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…
Category: Refractive
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
…
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…
COMPLEX CASE MANAGEMENT: Late Post-LASIK Enhancement
h3CASE PRESENTATION/h3
A 22-year-old woman had a 10-year history of rigid gas permeable
(RGP) contact lens wear. She had wanted to undergo LASIK
since watching her mother’s procedure 9 years earlier. The visual
acuity of her right and le…
Laser Cataract Surgery: the Next New Thing in Ophthalmology
MARCH 2011 CATARACT and REFRACTIVE SURGERY TODAY 83
In 2010, ophthalmologists became aware of the next
big revolution in the field: using a femtosecond laser to
perform cataract surgery. Seemingly out of nowhere,
four companies emerged with anno…
2011: an Eyeball Space Odyssey
The “Inside Eyetube.net” column is soaring into a
new decade with lots of interesting tips and
tricks for choosing an IOL, improving your phaco
technique, entering the cross-linking world, and
staying up to date on the latest technologies …
The Business Course I Wish I’d Had
Practicing in the real world—whether the setting is
private, academic, or corporate—makes ophthalmologists
wish they had learned a lot more than
how to diagnose and treat eye disease. A 2006 survey
of recently graduated ophthalmology resid…
OR Safety and Efficiency: Preparation and Customization
In Canada today, a large percentage of cataract surgery
is still performed in multidisciplinary public hospitals.
The significant economic pressure on Canadian surgeons
during the past 2 years has resulted from
reduced net funding for these ho…
The Origins of Laser Cataract Surgery
This year, the technology behind one of the most
anticipated advances in years—laser cataract
surgery—begins its transition from testing laboratories
to physicians’ offices. The precision of femtosecond
lasers in cataract surgery is expe…
Crosslinking Improved Visual Acuity in Keratoconic,Ectatic Eyes
Corneal collagen crosslinking (CXL) improved distance
UCVA, distance BCVA, and maximum and average keratometry
values in patients with keratoconus and
corneal ectasia, according to a study in the emJournal of
Cataract and Refractive Surgery/em.sup1/sup…
Descemet Stripping Automated Endothelial Keratoplasty
emThis installment of “Peer Review” highlights the most recently published articles on Descemet stripping
endothelial keratoplasty (DSEK) and Descemet stripping automated endothelial keratoplasty (DSAEK).
Because of the volume of current p…
TIPS AND TRICKS FOR OR SAFETY AND EFFICIENCY: Practical Methods for Surgical Excellence
Every time I visit another surgeon’s ambulatory surgery
center (ASC), I learn new ways to run my OR
more efficiently and more safely. To return the
favor, here are a few things my guests have found
helpful about the way I run my facility./p…
Corneal Inlay Improved Reading in Presbyopic Patients
The Kamra corneal inlay (AcuFocus Inc., Irvine,
California) improved reading performance in emmetropic
presbyopic patients implanted with the device, according
to a study in the emJournal of Cataract and Refractive Surgery/em.sup1/sup
The study, conduc…
COMPLEX CASE MANAGEMENT: Delayed Onset of Postoperative Inflammation
h3CASE PRESENTATION/h3
A 75-year-old woman is referred to you by her local optometrist for a 2-week history of anterior uveitis in her right eye that is
unresponsive to hourly prednisolone acetate. She had uneventful bilateral cataract surge…
5 Qusetions with Manus C. Kraff,MD
h4You have had an extremely successful
career as an ophthalmic
surgeon.What is your secret?/h4
Being diligent, always being honest,
and projecting that to my patients certainly
are prerequisites to success in any
field and definitely in …
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…
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…