Browse articles from EyeWorld.org related to challenging cases. 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.
Cataract Editor Rosa Braga-Mele, MD, shared her thoughts on the past year and introduced the topic of ophthalmic challenges and how best to respond to them.
Iris prolapse can occur at any time during cataract surgery when the pressure inside the eye is higher than the pressure outside and when there is an open wound. Naveen Rao, MD, shared a complicated case involving iris prolapse, and Michael Snyder, MD, offered commentary on risk factors and how to handle such a case if it occurs.
Negative dysphotopsia is an issue that patients may face following cataract surgery. While it frequently resolves on its own, several physicians said it’s important to discuss it with patients and explain what’s going on.
A tube shunt erosion or exposure is a complication that can occur oftentimes many years after surgery. Several experts discussed what to look for, why this complication occurs, and how to address it.
A patient may be at risk for a bleb leak after trabeculectomy, either in the early postop period or years after surgery. One surgeon shared considerations for this potential complication, how she monitors patients, and what to do if a bleb leak does occur.
Malignant glaucoma is a rare complication, but it’s still something surgeons need to be on the lookout for after surgery, especially in the early postoperative period.
“Ophthalmology Quicksand Chronicles,” an ASCRS podcast hosted by Nicole Fram, MD, and Elizabeth Yeu, MD, features an expert guest on each episode who shares their “quicksand moments” in the OR, lessons learned from those moments, and how these vulnerable situations ultimately helped them evolve as surgeons.
“Ophthalmology Quicksand Chronicles,” an ASCRS podcast hosted by Nicole Fram, MD, and Elizabeth Yeu, MD, features an expert guest on each episode who shares their “quicksand moments” in the OR, lessons learned from those moments, and how these vulnerable situations ultimately helped them evolve as surgeons.
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.
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.