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.

A shift toward RLE

With expanding options in refractive surgery for patients at different ages, many physicians are seeing an uptick in refractive lens exchange (RLE). Three physicians discussed their experience with RLE, including considerations when explaining this option to patients.

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Looking forward to improved visual outcomes

“In this issue, we look back on tried methodologies that are experiencing rapid growth and innovation, diving into the areas of corneal crosslinking, refractive lens exchange, and—you may have guessed it—artificial intelligence (AI),” said Karolinne Rocha, MD, PhD, in her introduction to the Refractive section.

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Crosslinking: then, now, and next up

With new techniques in (or having recently completed) Phase 3 clinical trials to potentially move crosslinking to the next stage in the U.S., EyeWorld spoke with specialists to look back at where keratoconus monitoring and treatment was, where it is now, and what could be coming.

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Epithelial mapping: applications for residual refractive error and current technology

Epithelial mapping has rapidly gained attention over the last decade with the advent of high-resolution diagnostic devices, specifically high-resolution OCT and ultrasound biomicroscopy, each of which offer unique advantages. Three experts weighed in on the topic.

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A decline in LASIK procedures: what this means for refractive surgery as a whole

LASIK volumes in the U.S. have declined in the last year, but this isn’t necessarily a bad thing, according to several EyeWorld Editorial Board members who commented on their recent observations with LASIK volumes compared to refractive surgery volume as a whole.

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Read more about the article Tips for IOL exchange
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

Tips for IOL exchange

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.

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