Mark Packer, MD: Sitting on the DOCK of the bay
October 11th 2015The DOCK, of course, is the Demonstration of Ophthalmic Cognitive Knowledge, the final step for me in completing my second round of Maintenance of Certification requirements for the American Board of Ophthalmology (ABO). Taking this exam initiated a period of contemplation regarding where I’ve been and where I’m going.
The value of microinstrumentation in successful surgery
October 1st 2015Microsurgical instruments enable surgeons to perform complicated anterior segment eye procedures through good control of tissue handling. In this article, Dr Little explains how fine-gauge instruments allow for procedures such as iris reconstruction to be performed far more easily than was previously possible.
Ab interno trabeculectomy demonstrates positive outcomes, even in patients with narrow angles
October 1st 2015Narrow angles have been associated with a higher IOP in glaucoma patients, presumably by causing higher outflow resistance. Here, Dr Loewen presents recent research in which both ab interno trabeculectomy (AIT) with the trabectome and phaco-AIT significantly reduced IOP and number of medications required, regardless of the degree of angle opening.
Functional vision loss in children: What to say to parents, the patient
October 1st 2015Functional vision loss in children is a relatively common problem. Although physicians may be hesitant to delve into conversations with children and parents when there is no evidence of organic disease, it is better to probe for cause of stress, anxiety, or depression stemming from issues with family, school, outside activities, or friends, and to identify for the patient and parents areas for attention that may be previously unknown or overlooked.
Device improves irregular astigmatism in pseudophakic eyes
October 1st 2015A pinhole implant placed in the ciliary sulcus can improve visual acuity and reduce dysphotic symptoms in pseudophakic eyes with irregular corneal astigmatism. Implantation is even easier with the latest version of the investigational device
Triple macular carotenoid supplement provides greatest benefits for AMD patients
October 1st 2015The AREDS2 findings have empowered ophthalmologists to recommend appropriate supplements to reduce risk of visual loss in patients with AMD. In this article, the authors discuss the emerging revelation that the constituents of macular pigment enhance visual performance and explain how supplementation with all three macular carotenoids in a MZ:L:Z (mg) ratio of 10:10:2 can confer the greatest benefits.
Refractive surgery for special needs children: The time is now
October 1st 2015The time for refractive surgery for special needs children seems to be at hand, considering that advancements in laser and IOL technologies have been proven to be efficacious. Correcting a special needs child’s vision can reduce fearfulness and improve their behavioral challenges.
Be part of the vision rehab team for your pediatric patients
October 1st 2015Ophthalmologists who treat children with a diagnosis of vision loss can help with the near-term adjustment and long-term pursuit of goals by providing information about rehabilitation programs, support groups, and other resources.