Browse 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.
According to Tal Raviv, MD, comanagement has been a part of ophthalmology for more than 40 years as a means to coordinate surgical ophthalmic care among different provider types. “It has regained attention and scrutiny with the growth of refractive cataract surgery,” he said. “But today’s practice environment is quite different from the past.”
“If there was ever a top 10 list of issues on which eyecare as a whole could ‘up its game,’ it should include the fact that we all need to be more aggressive about educating patients on the fact that they can create their own self-induced keratoconus by repetitive pressure on their eyes,” according to EyeWorld Refractive Editor Vance Thompson, MD.
With keratoconus, it’s important to diagnose patients as early as possible in order to treat them before more drastic procedures, like a corneal transplant, might be needed. Crosslinking has aided in the early treatment of keratoconus, and now, the use of genetic testing is another tool for doctors to add to their armamentarium.
To patients, eye rubbing might seem innocuous, but to the ophthalmologist, it’s an action that can have sight-threatening consequences and is something that patients should be warned against.
When choosing a refractive procedure, there is a lot of information for surgeons to go over with the patient, and the possibility of needing implant surgery in the future is one point for discussion. Three experts shared how they counsel patients, specific considerations, and how changing technology has had an impact on this and may open more options in the future.
Clara C. Chan, MD
Cornea Editor
EyeWorld Cornea Editor Clara Chan, MD, discusses “one of her most dramatic cases” involving ocular complications associated with rosacea, previews the content in the Cornea section of this issue, and shares excitement for the ASCRS Annual Meeting.
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.
Nathan Radcliffe, MD
Glaucoma Editor
EyeWorld Glaucoma Editor Nathan Radcliffe, MD, previews the articles in the Glaucoma section of the issue, specifically highlighting some of the advances and changes coming to the field.
While modern angle surgery has been a boon for patients and physicians wishing to avoid or delay more invasive glaucoma procedures and/or reduce the number of topical medications, cyclodialysis cleft, while rare, is still a complication that can occur.