Allergy drug efficacy confirmed at molecular level
September 1st 2003Fort Lauderdale, FL-Olopatadine hydrochlo-ride ophthalmic solution (Patanol, Alcon) reduces the release of mast-cell-derived mediators and their allergic effects in the eyes of patients with allergic conjunctivitis, according to Andrea Leonardi, MD.
Medical therapy, trabeculectomy offer protection for OAG
September 1st 2003Aggressive topical medical therapy and trabeculectomy offer equal protection against visual field loss to patients with newly diagnosed open-angle glaucoma (OAG). This is the conclusion, based on the current follow-up of patients enrolled in the ongoing Collaborative Initial Glaucoma Treatment Study (CIGTS).
Mapped serial excision safe approach for lentigo maligna melanoma
September 1st 2003Adelaide, South Australia-For patients with periocular lentigo maligna and lentigo maligna melanoma, slow Mohs' surgery may be the answer. The procedure is a combination of rush processing of paraffin-embedded sections and mapped margin-controlled excision, which provides tissue conservation and the best cure rate compared with other treatments, such as unmonitored surgical excision, according to Raman Malhotra, MBChB, FRCOphth.
Study links OAG, thyroid disease
September 1st 2003Fort Lauderdale, FL-Analyses of data collected in the Blue Mountains Eye Study (BMES) provide evidence for a relationship between open-angle glaucoma (OAG) and thyroid disease, and particularly hypothyroidism, said Anne J. Lee, MBBS, at the annual meeting of the Association for Research in Vision and Ophthalmology.
Preoperative corneal thickness helps predict flap thickness
September 1st 2003San Francisco-Preoperative corneal thickness is the most important predictor of achieved flap thickness using the Hansa-tome (Bausch & Lomb) microkeratome, but preoperative spherical equivalent (SE) and microkeratome head choice also play a role, according to the results of a study presented by Jay S. Pepose, MD, PhD, at the annual meeting of the American Society of Cataract and Refractive Surgery.
Wills Eye Hospital using glaucoma genetic test
September 1st 2003Alameda, CA-Calling the OcuGene glaucoma genetic test a useful tool in identifying at-risk relatives of glaucoma patients, the director of Glaucoma Service at Wills Eye Hospital in Philadelphia announced he is incorporating InSite Vision Inc.'s test into the hospital's glaucoma patient management program.
More ABCs of opening an MD optical dispensary
August 15th 2003Editor's Note: In last month's "Dispensing Solutions" column, Pamela B. Fritz left off with a discussion on space allocation for the MD dispensary (see Ophthalmology Times, July 15, 2003 issue, Page 42). There are several other considerations in determining proper space allocation.
Drug therapy may enhance outcomes of retinal repair
August 15th 2003Fort Lauderdale, FL-Pharmacologic enhancement for retinal repair surgery continues to be a viable strategy, and the promise of its use to improve outcomes may be fulfilled as drug therapy enters a new era, said Mark S. Blumenkranz, MD, at the annual meeting of the Association for Research in Vision and Ophthalmology.
Lid scrubs, fluoroquinolone good prophylaxis before surgery
August 15th 2003Fort Lauderdale, FL-The combination of lid scrubs and a broad-spectrum fluoroquinolone appears to reduce the number of bacteria in the eyelids and conjunctiva when used before cataract surgery. However, the use of preoperative lid scrubs alone appears to make more bacteria available to the ocular surface, in a recent study, produced a higher rate of positive cultures than when no prophylactic measures were used.
Cataract patients tolerate tobramycin and dexamethasone suspension four times daily
August 15th 2003Barcelona, Spain-A combination eye-drop formulation of tobramycin and dexamethasone suspension (TobraDex, Alcon) is safe and well tolerated in patients when administered four times daily to control inflammation following cataract surgery.
Fluoroquinolone helps combat keratitis after lamellar keratectomy
August 15th 2003Fort Lauderdale, FL-In a comparison study of three fluoroquinolones, gatifloxacin ophthalmic solution 0.3% (Zymar, Allergan), a new fourth-generation compound, was the most effective agent in the treatment of Mycobacterium chelonae keratitis after lamellar keratectomy in an animal model.
Topical drop handles moderate inflammation associated with KCS
August 15th 2003Fort Lauderdale, FL-Topical loteprednol etabonate 0.5% (Lotemax, Bausch & Lomb) instilled four times daily may be beneficial to treat patients who have keratoconjunctivitis sicca (KCS) with at least a moderate inflammatory component.
NSAID helps reduce pain after cataract, refractive surgery
August 15th 2003Duluth, GA-Diclofenac sodium ophthalmic solution (Voltaren, Novartis Ophthalmics) is a nonsteroidal anti-inflammatory drug (NSAID) with a proven track record. It is the drug of choice to relieve pain following cataract or refractive surgery, and it has maintained that position despite the increased incidence of corneal melt associated with a generic version of the drug, according to Douglas A. Katsev, MD. He described diclofenac as a staple in his private practice in Santa Barbara, CA.
Doctors restore vision, hope to poor in Dominican Republic, Honduras
August 15th 2003Ashland, OH-Less than 2 hours by air from the sun-drenched beaches of Miami lay countries where impoverished people have never seen a doctor. In the Dominican Republic and Honduras, where electricity is unreliable and roads are often impassable, congenital glaucoma blinds children and cataracts grow rock hard. Diabetes robs young and old of their limbs, jobs are scarce, and mail and garbage service are nonexistent. Most adults carry machetes for protection.
ESCRS to focus on four symposia during annual meeting
August 15th 2003Munich, Germany-The 2003 annual gathering of the European Society of Cataract and Refractive Surgeons (ESCRS) will open on Saturday, Sept. 6 and continue through Wednesday, Sept. 10, at the ICM Congress Centre, in this city in the heart of Bavaria.
Iris registration a new angle on cyclotorsion
August 15th 2003San Francisco-Automatic iris registration is the basis for the next-generation registration and tracking technology and represents a superior technique for cyclotorsional compensation, said Marc G. Odrich, MD, at the annual meeting of the American Society of Cataract and Refractive Surgery.
Researchers pursue genetic link with secondary glaucomas
August 15th 2003Boston-Genetic researchers are trying to identify the genetic causes of several conditions that seem to predispose individuals to secondary glaucomas, according to Janey Lee Wiggs, MD, PhD. She reviewed the current knowledge of the molecular genetics of the secondary glaucomas.