Author: Healio ophthalmology

Bascom Palmer best in ophthalmology again, according to U.S. News & World Report

For the 13th consecutive year, Bascom Palmer Eye Institute was ranked as the nation’s No. 1 eye hospital in the annual U.S. News & World Report’s Best Hospital rankings. This is the 15th time Bascom Palmer has received the honor since the publication began surveying physicians for its annual rankings 27 years ago, according to a press release from the eye institute.

Publication Exclusive: Twenty years after LASIK and still seeing great

John Doane is a pioneer in refractive surgery who got into the field in its early days in the U.S., having done residency research with Dan Durrie and a fellowship with Steve Slade. He evaluated some of the early FDA LASIK data, and this set him on a career path to refractive surgery.After observing Luis Ruiz perform in Colombia and becoming contact lens intolerant (for many, the last straw before having refractive surgery), he assisted Steve Slade, who no doubt needed his help, on his LASIK in 1996. John made (Read more...)

Surgeons detail steps for simple limbal epithelial transplantation

In 1964, Jose Barraquer described a surgical technique for limbal stem cell deficiency, or LSCD. The paramount finding of extensive LSCD is conjunctival transgression across the corneal-conjunctival border and the limbus and onto the cornea, resulting in vascularization, chronic inflammation, persistent epithelial defects and recurrent erosions, which uninterrupted can progress to corneal opacity and transform to a skin-like corneal surface with corneal blindness. These border “policemen” between the corneal and conjunctival territories are largely accepted as the limbal stem cells that are believed to be housed within the radial fibrovascular (Read more...)

OSN Retina 150

What is OSN’s Retina 150? The OSN Retina 150 is a select group of retina specialists the editors and publisher have identified as leading innovators in the field of medical and surgical retina. The list is a compilation of specialists who either work to educate their colleagues or innovate by developing novel technologies and techniques to advance the specialty.The editors and publisher used no magic formula or algorithm to develop the OSN Retina 150 list. Rather, we went with our collected knowledge and experience with these individuals. Admittedly, we know (Read more...)

Measurements of contrast sensitivity and distortion aid surgical decision-making in eyes with macular pucker

Objective measures of contrast sensitivity and visual distortion can be used to assess the impact of macular pucker on visual function, according to a study.“The study was designed to develop quantitative measures of vision in patients with macular pucker. Right now, we only have visual acuity, and that’s limited in its ability to really give us a handle on the degree of impact that macular pucker has on vision,” corresponding author J. Sebag, MD, FACS, FRCOphth, FARVO, told Ocular Surgery News.

Man presents with 3-month gradual decline in vision

A 33-year-old man with a history of penetrating ocular trauma in the right eye during childhood presented to the New England Eye Center with a gradual decline in vision in the right eye over a 3-month period. At the time of presentation, he described a thick white haze overlying his visual field in its entirety on the affected side. There were no flashes, floaters, curtaining or absence of vision. He further reported no accompanying pain, irritation, redness or foreign body sensation.At presentation, the patient’s best corrected visual acuity was 20/70 (Read more...)

Good early results seen with pre-Descemet’s endothelial keratoplasty in failed grafts

Graft failure in any situation can happen due to inherent defects in the donor graft or pre-existing pathology in the recipient. Inherent graft issues such as low endothelial cell count, surgical trauma to the graft and endothelial disease in the donor can cause early graft failure. Graft rejection is another main etiology that can happen, especially in full-thickness keratoplasty. Lamellar keratoplasty procedures have been shown to have fewer incidences of rejection, but rejection has been noticed after deep lamellar keratoplasty. The corneal stroma is the culprit often recognized as the (Read more...)