Cataract

An advanced, self-validating method is providing a new approach to IOL power selection, explains Warren E. Hill, MD, FACS.

Cataract surgery technology continues to advance with improvements that enhance surgical performance every step of the way.

In this first of a two-part series, Arun C. Gulani, MD, MS, explains how approaching keratoconus as a refractive surgery will change the way both ophthalmologists and patients will approach this condition to bring in a new era of not only relieving but also enhancing the lifestyle of this patient population. In Part 2, Dr. Gulani will share strategies and cases of patients with keratoconus with different case scenarios in action.

Lens extraction may have a role in reducing IOP in patients with primary angle-closure or primary angle-closure glaucoma.

Reverse optic capture may be a viable option for addressing a decentered single-piece IOL as the result of a compromised posterior capsular or a posterior capsular tear.

“As we all know, errors in those initial measurements can have a negative effect on refractive outcomes,” Robert J. Cionni, MD, said. “Our goal is to get it right the first time.”

Patients with accommodating IOLs implanted using a femtosecond laser-assisted procedure or manual cataract removal had similar excellent visual outcomes.

Cataract surgery in eyes with pseudoexfoliation syndrome is associated with increased intraoperative and postoperative risks. Strategies for improving outcomes include attention to IOL selection, and one surgeon describes why he is using a particular IOL.

A hot topic in cataract surgery is alternative ways to administer perioperative medications with the goal of lowering the incidence of cystoid macular edema (CME). One way to achieve that goal would be the combination of non-steroidal anti-inflammatory drugs (NSAIDs) and transzonular steroids.

In the modern landscape of ophthalmology, there is an abundance of intraocular lens (IOL) calculation formulae. This often leads to a clinical dilemma when it comes to choosing the most appropriate formula.

A sustained-release dexamethasone intracanalicular depot may be able to treat post-cataract surgery inflammation without causing spikes in IOP. The product’s one-time administration may also improve compliance and convenience.

Femtosecond laser-assisted cataract surgery will continue to lead the transition to a new era in ophthalmology with more precise, customizable, and reproducible capsulotomies.

Kevin M. Barber, MD, explains how a dropless cataract surgery approach helps to alleviates anxiety, cost burdens, and adherence issues associated with traditional drop therapy.

A new instrument can be used during cataract surgery to remove silicone oil placed in the vitreous cavity during prior surgery for complicated retinal detachment.

Programming for this year’s ASCRS meeting promises quality education for anterior segment specialists, practice managers, and ophthalmic technicians and nurses.

Richard Packard, MD, explains how he created a phaco tip family to fill a need for a coaxial phaco tip that was efficient in small incisions.

Making the switch to laser cataract surgery proved beneficial for one surgeon, who experienced improvements to his LASIK enhancement rate, refractive accuracy, and visual acuity outcomes.

Femtosecond laser cataract surgery has demonstrated comparable safety, superior effectiveness, and greater efficiency compared with traditional phacoemulsification.

A survey of cataract surgeons operating with a proprietary phacoemulsification unit explored their use of dual-linear foot pedal control of fluidics and phacoemulsification power.

Though there is a short learning curve for performing a direct phaco chop technique with a 45° balanced tip, it makes surgery more efficient by eliminating or minimizing the need for longitudinal energy.

Two phase III trials evaluated sustained-release dexamethasone for the treatment of inflammation and pain after cataract surgery.

Features of a new phacoemulsification platform provide surgeons with improvements to outcomes, safety, and cost and time effectiveness.

A new image-guided system streamlines surgical planning for patients undergoing cataract surgery with implantation of a single-piece aspheric IOL or a multifocal IOL.

Arun C. Gulani, MD, continues the discussion correcting premium cataract surgery.

By 2020, there will be over 5,200 gigabytes of data available for every individual worldwide, she said.Ophthalmology seems ready for Big Data as evidenced by the findings dating back to the 1990s.

Ophthalmologists spend significant amounts of time during cataract surgery trying to precisely center an implanted IOL to achieve the best possible vision after surgery. The high success rate of cataract surgery suggests that in most cases, they succeed.

Los Angeles-Scleral suture fixation of the IOL-capsular tension ring (CTR)-capsular bag complex is an effective option for surgical repositioning of a dislocated IOL, according to Robert K. Maloney, MD.

Femto laser-assisted cataract surgery (FLACS) is a latest advance in technology that is transforming traditional cataract surgery into a refractive procedure. Multiple studies have shown that laser-assisted cataract surgery can increase precision and reproducibility of the anterior capsulotomy, reduce effective phacoemulsion time, cause less postoperative inflammation to the anterior chamber, and possibly reduce surgically-induced endothelial cell damage. However, it is discussed much less often that the safeguards built into FLACS instruments can fail and allow the femto laser grid pattern to be delivered into the cornea.

Severe myopia affected the attitudes of both Theodore Roosevelt and Ronald Reagan, but in opposite ways, according to biographer Edmund Morris.“Since both of them became aware of their myopia in their early teens, it was obviously a formative experience for both of them,” Morris told Ophthalmology Times.

A 65-year-old male with a history of congenital cataracts, bilateral cataract extraction and secondary placement of anterior chamber intraocular lenses with subsequent development of glaucoma, cicatricial conjunctivitis, dry eye and limbal stem cell deficiency presented with left eye pain and decreased vision.