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October 2016 OT100116_Cover1.jpg
Performing femtosecond laser-assisted keratoplasty for keratoconusA retrospective study evaluating outcomes in patients with keratoconus found that when compared to femtosecond laser-enabled keratoplasty (FLEK), femtosecond laser deep anterior lamellar keratoplasty (FsDALK) had similar overall visual and refractive outcomes with a statistically significant lower overall graft rejection rate.
Epi-on CXL: Safe, effective option for treating thin corneasPatients with thin corneas as the result of keratoconus, ectasia following LASIK, or pellucid marginal degeneration can safely undergo epithelial-on collagen crosslinking with pulsed UV light and achieve visual benefits from the procedure.
When did I become everyone’s honey?Here’s a scenario: You walk up to the local fast food counter for lunch. The morning is still fresh in your mind, and all the afternoon projects are pushing their way into the forefront of your brain. Distracted is under stating where your mind is at. You finally get to the order person, and a 16-year-old sings out: “Hi sweetie, what can we do for you today?”
Why single-instrument screening for keratoconus remains a dreamThe promise of simple, objective, single instrument-based screening for highly asymmetric keratoconus in patients considering LASIK is still more of an idea than reality. Multiple metrics can identify early keratoconus in a minority of affected eyes, but none of the metrics consistently identify early corneal abnormalities and none of the metrics identify the same eyes as being at elevated risk for ectatic disease.
Managing ocular surface disease in patients with glaucomaTreating ocular surface disease may have an impact on the effectiveness of glaucoma treatment. Inder Paul Singh, MD, offers some strategies used in practice.
Study: Not all topography devices are alikeSubclinical haze after CXL can affect corneal topography measurements; a comparison shows that measurements with four different devices cannot be used interchangeably.
DMEK associated with better visual qualityA focus on functional vision outcomes in patients who had both DMEK and DSAEK procedures found that the DMEK procedure yielded quality of vision superior to that of DSAEK.
Extended-depth-of-focus IOLs expand surgical optionsSurgeons share their lessons learned about new lens technologies for refractive cataract surgery, such as extended-depth-of-focus IOLs.
Similarities seen in ocular protein deposits in glaucoma, dementiaThe latest findings in the similarities between protein deposits seen in the eyes of patients with glaucoma and those with dementia are highlighted.
Sustained-release topical rings promising for glaucomaA single bimatoprost topical ring has been shown to be effective and safe for lowering IOP over six months, according to results from a phase II study.
Keratoconus: Thinking outside the coneIn this column, I will describe various keratoconus case scenarios from my referral-based practice—ranging from the highly complex to simple—that can be improved with single or staged techniques that move patients toward emmetropia.
New corneal inlay offers choice for presbyopia improvementAn implantable corneal inlay recently approved by the FDA gives ophthalmologists a new choice in treating presbyopia.
Frozen, fresh corneal donor carriers yield similar clinical outcomesFive-year results from a study of the Boston keratoprosthesis type 1 implant suggest that frozen and fresh corneal donors offer similar clinical outcomes—with no significant differences in device retention, visual rehabilitation or complication rates.
Seasons change but athletic eye injuries occur year-round
Weighing the best retirement plan for practice, employees
Famous artist, ophthalmologist team up so children can see ‘brighter’Dr. Maling had a great idea for how to make the ophthalmology clinic more child-friendly.
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