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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The utility of epithelial mapping

Epithelial thickness mapping was FDA approved in the U.S. in 2017, but awareness about its utility is growing. Three international ophthalmologists shared their experience with the technology and offered insights on where they think it fits in ophthalmic practices now and in the future.

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Technology, screening improvements decrease already low refractive surgery ectasia risk

Corneal ectasia after laser vision corrected was first reported in 1998, and since them, preop screening and treatment parameters have improved to help avoid the complication. The incidence of post-LASIK ectasia is not officially known. Experts discussed this incidence and how to determine candidates for refractive surgery.

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