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Cheryl Guttman Krader
How femtosecond laser anterior capsulotomy can preserve capsular integrity in IOL exchange
When performing IOL exchange in eyes with anterior capsule phimosis, use of a femtosecond laser to create a secondary anterior capsulotomy can allow in-the-bag placement of the new IOL.
What to do when the rhexis won’t tear
Metabolic insult from silicone oil exposure can cause lens epithelial cells to undergo fibrous metaplasia, making the lens capsule resistant to tearing. Instead of persisting in trying to initiate a tear, surgeons should use an instrument to cut through the fibrotic material. This non-standard approach for opening the capsule recognizes potential for capsular fibrosis in eyes filled with silicone oil.
Managing the growing burden of glaucoma
The number of patients with glaucoma will rise dramatically in the future because of growth in both the size of the aged population and in demographic groups at high-risk for the disease. Ophthalmology, however, is not equipped to handle the increasing demand for services considering workforce projections and current models of care.
Accelerated CXL rivals conventional technique
Results from 2 years of follow-up in a large, prospective comparative study show that conventional corneal crosslinking (C-CXL) and accelerated CXL (A-CXL) are similarly safe and effective for stabilizing keratoconus progression in eyes with mild-to-moderate disease, said Tulika Chauhan, MD, at AAO 2016.
Small pupils: Maneuvers, medications, mechanical devices
Thomas A. Oetting, MD, MS, shared five pearls for operating in eyes with small pupils. In the follow-up discussion, panel members commented on their experiences with newer options for small pupil management.
AAO initiatives put focus on patient safety
Recognizing that healthcare errors impact one in every ten patients around the world, the World Health Organization has called patient safety an endemic concern, said Richard L. Abbott, MD, at AAO 2016.
Understanding pros, cons of the latest corneal refractive procedure
In a timely talk at Refractive Surgery Subspecialty Day 2016, Sunil Shah, MD, made a case for why refractive surgeons might want to consider this minimally-invasive corneal refractive procedure.
Exploring surgical solution for recalcitrant neurotrophic keratopathy
A team of ophthalmic surgeons describes successful corneal neurotization using an ipsilateral supraorbital nerve in a patient with recalcitrant neurotrophic keratopathy
AD-IOLs mimic movement of natural lens
AD-IOLs mimic movement of natural lens
Accommodating-disaccommodating IOLs are being developed that mimic the movement of the young crystalline lens through the use of “Zonular Capture Haptics” technology.
Inverted flap technique yields high success rates
The inverted internal limiting membrane (ILM) flap technique is not only a safe and effective procedure for treating macular holes, but compared with conventional ILM peeling, it is significantly more effective for achieving macular hole closure in certain situations, said Stanislao Rizzo, MD, at Retina Subspecialty Day 2016.


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