September 2017 Default Cover Image
How to evaluate the guidelines of antibiotic reactions in surgeryEye surgeons should use intracameral antibiotics only in select situations; they should avoid aminoglycosides, and they should not use vancomycin as prophylaxis. Michael Jumper, MD, offered this perspective as part of an overview of antibiotics used in intraocular surgery during the Glaucoma Symposium at the 2017 Glaucoma 360 meeting.
Scleral tunnel ‘glued’ fixation technique for slipped IOLsScleral tunnel, “glued” fixation technique works better than alternative fixation techniques in cases where intraocular lenses (IOLs) cannot be placed in capsular bag or in the sulcus, according to Sumit Garg, MD.
Small-aperture IOL offers advantages over other presbyopia lensesA new small-aperture intraocular lens (IOL) extends patients’ depth of focus as well as multifocal IOLs with fewer dysphotopsias, researchers say.
Preoperative considerations with extended depth-of-focus lensesThough extended depth-of-focus lenses tend to be more forgiving of residual refractive error and mild decentration than other presbyopia-correcting IOLs, it is important to select patients carefully and follow good preoperative protocols for a successful outcome.
Managing unhappy presbyopia patientsAddressing patient dissatisfaction after presbyopia-correcting IOL surgery requires listening to understand the problem. Time and patient reassurance may be adequate for resolving some issues.
Centroid value, posterior cornea input adds game for toric calculatorsSurgeons should use a centroid value for surgically induced astigmatism rather than a mean or median value when working with toric IOL calculators.
Knives, gunfights, pituitariesThe idiom “Don’t bring a knife to a gunfight” is meant to convey the importance of not entering a challenging situation without the proper equipment at hand. The concept that one must come properly prepared and equipped to any important task or confrontation is well-appreciated by ophthalmic surgeons, but this particular expression is rarely used by ophthalmologists teaching eye surgery to residents.
Novel treatment options for IOP involve range of independent factorsWhen exploring novel treatment options for the management of IOP, clinicians should consider a number of independent factors ranging from beneficial behaviors to body position.
Managing residual astigmatism after toric IOL surgeryResidual astigmatism is not uncommon after toric IOL implantation. Depending on its cause and magnitude, lens reorientation may be a good solution.
Study finds advantages using trifocal IOL to correct presbyopiaA 4-year study following trifocal IOL implantation (AT LISA tri 839MP, Carl Zeiss Meditec) found that the lens provided good distance, near, and intermediate visual acuity. The lens also improved patient quality of vision with better diffraction and less reduction in contrast sensitivity.
Exploring wider role for premium IOL implantation in glaucoma patientsWhen it comes to recommending a premium IOL, a patient’s glaucoma is only one factor to consider. Just like any other patient planning cataract surgery, visual needs and preferences for/against glasses are also important factors.