Browse articles on EyeWorld.org from the Cornea section. 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.
While it’s hard to determine the incidence of meibomian gland dysfunction (MGD) in children, it can be a serious issue in this population. Two ophthalmologists discussed MGD in pediatric patients and what to look for.
Rosacea can be a significant problem for many patients and may be more prevalent than physicians think. Depending on the subtype, there may be ocular involvement. Three physicians discussed treatment strategies, in addition to sharing what to look for and how to diagnose.
It’s not the first time the trigeminal nerve pathway or even intranasal delivery received approval as a treatment for dry eye, but clinicians are excited nonetheless about the October 2021 FDA approval of varenicline (TYRVAYA, Oyster Point Pharma), a nasal spray for the signs and symptoms of dry eye disease.
While the Dresden protocol of epithelium removal, riboflavin loading, and UV light treatment remains the gold standard for crosslinking to stop progression of keratoconus, over the years there has been significant research on new techniques and adjuncts to enhance the effect, make the procedure less invasive, and/or expand its indications. One of these potential therapies for keratoconus still under investigation uses violet light-emitting glasses (KeraVio, Tsubota Laboratory).
Cornea Editor Clara Chan, MD, discussed challenges of the past year, as well as the challenge of handling complicated cases.
A graft detachment is a fairly common complication that can occur with DSAEK and DMEK procedures. Two surgeons shared when detachments can happen and how to address them.
It’s important for surgeons to be aware of preexisting corneal conditions that could have an impact on outcomes prior to cataract surgery. Several experts spoke about some of the conditions to look for, tests to use, and how to treat before proceeding with cataract surgery.
Patients may describe ocular surface pain in a myriad of ways. For some reason, the corneal nerves are firing. It’s the physician’s job to figure out why, and in some cases, the reason is not so clear.
Clara Chan, MD, Cornea editor, discussed the topics covered in this section.
With neurotrophic keratitis (NK), there is a lot to consider in terms of staging, making a diagnosis, and treatment. Three experts shared how they work up NK patients and some of options for handling these cases.