Browse articles from EyeWorld.org related to ectasia. 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.
Renato Ambrósio Jr., MD, PhD, will present the 2024 Richard L. Lindstrom, MD, Medal Lecture at the ASCRS Annual Meeting. Dr. Ambrósio’s lecture will highlight the positive influence of refractive surgery on the developments related to diagnostics and management of corneal ectatic diseases.
A patient who elected years ago to have refractive surgery is no longer seeing as well and learns they have ectasia. In many cases their vision can be preserved and/or improved. EyeWorld spoke with three ophthalmologists about how they address corneal and refractive issues for these patients.
“Best practices, or our continued efforts to improve the safety, quality, and consistency of eyecare, improve patients’ quality of vision,” said Karolinne Rocha, MD, PhD. She gave an overview of the articles in the Refractive Surgery section of this issue in her introduction.
In a symposium at the 2023 ASCRS Annual Meeting, six cases with irregular corneas were presented and the panel was challenged to answer what would they do. This article gives an overview of those cases.
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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.
Corneal ectasia after laser vision corrected was first reported in 1998, and since them, preop screening and treatment parameters have improved to help avoid the complication. The incidence of post-LASIK ectasia is not officially known. Experts discussed this incidence and how to determine candidates for refractive surgery.
The belief that LASIK shouldn't be performed on thin corneas because of the risk of sight-threatening ectasia isn't scientifically valid, according to one researcher. Abnormal corneal topography is the most important preop risk factor for the complication, said William Trattler, MD.