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…
Category: Refractive
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
…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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 …
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…
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…