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 lead to Descemet’s membrane perforation.

‘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 pharmaceuticals, surgical devices, diagnostic testing, clinical studies, surgical techniques, marketing strategies and, ultimately, ways to optimize patient care and outcomes. Whether it be in the form of formal advisory boards, round table sessions, smaller regional meetings or larger national eye meetings such as the American Society of Cataract and Refractive Surgery and American Academy of Ophthalmology, or just simple one-to-one discussions in the hallways or at mealtimes, KOLs have paved the way for present and future success for both eye care professionals and their patients. I look at eye care professionals as a whole as talking heads, leaders among themselves and their private, group and/or academic practices and their patients. Every day in the slit lamp trenches of clinical eye care or surgical suites or scientific laboratory settings, we are all leaders in trying to achieve the best for our patients, which stems from the fact that “Once in a Lifetime” we all did take the infamous Hippocratic Oath.

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 of unaided excellent vision.

Survey highlights heavy burden, high level of emotional distress related to intravitreal injections

A survey carried out across three countries in Europe among patients with diabetic macular edema or retinal vein occlusion found that the impact of intravitreal injections in terms of anxiety is high and adds up to the stress and burden of multiple appointments, long waiting times, expenses and need for carers.“The most desired improvement suggested by patients was to have fewer injections to achieve the same visual result,” Sobha Sivaprasad, MD, first author of the study, said.