Aggressive intervention minimizes sight-threatening potential of periorbital necrotizing fasciitis

PHILADELPHIA — Early identification, immediate and aggressive surgical intervention, and application of both systemic and postoperative topical clindamycin can be sight-saving in cases of periorbital necrotizing fasciitis, according to a presentation here.“Necrotizing fasciitis of the periorbital region is an exceedingly rare condition, with less than 100 cases reported over the past 20 years,” Charles Kim, MD, said at the Wills Eye Alumni Conference “To put it in further perspective, the two largest case series to date consist of 17 and seven patients, respectively, so the span of five, our project, (Read more...)

Trabectome-phaco yields less refractive precision than phaco alone

FORT LAUDERDALE, Fla. — Combined Trabectome surgery and phacoemulsification yielded unforeseen refractive changes that were not predicted by current IOL calculation techniques, according to a scientific poster presented here.The retrospective study, presented by Douglas J. Rhee, MD, and colleagues at the American Glaucoma Society meeting, included 50 patients with primary open-angle glaucoma; 34 patients underwent combined phacoemulsification and Trabectome (NeoMedix) surgery, and 16 patients underwent phacoemulsification alone.