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.
The term intraoperative refractive guidance systems describes the technology offered to patients as an additional, out-of-pocket benefit for their cataract surgeries. Within this class of technologies are systems that give surgeons guidance on refractive issues during the case, including spherical power, cylinder power and alignment, and more.
There is often discussion about the conditions an eye should meet in order to be successful with a premium, advanced technology IOL, but what about patients who desire independence from spectacles but who have less than perfect eyes? With more options available in the presbyopia-correcting IOL market, some can be suitable even if the patient has existing ocular pathology.
Refractive Editor Vance Thompson, MD, shared some of the highlights in this issue’s Refractive section.
LASIK was established by the PROWL studies as safe and effective, with a high level of satisfaction, but there are patients who are unhappy with their outcomes, though rarely. Why this happens and how to best manage these patients is what three surgeons shared with EyeWorld.
Luke Rebenitsch, MD, described a case where he initially performed same-day hyperopic LASIK with the KAMRA inlay for distance and presbyopia correction in a 46-year-old patient. Several years later, he elected to implant IOLs once the patient started experiencing a hyperopic shift and lens-associated degradation in vision.
While common, EBMD is often missed, so it’s important to look for it. It can be one of the more frequently diagnosed causes of blurry vision before or after cataract surgery.
Myopia has been described as an epidemic in many regions for some time. Though considered easily correctable with glasses, myopia and high myopia are associated with a risk of developing cataracts sooner and a higher risk for glaucoma and retinal issues.
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.