Sometimes the eye can be key to other pathology
November 15th 2003Editor's Note: The eye is the window to our body's health. In this month's column, we examine two ocular findings in children that have led to the discovery of life-threatening kidney disease and examine the life of the physicians who made these connections.
Wavefront technology: making the transition
November 15th 2003The development of wavefront technology is a major advancement in refractive surgery. It appears to deliver overall better results than conventional LASIK, thereby increasing patient expectations. It is imperative that refractive surgeons interested in continuing to perform laser-vision correction develop expertise with this technology. As with all transitions this, too, has a learning curve that must be conquered.
FDA to allow inserts for keratoconus patients
November 15th 2003Des Plaines, IL-Micro-thin prescription inserts (Intacs, Addition Technology Inc.) may be used to reduce or eliminate myopia and astigmatism in patients with keratoconus for whom restoration of functional vision is no longer possible with contact lenses or glasses, under a new designation by the FDA.
FDA panel recommends OK for STAAR's ICL
November 15th 2003Monrovia, CA-The FDA's Ophthalmic Devices Panel of the Center for Devices and Radiological Health is recommending that STAAR Surgical Co.'s Implantable Contact Lens (ICL) be approved with conditions for use in correcting ?3 to ?15 D of myopia and reducing myopia in the range of ?15 to ?20 D.
Some pathogens difficult to treat, even with newer agents
November 1st 2003Miami-Microbiologic studies indicated that Mycobacterium chelonae and M abscessus respond to antibacterial treatment differently from other atypical nontuberculous mycobacteria, reported Eduardo Alfonso, MD, of the Bascom Palmer Eye Institute, University of Miami.
OCT provides reproducible pachymetry measurements
November 1st 2003Mainz, Germany-Corneal thickness can be reproducibly measured using either noncontact optical coherence tomography (OCT) or ultrasound pachymetry. A comparison of results obtained with those two techniques, however, indicates that ultrasound pachymetry may underestimate corneal thickness, probably due to its applana- tion of the cornea, said Peter Breil, MD.
Six tax-saving ideas you can implement now
November 1st 2003As an ophthalmologist, you work too hard not to consider tax planning a priority. That is, of course, unless you like spending 40% to 50% of your time working for the IRS. Still, if you are like most physicians, you don't even dedicate 1 day per month to see how you could reduce your tax liability.
Femtosecond laser superior for ring segment channels
November 1st 2003Virginia Beach, VA-Femtosecond laser (IntraLase FS) creation of channels for implantation of intrastromal corneal ring segments (Intacs micro-thin prescription inserts, Addition Technology) represents an improved technique relative to mechanical dissection because it is easier and associated with better visual outcomes as well as fewer explantations and exchanges, according to the results of a comparative study.
Prophylactic mitomycin-C limits haze, regression in PRK
November 1st 2003Montreal-PRK using adjunctive intraoperative mitomycin-C (Mutamycin, Bristol-Myers Squibb) is a safe and effective tech- nique for treating eyes with high myopia, thin corneas, and large pupils, according to Pierre E. Demers, MD.
LASEK flaps easier to create with new instrument
November 1st 2003Wilmington, NC-There's new help available for creating LASEK flaps. Instead of making one large, hinged flap in LASEK, the Brown Butterfly trephine (Rhein Medical) allows ophthalmologists to create two smaller flaps, which, according to its inventor, is significantly more manageable.
Omega fatty acid supplements useful strategy before LASIK
November 1st 2003Wilkes-Barre, PA-Preoperative oral intake of nutritional supplements containing omega fatty acids prevents the precipitous drop-off in tear lactoferrin that occurs following the LASIK-induced creation of a neurotrophic cornea, reported Frank A. Bucci Jr., MD.
Atypical features signal when to image glaucomatous cupping
November 1st 2003Imaging studies in typical glaucomatous cupping are usually unnecessary because the diagnosis can normally be made on clinical grounds alone (e.g., elevated IOP, glaucomatous cupping, nerve fiber layer visual field defects). In addition, glaucoma produces a specific and differentiating form of optic atrophy (i.e., cupping). Although most patients with glaucoma have an elevated IOP, some have normal-tension glaucoma.This article reviews the "red flags" for considering imaging in suspected glaucomatous optic atrophy.
Sight preserved in AMD patients receiving steroid derivative
November 1st 2003New York-More drugs are in the pipeline that may have a positive impact on the treatment of patients with age-related macular degeneration (AMD). One that is providing good results is anecortave acetate (15 mg) for depot suspension, (Retaane, Alcon).
Dual linear technology, burst mode yields greater surgeon control
November 1st 2003Toronto-Offering dual linear control of vacuum and phaco power in conjunction with burst mode, the Millennium microsurgical system (Bausch & Lomb) enhances phaco safety and efficiency to optimize patient outcomes, said Rosa M. Braga-Mele, MD.
IOL material, designs aid cataract surgery in uveitis patients
November 1st 2003Although patients with uveitis are at increased risk of complications following cataract surgery with IOL implantation, due to pre-existing inflam- mation, improvements in technology, materials, and surgical techniques have greatly improved outcomes.