Second-stage operation of Mooren’s ulcer

Mooren’s ulcer is a clinical entity that results in peripheral ulcerative keratitis and corneal ulceration. A subset of these patients requires surgical intervention to stabilize the cornea and maintain ocular integrity. Although both cell-mediated and humoral immune mechanisms have been implicated in the possible pathogenic pathway leading to peripheral corneal melt and corneal ulceration, the exact etiology is yet to be fully understood.The clinical signs and symptoms and the types of Mooren’s ulcer were described in a previous Ocular Surgery News article about the first stage of surgery in this (Read more...)

The learning curve: Ways to perfect premium surgery

A learning curve, by definition, is a graphical representation of the increase of learning with experience. A learning curve can be used in two main ways: either the same task is repeated over and over again, or a body of knowledge is learned over time. As premium surgeons, we know practice improves our surgical skill set, but “perfect practice makes perfect.” We must perform the necessary due diligence before performing any ocular surgery to make sure the surgery goes as planned. Likewise, the phrase “knowledge is power” is not far (Read more...)

Barraquer lecturer separates fact from fiction for LASIK

LAS VEGAS — Eric D. Donnenfeld, MD, received the José I. Barraquer Award for excellence in refractive surgery at the American Academy of Ophthalmology meeting, and in his lecture on the future of LASIK, he separated fact from fiction from a surgeon’s perspective.“LASIK has fallen into a precipitous decline in the last couple years,” Donnenfeld said, attributing much of the decline to the change in the economy starting in 2008. Even with an upswing in the economy and consumer confidence, there has not been a rebound for LASIK in either (Read more...)

Letter re: Flip-and-slice supracapsular cataract disassembly technique

To the Editor:In the Dec. 10, 2015, issue of Ocular Surgery News, Dr. Matossian describes a “flip-and-slice supracapsular cataract disassembly technique.” This technique has many advantages, including a lower incidence of capsular rupture and the ability to avoid floppy iris issues because phacoemulsification is performed in a relatively safe zone. By prolapsing the nucleus and rotating it into a position that is more or less perpendicular to the capsule, small pupil phacoemulsification is also not an issue because the lens is held in place during phacoemulsification by the “fish-mouthed” pupillary (Read more...)