n my experience, the incidence of micro- or macro-striae in the LASIK flap has decreased significantly over the past 5 years. I attribute this change to surgeons’ having successfully recognized, managed, and, finally, mostly prevented the occurr…
Category: Cataract
Managing Challenging Cataract Cases
Undoubtedly, the best preparation for the challenging cataract is experience. Sage advice for approaching a particularly difficult upcoming case early in your career, then, is to swallow your pride and refer the patient to a more experienced surge…
Clear the Runway for a Flying Eye Hospital
hat is perhaps the most singular DC-10 aircraft in today’s skies carries a team of international ophthalmic experts each year to between eight and 10 developing countries worldwide. These volunteer medical professionals provide ophthalmic surgic…
Wavefront-Guided PRK Safe, Effective in Myopic Eyes
Wavefront-guided PRK was safe and effective for the correction
of myopia, according to a study in the emJournal of
Refractive Surgery/em.sup1/sup
The retrospective study included 174 eyes of 102
patients with low to moderate myopia (-0.125 to less
than…
Ibuprofen May Lower Risk of Parkinson Disease
Individuals who regularly use ibuprofen may have a
lower risk of developing Parkinson disease than those who
do not use the drug, according to a study in emNeurology/em.sup1/sup
Xiang Gao, MD, PhD, of the Harvard Medical School, and
colleagues analyzed…
Corneal Astigmatism After Sutureless Cataract Surgery Showed Astigmatic Change
Corneal astigmatism after sutureless cataract surgery
showed a long-term against-the-rule change with advancing
age, according to a study in the emAmerican Journal of
Ophthalmology/em.sup1/sup
The case-control study compared 153 eyes that underwent
pha…
Type 2 Diabetes Linked to One Gene Mutation
The presence of functional gene variants in high-mobility
group A1 (HMGA1) was associated with type 2 diabetes
mellitus in individuals of white European ancestry, according
to a study in the emJournal of the American Medical Association/em.sup1/sup
Eus…
AMO Introduces Tecnis Toric 1-Piece IOL in Europe
Abbott Medical Optics Inc. (Santa Ana, California) introduced
the Tecnis Toric 1-Piece IOL for cataract patients in
Europe, according to a company news release.
The Tecnis Toric 1-Piece IOL combines wavefrontdesigned
aspheric and toric optic technologi…
One Donor Cornea Treats Two Diseases
One donor cornea may be used to treat two patients by
combining deep anterior lamellar keratoplasty (DALK) and
Descemet membrane endothelial keratoplasty (DMEK) surgeries
on the same day, according to a study in
emOphthalmology/em.sup1/sup
Claus Cursie…
Toric IOLs, LRIs Produced Comparable Correction
Toric IOL implantation and limbal relaxing incisions (LRIs)
yielded similar results for the correction of astigmatism during cataract surgery, according to a study in the emJournal of
Refractive Surgery/em.sup1/sup
Jed T. Poll, MD, of the Cullen Eye In…
Mediterranean Diet Reduced Risk of Metabolic Syndrome
Adherence to a Mediterranean diet was associated with
a reduced risk of metabolic syndrome, according to a
meta-analysis in the emJournal of the American College of
Cardiology/em.sup1/sup
Researchers from Italy and Greece analyzed 50 randomized,
contro…
Angle-Supported Phakic IOLs Safe,Effective for Moderate to High Myopia
Angle-supported phakic IOLs provided favorable refractive
correction and predictability as well as acceptable safety
in patients with moderate to high myopia, according to a
study in the emJournal of Cataract and Refractive Surgery/em.sup1/sup
The inte…
Cell Phone Use Affects Brain Activity
Cell phone exposure was associated with increased
brain glucose metabolism in the region closest to the
antenna, according to a study in the emJournal of the
American Medical Association/em.sup1/sup
In the randomized study, Nora D. Volkow, MD, Director…
A Comparison of Commercially Available Femtosecond Lasers in Refractive Surgery
[…] Earlier this month, I came across an article written by Drs. Ronald Krueger and Glauco Reggiani-Mello, that does an excellent job of summarizing the latest developments in the use of femtosecond lasers in refractive surgery and other applications in…
Improving OR Efficiency
Here are six tips to improve the efficiency of the
cataract surgery OR.
bNo. 1. Single-specialty facility./b In terms of overall
efficiency, safety, and specialized service, I believe that
there are many advantages to a single-speci…
Steps to Ensure Safety Save Time in the Long Run
When my surgical team and I work to
improve the efficiency of cataract surgery,
safety is actually the primary concern.
Many of the steps that we incorporate
purely for safety may add time or cost to the procedure,
but they will prove to incr…
The Role of Surgical Simulators
The Accreditation Council for Graduate Medical
Education has six core competencies that are
required for resident training accreditation in ophthalmology.
sup1/sup The American Board of
Ophthalmology has recommended including surgery as
t…
INNOVATIONS
h4Osher Toric
Alignment System/h4
Haag-Streit USA Inc. (Mason, OH) introduced the new Osher Toric
Alignment System to assist surgeons with accurately placing toric IOLs.
The system was conceived by
Robert H. Osher, MD, of the
Cincinnati …
PHACO PEARLS: What IOP Should You Achieve at the End of a Cataract Surgical Case?
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…
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
…