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…
Category: Refractive
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…
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…
River Blindness Pioneer Rene Le Berre, Dead At 78
René Le Berre, PhD, an entomologist and pioneer in the
diagnosis and treatment of river blindness, died on
December 6, 2010, in L’Aiguillon-sur-Mer, France, at the age
of 78. Dr. Le Berre was responsible for preserving the sight
of millions of peopl…
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…
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…
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…
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…