Ectasia does not seem to be a long-term complication of LASIK, accordingto P.I. Condon, MD, of the Waterford Eye Clinic, Ireland. Dr. Condon andcolleagues performed LASIK on 147 patients with myopia greater than -10D between 1994 and 2003. The investigators used intraocular subtractionand minimal pachymetry, but there were no clear guidelines on the amountof tissue that should remain after ablation. They used Barraquer's rule-of-thumbthat calls for 300 microns in the central cornea and the Ruiz-Casebeer nomogramused for hyperopic automated lamellar keratoplasty that requires 30% residualcorneal thickness underneath an incision. These patients had a mean refractionof -13.9 D, average age of 40 years, and a mean pupil size of 5.25 mm.
Frantz EyeCare reports 98% of Light Adjustable Lens patients achieved refractive accuracy within ±0.50 D of target, exceeding published national cataract surgery benchmarks.
In this Q&A, Ping Moore, OD, covers emerging dry eye therapies, from selenium sulfide to next-gen cyclosporine, and how subtype-guided care shapes treatment choices.
Findings from the third annual State of Dry Eye survey link symptom management to quality of life gains, including lower anxiety and improved self-confidence.