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Stepwise approach ideal for pre-Descemet’s endothelial keratoplasty

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Endothelial keratoplasty has revolutionized the surgical approach for corneal endothelial disorders that are normally not well managed with a medical line of treatment and often necessitate a surgical approach.Pre-Descemet’s endothelial keratoplasty (PDEK) is a newer option among the variants of endothelial keratoplasty; it essentially requires the transplantation of the pre-Descemet’s layer in association with the Descemet’s membrane-endothelium complex. OCT studies have demonstrated the thickness of the PDEK donor graft to be approximately 30 µm to 35 µm with both adult and infant donor tissue. The addition of the pre-Descemet’s layer (Read more...)

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Speaker: Advantages of same-day bilateral cataract surgery outweigh disadvantages

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Immediate sequential bilateral cataract surgery delivers patient satisfaction, is efficient, lowers society costs and reduces risk to the second eye, according to a presentation at OSN New York 2015.“I do believe at some point in the future if you do not offer same-day surgery to your patients, you will be at a competitive disadvantage,” Richard K. Stiverson, MD, told colleagues while outlining the advantages and disadvantages of the procedure.

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More financial, human capital needs to be invested to reduce burden of high myopia

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In the early 1980s, I became interested in the surgical treatment of myopia as a surgeon in the Prospective Evaluation of Radial Keratotomy study. In this study, we were treating patients with low to moderate myopia. While there is room for disagreement, I categorize –0.125 D to –3 D as low myopia, –3.125 D to –6 D as moderate myopia and over –6 D as high myopia. Going all the way back to Sir Stewart Duke-Elder, myopia over –6 D has been considered “pathologic myopia,” and these are the patients (Read more...)