emHabitually overlooked, the IOP typically is not measured at the end of a cataract procedure. The IOP may be exploited, however, as a tool to prevent problems. Therefore, not only is the absolutely best IOP important, but the best IOP for a uni…
Category: Cataract
Cataract Surgery in the Keratoconic Patient
emHow do you treat cataracts in patients
with keratoconus? What is the role of
toric IOLs in these cases, and when are
they contraindicated? How do you
treat the patient if he or she has previously
received a corneal transplant?/em
…
Senior Residents’ Perspectives on Cataract Surgery
h3A deceptively simple procedure./h3
bMatthew M. Wessel, MD/b
During my medical school subinternships, my
intern-year electives, and my first 2 years of residency,
I watched attending surgeons perform
dozens of cataract extract…
LC-MS Reveals Similarities Between Cataract Incision Procedures
Liquid chromatography-mass spectrometry (LC-MS) analysis of proteins present in aqueous humour obtained from rabbits following cataract surgery incisions has revealed the technique used has little bearing on the response from the eye. A team of scien…
Curcumin May Fight Cataract Onset
Oral administration of curcumin may suppress cataract onset and progression in animals, according to a new study (Mol Vis. 2011;17:388-94). Researchers from Alagappa University, Karaikudi, India, investigated how oral administration of curcumin affec…
Initiative Targets Pediatric Cataract in Developing Countries
The Bausch + Lomb Early Vision Institute (Rochester, New
York) and Lions Clubs International Foundation (Oak Brook,
Illinois) have launched the Pediatric Cataract Initiative (PCI)
to identify, fund, and promote innovative methods of overcoming
debilita…
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…
PCCC Minimized Postop Axial Shift
The use of primary posterior continuous curvilinear
capsulorrhexis (PCCC) during cataract surgery stabilized and minimized axial IOL displacement.1
In a prospective, comparative study, researchers analyzed
data from 77 patients (86 eyes) who underwent …
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…
Bone-Repair Drug Failed in Breast Cancer Study
Novartis AG (Basel, Switzerland) will withdraw its US
and European applications for approval of Zometa
(zoledronic acid) for the prevention of breast cancer
recurrence. The decision is based on the 5-year results
of the Adjuvant Zoledronic Acid to Redu…
The US Air Force’s Experience With Premium IOLs
Premium IOLs have been a tremendous addition
to the armamentarium of the ophthalmologists
in the US Air Force. We can now provide a full
range of vision to our patients in the military
health system. The tremendous potential for this technolog…
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…
River Blindness Pioneer Rene Le Berre, Dead At 78
René Le Berre, PhD, an entomologist and pioneer in the
diagnosis and treatment of river blindness, died on
December 6, 2010, in L’Aiguillon-sur-Mer, France, at the age
of 78. Dr. Le Berre was responsible for preserving the sight
of millions of peopl…
Would You Undergo Lens-Based Surgery for Presbyopia?
emWould you yourself choose to receive a
presbyopia-correcting IOL for either
refractive or cataract surgery purposes?
Why or why not, and what type of lens
would you choose if you elected to have
this surgery?/em
bGEORGE BEIKO,…