Iconsider the option of refractive lens exchange (RLE)
most actively for presbyopic hyperopes. Patients
whose needs go beyond the limits of reading vision
LASIK or monovision LASIK are the best candidates
for this procedure.
The Tecnis…
Category: Cataract
High Levels of HDL Cholesterol May Lower Alzheimer Risk
High levels of high-density lipoprotein (HDL) cholesterol
may reduce the risk of late-onset Alzheimer disease,
according to a study in the Archives of Neurology.1
Researchers at Columbia University, New York, studied
data from 1,130 individuals aged 65…
emCOMPLEX CASE MANAGEMENT/em: Vision Correction After Corneal Collagen Cross-linking
bCASE PRESENTATION/bbr /A 26-year-old female law student presents to you with an
inquiry about vision correction surgery.
Her UCVA measures 20/200 OD and 20/400 OS. Her
manifest refraction is +0.50 -5.50 X 85 = 20/20 OD and -3.00
…
emMY MOST DIFFICULT CASE/em: Please Have Your Cataract Removed by My Partner
When a bad outcome occurs in a patient’s
first eye and he or she ultimately decides to
proceed with surgery on the second eye,
the potential for disaster that day in the OR
is palpable. This article details my worst case ever and
how I avoi…
Prostate Cancer Treatment Linked to Cataracts
Patients receiving androgen deprivation therapy (ADT) to
treat prostate cancer may be at a higher risk for cataracts.1\
Side effects associated with ADT such as weight gain,
dyslipidemia, and insulin resistance have been linked to
cataract, according t…
The Ballots Are in
Eyetube.net has proven to be a valuable resource for
eye care professionals, because it allows for the rapid
dissemination of new techniques and ideas for surgical
procedures and patients’ care. Available videos
demonstrate how to safely and…
5 Questions I. Howard Fine,MD
bWhat is your most memorable
experience in this industry?/bbr /My most memorable experiences in
ophthalmology have been delivering
both the Charles D. Kelman Innovator’s
Lecture and the Binkhorst Medal
Lecture at ASCRS meetings. These…
Study Linking Vaccines to Autism Was Fraud
A study published in The Lancet in 1998 linking the
measles, mumps, and rubella (MMR) vaccine to autism
was “an elaborate fraud,” according to a report in the BMJ.1
The study,2 published February 28, 1998, was authored
by Andrew Wakefield, MD, and …
INNOVATIONS
bTru-Size Diamond Knife/bbr /Bausch + Lomb Storz Ophthalmic Instruments (Rochester, NY)
announced the US release of its Tru-Size Diamond Knife. According to
the company, the knife’s incisional widths engraved on the diamond
blade ensure…
Survey:UK Medical Schools Fall Short in Ophthalmology Teaching
Medical schools in the United Kingdom are falling
short of the recommended curriculum for ophthalmology
established by the International Council of
Ophthalmologists (ICO), according to a survey published
online in the British Journal of Opthalmology.1
…
emENDOPHTHALMITIS PROPHYLAXIS/em: Progress in Understanding Prophylaxis for Endophthalmitis
Recent publications have helped to clarify therole of topical antibiotics in the prophylaxis ofendophthalmitis after cataract surgery.Administering topical antibiotic drops, inaddition to standard povidone-iodine antisepsis, hasbecome a standard o…
Colonoscopy, Removal of Adenomas Reduced Cancer Risk on Both Sides of Colon
Colonoscopy combined with detection and removal
of adenomas was associated with a reduced risk of both
left- and right-sided colorectal cancer, according to a
study in the Annals of Internal Medicine.1
Hermann Brenner, MD, MPH, of the German Cancer
Res…
Sidebar: The Goal: Amazing Outcomes
As progressive-minded ophthalmologists, we have one goal: outcomes. With the large number of baby boomer patients expecting exciting advances in cataract surgery, it is mandatory that we provide excellent postoperative visual acuity. I use…
Transepithelial CXL had Favorable Effect in Keratoconic Eyes
Transepithelial corneal collagen crosslinking (CXL) had a
limited but favorable effect in keratoconic eyes.1
In the prospective study, researchers studied data from 51
consecutive patients to determine the clinical effects of
transepithelial CXL on ker…
10 Years of Tecnis
It has been a decade since we surgeons first realized
that IOL optics could reduce or eliminate spherical
aberration (SA) to restore a youthful quality of
vision for pseudophakes. That discovery, which led
to the introduction of the first succ…
What is the Evidence for Free Radical Effect on AMD and Cataracts?
A recent review in Opthalmic Research discusses the epidemiological evidence for the effect of free radicals on the progression of age-related macular degeneration (AMD) and cataracts. Interest in this area stems from the “free radical theory” of aging, which purports…
Blue-Blocking IOL’s- A Bad Idea?
In an editorial in Ophthalmology, the authors are very critical of the lack of scientific evidence that blue-blocking IOL’s are of any value in reducing the progression of macular degeneration. They agree with the CMS that the relationship between blue light and AMD is speculative and not evidence-based. The authors make a compelling point. I […]
Flexivue Microlens Improved Near Vision at 3 Months
The Flexivue Microlens (Presbia Coöperatief UA;
Amsterdam, Netherlands) significantly improved near
vision and patients’ ability to read without spectacles or
contact lenses, according to 3-month postmarket surveillance
studies in Greece and Italy r…
Aspirin May Reduce Cancer Deaths
A daily dose of 75 mg of aspirin may reduce the risk of
death due to several common cancers, according to a
study in the Lancet.1
Peter M. Rothwell, PhD, of the University of Oxford,
United Kingdom, and colleagues studied data from
25,570 patients invo…
Misalignment of Toric IOLs Affected Refractive Outcomes After Cataract Surgery
Misalignment of toric IOLs resulted in a reduction of
astigmatic correction and an induction of hyperopic
spherical change and astigmatic rotation, according to
a study in the Journal of Cataract and Refractive Surgery.1
Investigators at the Internatio…