Author: Healio ophthalmology

PUBLICATION EXCLUSIVE: Managing excessive residual astigmatism after toric IOL implantation

Even though 90% of our toric IOL cases should be within 0.5 D of residual astigmatism, there will be cases in which the outcome is intolerable for the patient and something must be done. The following discussion explains the proper management.The first step is to reassure the patient that an adjustment can easily be made and to make sure that the refraction is stable. Toric IOLs rarely rotate after implantation, but the wound is not stable until at least 3 weeks after surgery with a 2.5-mm temporal incision and will (Read more...)

BLOG: The best thing I saw at AAO? Allergan’s social contract

The AAO meeting is always a great time to catch up with friends and learn about new technologies. To be sure, this meeting had some exciting new approvals, like Shire’s Xiidra for dry eye, Alcon’s CyPass micro-stent for glaucoma, and the AMO Symfony implant—the first extended depth-of-focus implant in the U.S. While technology is great, I was most impressed with Allergan’s announcement by CEO Brent Saunders of the company’s new social contract.

Under what circumstances would you consider the off-label combination of corneal inlay surgery and LASIK?

PointWith the Kamra inlay, we have found the “sweet spot” for our happiest patients is a refractive error around –0.75 D. However, at least half of our presbyopic patients present with a refractive error significantly different from this value. In these cases, we have used LASIK to correct the refraction to this value.

Managing excessive residual astigmatism after toric IOL implantation

Even though 90% of our toric IOL cases should be within 0.5 D of residual astigmatism, there will be cases in which the outcome is intolerable for the patient and something must be done. The following discussion explains the proper management.The first step is to reassure the patient that an adjustment can easily be made and to make sure that the refraction is stable. Toric IOLs rarely rotate after implantation, but the wound is not stable until at least 3 weeks after surgery with a 2.5-mm temporal incision and will (Read more...)

Chemotherapy can suppress inflammatory signs of periocular filariasis

Dirofilaria repens is an endemic parasite in Mediterranean countries that mostly affects animals. Dirofilaria is a genus of the family Onchocercidae of the super family Filarioidea, order Spirurida in the subphylum Nematoda. Rarely, it can infect humans, causing inflammatory subcutaneous swelling. Human ocular dirofilariasis is sporadically reported in different parts of the world. The species affecting humans are D. immitis, D. repens, D. striata, D. tenuis, D. ursi and D. spectans. The most common presentation is an inflammatory swelling of the ocular adnexa. We report a non-inflammatory presentation of dirofilariasis (Read more...)