LinkOPH

According to Eye Bank Association of America statistics, endothelial keratoplasty is the most frequently performed corneal transplant in the U.S. The transition from penetrating keratoplasty to endothelial keratoplasty occurred over the last 10 years. In 2005, 42,063 PK procedures vs. 1,398 EK procedures were performed in the U.S. In 2014, PK accounted for 19,294 transplants and EK for 25,965.This remarkable transition to EK for endothelial failure, whether from Fuchs’ dystrophy or postsurgical bullous keratopathy, is quite impressive in speed and magnitude, and it is worldwide in scope. Corneal surgeons are (Read more...)

Topography-guided PRK followed by corneal collagen cross-linking yielded a greater improvement in visual acuity than cross-linking alone in eyes with progressive keratoconus, a study found.“In our opinion, the most significant finding from this study was that with cautious implementation of topography-guided surface ablation, patients with keratoconus can be significantly benefited without compromising the stabilization effect of CXL,” Georgios A. Kontadakis, MD, the corresponding author, told Ocular Surgery News. “While planning this procedure and performing it, it is crucial to address safety precautions at all times. The other original finding of (Read more...)

A 76-year-old man presented urgently to the New England Eye Center with decreased vision in the left eye after experiencing a “gush of fluid from the eye.” The symptoms were spontaneous in onset, without history of ocular trauma or mechanical insult. He reported no acute pain but did report continuing burning, irritation and mild foreign body sensation related to chronic dry eye syndrome. He had a history of myelodysplastic syndrome and previously had a bone marrow transplantation.At time of presentation, the patient’s best corrected visual acuity was 20/200 in the (Read more...)

Surgical correction of presbyopia was previously limited to procedures producing a monovision result, in which one eye is corrected for near vision and the other for far. Although effective, the asymmetric vision produced by monovision is not an ideal solution for many. In April 2015, the FDA approved the use of the Kamra corneal inlay from AcuFocus. The inlay is 3.8 mm in diameter with a 1.6 mm central opening that functions on the pinhole principle, much like a camera F-stop. The central aperture enables light to move directly from (Read more...)

Optimal visualization of the posterior segment is essential in all forms of retinal and vitreous surgical procedures. It becomes even more important when media opacities degrade the view of the retina and vitreous due to corneal scarring, altered anterior segment with significant scarring, lenticular clouding due to dense cataracts, or the presence of blood from hyphema or vitreous hemorrhage. In these and other situations, the use of an endoscope provides a view of the posterior segment to allow surgical evaluations and procedures to be performed despite these media opacities. Additionally, (Read more...)

“On my honor I will do my best to do my duty to God and my country and to obey the Scout Law; to help other people at all times; to keep myself physically strong, mentally awake and morally straight.”– The Boy Scout Oath

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