Browse articles on EyeWorld.org from the Refractive 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.
This is an example of midperipheral transillumination defects from a multifocal IOL causing UGH syndrome. The patient underwent IOL exchange with resolution of inflammation.
Source: Allison Chen, MD
Two cornea and refractive specialists discussed the most common reasons an IOL exchange may be needed and the initial diagnostic steps to rule out other reasons for poor quality vision. They shared pearls for performing these cases and the importance of having a comprehensive plan of attack.
In her introduction, Karolinne Rocha, MD, PhD, previewed the articles in the Refractive section and specifically shared some thoughts on the trends that may be causing a decline in LASIK procedures.
Intraoperative view of semi-automated manual adjustment of the lenticule following suction application
Source: Jod Mehta, MD
The future of corneal refractive surgery is in the works. EyeWorld checked in on various technologies in the pipeline with physicians in the know.
Among the important indications for use of the EVO ICL (STAAR Surgical)—age, amount of myopia, astigmatism correction, etc.—there is one parameter that some surgeons say could be causing confusion. Five of these surgeons discussed anterior chamber depth.
Refractive Editor Karolinne Rocha, MD, previewed the articles in the section and shared what she is looking forward to at the ASCRS Annual Meeting.
There has been controversy around ICL sizing and vault for a long time, according to some physicians. Three experts discussed the topic in this article.
Creating a true accommodating lens has been a goal for some time in ophthalmology. Several ophthalmologists discussed some of the products currently in development in this space and what makes them unique.
The rotational stability of toric IOLs and reposition rates have been well studied and reported. In most cases, any rotation that occurs postop is usually 5 degrees off axis or less. Four ophthalmologists shared their thoughts on the prevention and management of this issue.
Lens tilt or decentration can occur with intraocular surgery, and while not always something that physicians need to address, this may require attention with more complicated cases or with larger decentrations. A physicist and a physician discussed what they look for and techniques that might be used.
Karolinne Rocha, MD, PhD, considered lessons she has learned and previewed the articles in this issue’s Refractive section.