The 'intelligent' way to train staff
September 17th 2017Patient excellence training should focus more on how to build a human connection while entering data into a terminal than how to use the latest and greatest diagnostic equipment. People over the age of 35 are either looking for life balance (in the case of a Millennial) or that respect he or she had in the professional arena before retirement (in the case of Baby Boomers.)
Preoperative considerations with extended depth-of-focus lenses
September 15th 2017Though extended depth-of-focus lenses tend to be more forgiving of residual refractive error and mild decentration than other presbyopia-correcting IOLs, it is important to select patients carefully and follow good preoperative protocols for a successful outcome.
Knives, gunfights, pituitaries
September 15th 2017The idiom “Don’t bring a knife to a gunfight” is meant to convey the importance of not entering a challenging situation without the proper equipment at hand. The concept that one must come properly prepared and equipped to any important task or confrontation is well-appreciated by ophthalmic surgeons, but this particular expression is rarely used by ophthalmologists teaching eye surgery to residents.
Exploring wider role for premium IOL implantation in glaucoma patients
September 15th 2017When it comes to recommending a premium IOL, a patient’s glaucoma is only one factor to consider. Just like any other patient planning cataract surgery, visual needs and preferences for/against glasses are also important factors.
Study finds advantages using trifocal IOL to correct presbyopia
September 15th 2017A 4-year study following trifocal IOL implantation (AT LISA tri 839MP, Carl Zeiss Meditec) found that the lens provided good distance, near, and intermediate visual acuity. The lens also improved patient quality of vision with better diffraction and less reduction in contrast sensitivity.
May the force be with you, too
September 1st 2017Tomasso, a vitreoretinal surgeon, recently shared a blog by someone who calls him/herself “Neuroskeptic”.Neuroskeptic penned a spoof “scientific” article about midichlorians, which are the little organisms inside cells that give Jedi Knights (the good guys in the “Star Wars” movies) their powers (and unfortunately, confer those same powers to certain bad guys, like Darth Vader).
Expanding regimen with gel stent for surgical glaucoma management
September 1st 2017Having explored the various options available for micro-invasive glaucoma surgery (MIGS), I now use several devices with success. One MIGS device (XEN Gel Stent, Allergan) differs from the others in that it drains aqueous into the subconjunctival space and can be performed as a stand-alone procedure without cataract surgery or combined with cataract surgery.
Progression of visual field loss not always easy to test, analyze
September 1st 2017Assessing visual field progression in glaucoma may be more of an art than a science-and there is no one test to give reliable information that is needed about a patient, said Chris A. Johnson, PhD, DSc, FAAO, FARVO, professor, Department of Ophthalmology, and director, Visual Field Reading Center, University of Iowa, Iowa City.
Flexible glaucoma procedure serves wide variety of patients
September 1st 2017Juan Carlos Izquierdo, MD, decribes how CO2 laser-assisted sclerectomy surgery is a successful, less invasive, and more simple option for a wide range of glaucoma patients. Due to his overall success with the CLASS procedure, he no longer performs trabeculectomy.
Neuroprotective strategy primed for progress
September 1st 2017Advancing methods for evaluating therapeutic response have fostered a new era in glaucoma neuroprotection in which promising candidates are already being investigated in clinical trials and others are poised to begin phase I testing, said Jeffrey L. Goldberg, MD, PhD.
Early surgical intervention with stent advantageous for certain glaucomas
September 1st 2017It is well known that with most disease, the earlier it is detected, the better the outcome prognosis. Along with early detection comes the need for early treatment. Traditionally, options for glaucoma have been limited. Medications can be effective when used properly, though patients are notorious for compliance issues.
Risk factors for rapid glaucoma progression
August 29th 2017Published in the American Journal of Ophthalmology, a retrospective case-controlled study between cohorts of rapid glaucoma disease progressors and nonrapid progressors found that rapid progressors were older, had significantly lower central corneal thickness, and baseline intraocular pressures.
Lessons learned in adapting EDOF IOLs
August 25th 2017In the past year, Matossian Eye Associates added a new category of presbyopia-correcting IOLs to the practice: the extended depth of focus (EDOF) IOL. The first IOL in this category is the Tecnis Symfony (Johnson & Johnson Vision). EDOF lenses from other manufacturers are in clinical trials, so it behooves the cataract surgeon to better understand how these lenses work.
Resistance to fluoroquinolones impacts retina cases
August 16th 2017Antibiotic resistance against fluoroquinolones is increasing, and that may adversely impact patients with retinal disorders. The introduction of intravitreal injections (IVT) to treat retinal diseases has increased from about 1 million in 2007 to an expected 6 million in 2016 (up from only 4,000 in 2001).
Let's talk about antibiotic resistance: Survey results
August 16th 2017Ophthalmology Times asked readers for insights on antibiotics and eye infections from clinicians in the field - including experience with postoperative infections after eye surgery, if you use topical antibiotic prior to cataract surgery, how you choose antibiotics in a routine surgical prophylaxis, and more. The 118 U.S.-based ophthalmologists who responded were entered into a drawing to win a $200 gift card. Here are the survey results.
Advancements and cutting-edge science abound at the XXXV Congress of ESCRS
August 9th 2017It will soon be time for the FIL – Feira Internacional de Lisboa in Lisbon, Portugal to open its doors to the ophthalmic community for the 35th Congress of the European Society of Cataract and Refractive Surgeons (ESCRS), taking place between the 7th and 11th October 2017.