All articles from EyeWorld.org on the topic of cataract surgery. 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.

Handling a dropped nucleus

Dropped nuclei are one of the more unpleasant complications that can happen during cataract surgery. While uncommon, the consequences of a dropped nucleus are significant. Three experts shared their experiences and management strategy.

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Read more about the article Review of the pupil snap sign
Hydrorupture of posterior capsule; the nucleus does not usually drop immediately, only when the phaco tip is inserted, pressurizing the anterior chamber Source (all): Ronald Yeoh, MD

Review of the pupil snap sign

Ronald Yeoh, MD, first coined the term “pupil snap sign” in 1996. Since then, he has been calling attention to the somewhat subtle sign to help surgeons recognize when there has been a posterior capsule rupture that puts the nucleus at risk of dropping into the vitreous.

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Using presbyopia-correcting IOLs in imperfect eyes

When a patient comes in prior to cataract surgery, it’s important to do a careful evaluation to see what conditions they might have and how this could impact IOL selection. Two physicians discussed conditions to be aware of when considering presbyopia-correcting IOLs and how to talk to patients prior to surgery.

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EyeWorld Weekly, March 12, 2021

➤ FDA approves elements of artificial vision system for blind patients ➤ Expanded indication for MIGS device ➤ 5-year pivotal trial data for MIGS device ➤ Topline results from Phase 2 study of investigational MGD treatment

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Review of “Quantifying the educational benefit of additional cataract surgery cases in ophthalmology residency”

Achieving competency in cataract surgery is an essential component of ophthalmology residency training. This ASCRS/EyeWorld Journal Club took a look at a paper by Liebman et al. that evaluates quantification of the resident cataract surgery learning curve and identification of the case threshold at which residents experience marginal educational benefit.

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Review of “Patient management modifications in cataract surgery candidates following incorporation of routine preoperative macular OCT”

OCT is a quick and non-invasive imaging modality with a high sensitivity in diagnosing macular conditions. The ASCRS/EyeWorld Journal Club reviewed a paper by Leung et al. that analyzed a cases series to evaluate the utility of macular OCT in cataract surgery preop assessments.

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20/Happy in 2020 recap

The ASCRS Master Class in Refractive Surgery, 20/Happy in 2020, will be available for purchase as a nine-module digital set eligible for 18 hours of AMA PRA Category 1 Credits. Recordings will also remain available through the year for attendees who registered for the live program.

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Will the pandemic push ISBCS acceptance?

In light of the pandemic’s push to limit exposure in various medical settings, some ophthalmologists have been considering immediately sequential bilateral cataract surgery (ISBCS) with renewed interest to help get through a backlog of cases efficiently and to ease patient anxiety about coming in for surgical procedures.

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What’s new in the world of IOLs

New optical qualities, new materials, preloaded inserters, and the possibility of accommodative abilities: There has been quite a bit of movement in IOL innovations, some of which are available in the U.S., while others are still on the horizon.

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