h4CASE PRESENTATION/h4
A 65-year-old woman presents with decreased vision due to cataracts. She relates a past ocular history of glaucoma surgery several years ago on her left eye. She also has a history of trauma to that eye.
The p…
Category: Refractive
Bausch + Lomb,Technolas to Codistribute Femtosecond Laser
Bausch + Lomb (Rochester, New York) and Technolas
Perfect Vision GmbH (Munich, Germany) announced an
agreement in principle to globally distribute the first femtosecond
laser capable of performing both cataract and
refractive procedures on one platform…
Advancing Your Surgical Skills
In cataract surgery, the initial part of the learning curve is steep, which is why ophthalmic training programs provide close supervision in the OR. During the first 100 cataract cases, residents learn basic concepts under the active guidance of a…
Visual Acuity Worsened 2 Years After Cataract Surgery
One in eight patients who underwent cataract surgery
lost at least 2 lines of pinhole visual acuity during the 2-year
postoperative period, according to a study in the emBJO/em.sup1/sup
The Cataract Surgery and Age-Related Macular
Degeneration study in…
Complex Case Management: Incomplete Flap due to Lost Suction
h4CASE PRESENTATION/h4
A 40-year-old man underwent attempted LASIK with laser flap creation. His preoperative manifest and cycloplegic refractions were -4.00 D OU. Central corneal thickness measured 530 μm. Topography showed regular with-the…
Visian ICL V4c Receives CE Mark
The Visian Implantable Collamer Lens (ICL) V4c (STAAR
Surgical, Monrovia, California) received the Conformité
Européenne (CE) Mark, according to a company news
release. The V4c incorporates a proprietary port in the center
of the ICL optic. The size …
Innovations
h3Head Mounted Perimetry/h3
NovaVision, Inc. (Boca Raton, FL), introduced the Head Mounted Perimetry (HMP)—a portable, wireless device that aids in the profes- sional assessment and early detection of glaucoma, ambly- opia, and visual field…
Alcon and Novartis Complete Merger and Form New Alcon Division
After more than a year and a half of negotiations, shareholders
of both Alcon, Inc. (Huenenberg, Switzerland) and
Novartis AG (Basel, Switzerland) have approved the merger
of the two companies. Alcon will become a newly formed
division within Novartis …
Focus on Complications and Complexity: Dry Eye After LASIK
Essentially all patients have dry eyes at least transiently after LASIK.sup1/sup Dry eye disease is arguably the
most common problem facing refractive surgeons 2-4 today. Because the cornea overlying the flap is significantly anesthetic for 3…
Rayner Recognized for Profit Growth
Rayner Intraocular Lenses, Ltd. (East Sussex, United
Kingdom), was included in London’s Sunday Times
Pricewaterhouse Coopers Profit Track 100, “Ones to
Recognize,” which lists 10 companies that have either had or
predict good profit growth. In ad…
Focus on Complications and Complexity: Excimer Laser Enhancement After RK
PI have performed tens of thousands of RK surgeries over the years, and I have had to provide excimer laser enhancements to some of these patients. This article reviews the necessary workup and discusses the appropriate options for treatment.
…
Toric IOL Reduced Astigmatism After Cataract Surgery
Refractive astigmatism after cataract surgery in patients
with corneal astigmatism was significantly lower when a
toric IOL was implanted compared with a spherical IOL.1
Researchers conducted a retrospective review of clinical
records that included pat…
Focus on Complications and Complexity: Managing Infectious Keratitis
Infectious keratitis is a rare but sight-threatening complication of LASIK. Its incidence has risen during the past decade, and trends in causative organisms sup1/sup have shifted. The prompt diagnosis of the condition and the early initiation…
Merck to Acquire Inspire Pharmaceuticals for $430 Million
Merck and Co., Inc. (Whitehouse Station, New Jersey),
announced that it will acquire Inspire Pharmaceuticals, Inc.
(Raleigh, North Carolina), for $430 million.
Under the terms of the agreement, Merck, through a subsidiary,
will commence a tender offer …
Chopping 101
Prior to 1993, the most common technique for nuclear disassembly was probably divide and conquer. Surgeons would sculpt four trenches in the nucleus and then crack them apart to create four triangular segments,sup1/sup each of which was emulsi…
Calcium Supplements May Increase Risk of Heart Attack in Postmenopausal Women
Calcium supplements may increase the risk of cardiovascular
events, namely myocardial infarction, in postmenopausal
women, according to a study in the BMJ.1
Ian R. Reid, MD, of the University of Auckland, New
Zealand, and colleagues reassessed data fro…
Focus on Complications and Complexity: Corneal Epithelial Defects Associated With LASIK
A LASIK-associated corneal epithelial defect is a potentially significant complication that may result in suboptimal visual results. This article discusses the etiology, management, and prevention of this clinical challenge.
h4CLASSIFICAT…
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…