Browse articles from the EyeWorld March 2021 issue. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.

Read more about the article Adapting and acclimatizing
Rosa Braga-Mele, MD Cataract Editor

Adapting and acclimatizing

Cataract Editor Rosa Braga Mele, MD, shares personal thoughts on the pandemic a year later, including some positive practice adaptations that have occurred as a result.

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Will the pandemic push ISBCS acceptance?

In light of the pandemic’s push to limit exposure in various medical settings, some ophthalmologists have been considering immediately sequential bilateral cataract surgery (ISBCS) with renewed interest to help get through a backlog of cases efficiently and to ease patient anxiety about coming in for surgical procedures.

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What’s new in the world of IOLs

New optical qualities, new materials, preloaded inserters, and the possibility of accommodative abilities: There has been quite a bit of movement in IOL innovations, some of which are available in the U.S., while others are still on the horizon.

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Paper highlights iris defects caused by cataract surgery

A paper published online ahead of print in the Journal of Cataract & Refractive Surgery covered the topic of managing iris defects caused by cataract surgery. Gary Foster, MD, one of the paper’s authors, gave EyeWorld insights on the paper, “Management of common iatrogenic iris defects induced by cataract surgery.”

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Read more about the article Performing cataract surgery with retina abnormalities
A 75-year-old patient developed a posterior vitreous detachment 3 weeks after uncomplicated cataract surgery in his right eye. Source: Christina Weng, MD, MBA

Performing cataract surgery with retina abnormalities

When performing cataract surgery, it’s important to be aware of other conditions and comorbidities, including issues with the retina. Several physicians discussed how to handle patients with retina abnormalities prior to cataract surgery.

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Read more about the article The pros and cons of office-based cataract surgery
In an OR in Dr. Cotter’s ASC, a nurse anesthetist delivers pain/anxiety medication through an IV, an RN circulator manages the room environment, and a dedicated ophthalmic technician and surgeon concentrate solely on executing the cataract operation. Source: Frank Cotter, MD

The pros and cons of office-based cataract surgery

A hot topic among young eye surgeons that has drawn CMS attention in the past, two ophthalmologists shared their take on office-based cataract surgery.

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Could the seasons impact endophthalmitis rates?

Ophthalmologists take several measures to prevent endophthalmitis after cataract surgery, but one thing they can’t control could have an impact on endophthalmitis rates: the weather. According to a study published in the Journal of Cataract & Refractive Surgery, endophthalmitis rates peaked in the more hot and humid months.

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Using AK/LRIs to correct astigmatism

Astigmatic keratotomy (AK) and limbal relaxing incisions (LRIs) are tools that can be used by surgeons to help correct low levels of astigmatism. Two surgeons discussed how these can reduce astigmatism and how they’re using them in practice.

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