Blocked clinic flow can be analogous to a beaver damMeaningful use and government mandates have added blocks all throughout the system that continue to add more and more time to each patient visit--and ends up damming up the clinic from ever getting their hands on the patient to do the exam.
In this issue
Does FLACS cost, benefit outweigh manual? Yes!Though further study is needed to determine conclusively whether or not femtosecond laser-assisted cataract surgery (FLACS) is associated with better refractive outcomes compared with conventional manual surgery, FLACS offers many other benefits that justify its use, according to Robert J. Cionni, MD. Does FLACS cost, benefit outweigh manual? No!Femtosecond laser-assisted cataract surgery (FLACS) offers some advantages compared with a conventional manual procedure, particularly for certain patients. Currently, however, FLACS does not result in superior outcomes and it has drawbacks that outweigh its benefits, according to Rosa Braga-Mele, MD. Unconventional times April 01, 2017By Kim Wise MDWhether one agrees or disagrees with President Donald J. Trump, we can agree that part of his success was finding a way to skip the media, go around the career politicians, and go directly to the people. Is it possible that our legislative efforts have borne so little fruit because we’ve approached it as a politician would? Study: Visual acuity outcomes similar, but FLACS has some advantages April 01, 2017By Vanessa CaceresFemtosecond laser-assisted cataract surgery (FLACS) facilitated a precise capsulotomy and reduced phaco energy in a recent ongoing study with about 100 consecutive eyes, said Jeffrey Whitman, MD, Key-Whitman Eye Center, Dallas. Redesigned pupil expansion device reduces cataract surgery risksPre-treatment with the femtosecond laser in eyes undergoing cataract surgery can induce miosis. The use of a pupil expansion device, however, offers an effective method for managing small pupils in femtosecond laser-assisted cases whether the problem pre-exists or is caused by the laser, said Boris Malyugin, MD, PhD. How pattern, flicker ERG can impact cataract treatment decisions April 01, 2017By William Bond MDRetinal issues can impact cataract surgery outcomes, especially for those with multifocal or other premium lenses. While multifocal lenses may allow the patient to see more clearly across a range of distances, they may also decrease the amount of light that reaches the retina, exacerbating any issues that may already be present. Laser update aids cataract outcomes April 01, 2017By Nancy GrovesA third system upgrade for a femtosecond laser system for refractive cataract surgery (Streamline III, LENSAR) will enhance the efficiency of the procedure, according to Jonathan Solomon, MD. Updated hand-held tonometer enhances clinical experience April 01, 2017By Nancy GrovesA newly released hand-held tonometer model (Icare ic100, Icare U.S.A.) features several design upgrades while retaining the rebound technology for measuring IOP that was at the core of the earlier model. Thinking outside the cone: Over, above standard approach April 01, 2017By Arun C. Gulani MDAll of these cases scenarios, which are an everyday occurrence in my practice, demonstrate my desire to take every patient to emmetropia despite the “so-called” complexity of the cases.