Red reflex-guided big-bubble DALK technique enhances control of dissection depth

A modified big-bubble technique guided by intraoperative red reflex may allow for better control of depth at which a cannula is inserted during deep anterior lamellar keratoplasty, according to a study.The big-bubble technique has been established to overcome the limitations associated with DALK, but it still has a challenging learning curve and poor standardization caused by the difficulty of inserting the cannula into the stroma. If insertion is too shallow, it can result in failure of the bubble formation and diffuse corneal emphysema, whereas too deep of an insertion can (Read more...)

‘Talking heads’ act as guardians of patient care

The year was 1975, and an American rock band called the Talking Heads, known for pioneering post-punk and new wave music, was discovered in New York City. Of their three musical hits that made the Rock and Roll Hall of Fame’s top 500 songs that shaped rock and roll, “Once in a Lifetime” is one of the most memorable among baby boomers and maybe even recognizable by millennials.In ophthalmology, there are many “talking heads,” or key opinion leaders (KOLs), who help drive many of eye industry’s directions in terms of (Read more...)

Ophthalmologist describes initial LASIK and later flap-lift enhancement

Scott Hyver has chronicled his experiences with LASIK, first in his mid-30s and then in his 40s as he developed presbyopia.At both times, he experienced relief from his asthenopia with excellent distance and near vision outcomes. Many patients and physicians mistakenly believe that LASIK “wears off” as people reach their mid-40s, when in fact it is presbyopia that causes asthenopia and loss of reading vision. We should remember that LASIK is not always discomfort-free; however, the small amount and short-lasting nature are something quickly forgotten and well worth the lifetime (Read more...)