Evolution of pediatric ophthalmology beneficial for patients, practitioners

The cover story in this issue of Ocular Surgery News is a round table chaired by our section leader in pediatric ophthalmology, Robert S. Gold, MD. The round table took place at the American Association for Pediatric Ophthalmology and Strabismus meeting in New Orleans in March. All of the round table participants are members of AAPOS.When I finished my training in 1978, I first joined a group in Dallas whose senior partner, William S. Harris, MD, was primarily an anterior segment surgeon. I was told by my senior partner that (Read more...)

Corneal ulcers and infections require early diagnosis and intensive topical treatment

The major culprit causing a corneal ulcer is an infection associated with bacteria, viruses, fungi or parasites, according to the National Institutes of Health, and treatment should be prompt, comprehensive, and aggressive to prevent scarring of the cornea.“Important variables in this paradigm are the type and virulence of the organism, corneal infection location, patient immune status and the use of an appropriate antimicrobial agent,” OSN Cornea/External Disease Board Member Thomas John, MD, said.

Does [pupil] size matter? How premium surgeons can avoid the inevitable

Every day when a premium surgeon enters the operating room to perform ophthalmic surgery, pupillary dilation — the portal to the operative field — will inevitably have a major stake in the success and outcome of the surgery. As a cataract surgeon, I am amazed how often intraoperative miosis and/or small pupils at the outset of a case can wreak havoc for even the most experienced anterior segment surgeons.As we know, intraoperative miosis is frequently unpredictable or may be associated with conditions such as intraoperative floppy iris syndrome associated with (Read more...)