How to Decide Between Laser AK and a Toric IOL

I use laser astigmatic keratotomy and toric IOL placement
to correct astigmatism during cataract surgery. My
patients undergo a series of diagnostic tests that include
the use of an IOLMaster (Carl Zeiss Meditec), pachymetry
readings, refracti…

The Effects of Changing Demographics on Ophthalmology

The world’s population is growing. During my life
span, it has more than doubled—from about
3 billion in 1960 to more than 7 billion today.
Our population will continue to grow, reaching
more than 9 billion people worldwide by 2050, a Unit…

Laser Versus Manual Cataract Surgery

Capsulotomy technique during cataract surgery
has evolved significantly over the past 25 years.
Typical of extracapsular cataract extraction in
the 1980s, a can-opener technique by nature
created multiple small anterior capsular (radial) tears…

Small Incisions, Big Controversy

The cover series of this edition of emCataract and Refractive Surgery Today/em examines issues related
to incisional architecture. With femtosecond
lasers and sophisticated diamond and metal blade
designs, surgeons have more options for crea…

Toric IOLs in Eyes With Keratoconus

Cataract surgery has evolved into a refractive
procedure, and patients have high expectations
for good UCVA after surgery. Patients with keratoconus
who are successful in achieving good-quality
BCVA with rigid or scleral contact lenses often