This July, the Pennsylvania Department of Health announced the creation of a practitioner registry for physicians who intend to recommend medical marijuana. It is the most recent development in an ongoing process (Read more...)

Courageous acts of curiosity spurred ophthalmologists as they developed specialty

At AAO 2002, Ocular Surgery News brought together world-renowned physicians because of their trail blazing role in ophthalmology. One of the seismic moments in ophthalmic history, was Charles D. Kelman, MD, performing phacoemulsification on his first human patient. That was in 1967 – 50 years ago. It is easy to forget that this technology was shunned in the early years and the bravery of individuals to improve medicine. One of the truly special moments of the round table was listening to Charlie Kelman and Dick Kratz discuss the early years (Read more...)

FDA approves Imbruvica as first therapy for chronic graft-versus-host disease

The FDA approved ibrutinib for the treatment of adults with chronic graft-versus-host disease who failed prior systemic therapy.Ibrutinib (Imbruvica; Pharmacyclics, Janssen) — a Bruton’s tyrosine kinase inhibitor already indicated for treatment of certain patients with leukemia, lymphoma and Waldenstrom’s macroglobulinemia — is the first therapy specifically approved to treat chronic GVHD.