One of the more common challenges of dealing
with patients after glaucoma surgery is
the management of their astigmatism. The
sclerectomy, cautery, and sutures of a trabeculectomy
all may induce cylinder. Certainly, this
problem is less impor…
Category: News
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…
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…
Recurrent Conjunctival Erosion After Glaucoma Tube Implantation
bCASE PRESENTATION/bbr /A 27-year-old Hispanic man with long-standing,
poorly controlled type 1 diabetes mellitus was referred
to the Montefiore Medical Center Glaucoma Service in
Bronx, New York, for an evaluation of elevated IOP in
his…
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…
Glaucoma 25 Years Ago
In 1985, we physicians were taking advantage
of several advances in the diagnosis
and management of glaucoma made during
the previous 15 years. They included
trabeculectomy, laser trabeculoplasty, automated
perimetry, and topical ß-blockers….
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…
Allergan Introduces Lastacaft for Ocular Itching
Allergan, Inc., launched Lastacaft (alcaftadine ophthalmic
solution) 0.25% for the prevention of ocular itching due to
allergic conjunctivitis, according to a news release.
Lastacaft, a new chemical entity with an affinity for H1, is
approved by the FD…
5 Queations with Mildred M. G. Olivier, MD
bWhat are the challenges of delivering eye/glaucoma
care in Haiti, and how have they changed since the
earthquake?/bbr /Haiti was a land of challenges for medical care even
before the earthquake. It is a country of
nearly 10 million peop…
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…
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…
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…
Omega-3-Rich Fish,Shellfish May Protect Against Advanced AMD
The consumption of omega-3-rich fish and shellfish may
protect against advanced age-related macular degeneration
(AMD), according to a study in Ophthalmology.1
Bonnielin K. Swenor, MPH, of the Wilmer Eye Institute,
Johns Hopkins University, Baltimore, …
CHIEF MEDICAL EDITOR’S PAGE: Glaucoma Must Lead the Way
As the new chief medical editor of
emGlaucoma Today/em, my goal is for the
publication to present a balanced yet
progressive viewpoint. I am committed
to the glaucoma community’s success, and I am
passionate about furthering glaucoma ca…
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,…
Refractive Lens Exchange: Who,When,and How?
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…
Prostate Cancer Therapy Linked to Cataract Development
Patients receiving androgen deprivation therapy (ADT) to
treat prostate cancer may be at a higher risk of developing
cataracts, according to a study in the Annals of Epidemiology.1
Side effects associated with ADT (such as weight gain,
dyslipidemia, an…
The Literature
emEach installment of “The Literature” column will examinethe most important recent studies of relevance to the physicianswho treat patients with glaucoma. The authors areselected by Section Editor James C. Tsai, MD./embTHE UTILIT…
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
…