Browse archived articles on EyeWorld.org. 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.

Distinguishing dendrites

Many epithelial lesions have a dendritic shape. Although most of these lesions are pseudodendrites, they are frequently misdiagnosed as herpes simplex virus (HSV). The shape differences between these dendrites are subtle, but do exist. EyeWorld spoke to two experts on the subject who weighed in on the telltale signs.

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Read more about the article Don’t exclude thin cornea patients from LASIK for fear of ectasia
Corneal thickness is not directly related to corneal strength. This patient had a thick cornea but was obviously weak biomechanically, which can be seen on topography as FFKC pre-op. This patient developed ectasia 27 months after LASIK Source: William B. Trattler, M.D.

Don’t exclude thin cornea patients from LASIK for fear of ectasia

The belief that LASIK shouldn't be performed on thin corneas because of the risk of sight-threatening ectasia isn't scientifically valid, according to one researcher. Abnormal corneal topography is the most important preop risk factor for the complication, said William Trattler, MD.

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Double trouble: Diplopia following cataract or refractive surgery

Pre-existing strabismus and a family history of this are two red flags to look for when trying to head off diplopia in cataract patients, according to Kammi B. Gunton, M.D., assistant surgeon, Wills Eye Institute, Philadelphia. Investigators led by Dr. Gunton reported on the incidence and causes of diplopia following cataract and refractive surgery in the September 2010 issue of Current Opinions in Ophthalmology.

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