All articles from EyeWorld.org on the topic of cataracts. 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.
When performing cataract surgery in patients with keratoconus, there are considerations for surgical planning, lenses, and techniques that surgeons need to account for to ensure success. Two ophthalmologists discussed how they handle these patients, including testing, formulas, and IOL selection.
Floaters can impact patient perception and happiness with their vision after cataract surgery, but there is some division as to methods of treatment, especially as YAG laser vitreolysis is becoming more common. EyeWorld spoke with a cataract surgeon and two retina specialists on this topic.
➤ Research: quest for cataract reversal continues
➤ First allogenic cell therapy for treating corneal endothelial disease
➤ Enrollment complete in Phase 2b geographic atrophy treatment study
➤ European agency maintains negative opinion for intravitreal pegcetacoplan for geographic atrophy
➤ Companies partner to further development of new glaucoma drug
➤ ASCRS news and events
With increased experience, physicians are discovering ways to use the IC-8 Apthera IOL (Bausch + Lomb) off label. Two of these physicians discussed their experience using the lens, including ways that it can apply to patients who previously had limited options, particularly those with irregular astigmatism.
Mitchell Weikert, MD, Cataract Editor, promoted the ASCRS Live! meetings and gave an overview of the articles in the section in his introduction.
➤ NDA submitted for presbyopia treatment
➤ FDA approves AMD treatment
➤ Primary endpoint achieved in Phase 3 trial of reproxalap for dry eye
➤ Clinical trial results that supported new excimer laser approval published
➤ Company updates on several clinical trials
➤ First patient dosed in Phase 2 trial for intravitreal steroid implant for DME treatment
➤ ASCRS news and events
ASCRS EyeWorld Weekly: View the current issue
➤ Claes Dohlman, MD, PhD, dies at 101 years old
➤ Trial to evaluate neuropathic corneal pain drug
➤ FDA clears new OCT technology
➤ Study: supplements slow progression of late-stage dry AMD
➤ Young eye surgeon scholarship opportunity
➤ Acquisition news
➤ ASCRS news and events
This is a photo of a patient with ABMD and cataract. Note the irregular lines that resemble a coastline (map), small punctate opacities (dot), and thickened epithelial ridges (fingerprint)—hence the name map-dot-fingerprint dystrophy. This patient had both irregular astigmatism and recurrent epithelial erosions. Superficial keratectomy with diamond burr polishing was performed to prepare the cornea for future cataract surgery.
Source: Rahul Tonk, MD, MBA
“My eyes are irritated … they weren’t before cataract surgery.” “My vision fluctuates … it goes in and out.” These just a couple of phrases an ophthalmologist might hear when ABMD is missed prior to cataract surgery, causing them to wish they had found and treated it preoperatively.
The choice between using bimanual or coaxial I/A depends on a number of factors, including physician preference and the type of case. Two surgeons discussed what they use and what may be beneficial in certain cases.
Since its approval, femtosecond laser-assisted cataract surgery (FLACS) has divided cataract surgeons into frequent users of the technology and those who do not think that it brings value to their practice. EyeWorld spoke with two surgeons who say they consistently benefit from FLACS in their practice.