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.

Equipment updates advancing refractive surgery

Over the last 20 years, refractive surgery has expanded beyond the cornea and to intraocular correction. There have been so many advancements on the diagnostic and procedural front that refractive surgery is truly its own subspecialty. Two ophthalmologists shared thoughts on and experiences with the recent advancements.

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Observation: epithelial loosening potentially associated with prior COVID-19 infection

When a patient is scheduled for LASIK, they have high expectations for that postop day 1 “wow” factor that LASIK provides, said Ella Faktorovich, MD. However, in the years following the onset of the COVID-19 pandemic, Dr. Faktorovich noticed increased frequency of epithelial loosening during LASIK flap lift.

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Mixing and matching IOLs

The options and strategies for mixing and matching IOLs have evolved over time. Two surgeons discussed their approaches for using different lenses to help give patients the best outcomes.

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The role of preoperative ‘IQ’

Image quality (IQ) is an emerging area of interest in the field of ophthalmology, and it all starts with what the patient’s image quality is at the outset, according to two physicians. They spoke about their preoperative IQ assessment and why they think this is so important.

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Word on the street about epithelial mapping

Still a relatively new technology that is being incorporated into more devices, epithelial mapping use continues to become more widespread among refractive surgeons. From an availability standpoint, Dan Reinstein, MD, who pioneered mapping the epithelium, said “every OCT company is developing or has developed this functionality into their machines.”

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Ophthalmologist perspective: What the media and the FDA aren’t saying about LASIK

The FDA issued draft guidance for LASIK patient labeling recommendations in July 2022 that ASCRS and refractive surgeons consider “highly biased and misleading to potential patients.” During the FDA’s comment period, ASCRS submitted these and more specific comments. Last week, the New York Times, CBS, local news outlets, and trade publications picked up the story, but ophthalmologists say most coverage does not convey the whole story.

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