Deeper understanding of toric IOL calculations can help avoid postoperative errors

At the Hawaiian Eye meeting earlier this year, I presented a case in which a patient who underwent cataract surgery with a toric IOL had residual astigmatism postoperatively, even though the IOL was perfectly positioned at the intended axis. One of my mentors, Jack Holladay, MD, MSEE, FACS, explained to me that the error was likely in the toric calculation and that the HICSOAP software — Holladay IOL Consultant & Surgical Outcomes Assessment Program, www.hicsoap.com — would help pinpoint the issue.The first step was to double check all data from (Read more...)

Shire submits new drug application for lifitegrast

Shire Pharmaceuticals has submitted a new drug application to the FDA for lifitegrast for the treatment of dry eye disease in adults.“It is a very exciting time for the organization,” Robert Dempsey, leader of Shire’s Ophthalmics Business Unit, told Healio.com/OSN at Hawaiian Eye 2015. “As we are in the process of filing a new drug application for lifitegrast for the treatment of dry eye disease, we are, in support of this file, building out the commercial, research and development, and medical affairs infrastructure.”

6-year-old boy presents with intermittent headaches

A 6-year-old boy was referred to the New England Eye Center with symptoms of intermittent headaches for the last 3 months. The patient and his mother described the headaches as occurring three to four times per week, located primarily frontal and “on top of the head,” that would become progressively severe, lasting 1 to 2 hours, occasionally associated with nausea. Initially, it was thought the headaches may be related to concentrated activities such as reading. However, the pain was now occurring more often without any notable aggravating factors.The patient was (Read more...)

Group practice vs. solo practice

CEDARS Debates is a monthly feature in Ocular Surgery News. CEDARS — Cornea, External Disease, and Refractive Surgery Society — is a group of cornea, cataract and refractive surgery specialists, here to discuss some of the latest hot topics in ophthalmology.As the landscape of medicine continues to change, both new and experienced physicians face the decision of how to manage their practices. This month, Dr. Jai Parekh and Dr. David Goldman discuss the benefits of group practice vs. solo practice. We hope you enjoy the discussion.

Further examination of three important cornea health topics

I participated in the excellent Cornea Health Round Table organized and moderated by Terry Kim, MD, at OSN New York 2014. For those interested, OSN New York is held every fall and enjoys a great reputation for clinically useful information using a case study format. I will share a few more thoughts on the three core topics presented in the cover story: epidemic keratoconjunctivitis, toxic anterior segment syndrome and the MRSA/MRSE positive patient who is scheduled for cataract surgery.As Jodi Luchs, MD, mentioned during the discussion, based on the experience (Read more...)