Articles

It would be helpful if IOL manufacturers made lenses available in 0.25 D steps and provided more detailed information regarding the optical design since refractive outcomes can now be predicted more accurately.

Changes to perioperative management of cataract patients, including the use of disposable bimanual irrigation/aspiration handpieces, intracameral cefuroxime and povidone iodine wash can be effective in reducing the instances of endophthalmitis.

If a sterile unit dose of cefuroxime were available it would become the world standard for endophthalmitis prophylaxis following the startling proof of its efficacy in the ESCRS endophthalmitis study last year. That was the conclusion of a debate for and against intracameral antibiotics at the JCRS Symposium, Controversies in Cataract & Refractive Surgery.

Using a femotsecond laser (IntraLase) to create flaps of 90 microns does not increase the postoperative risk of striae formation or induction of optical aberrations.

A long-term Phase II/III study (IMT002) of an implantable telescope prosthesis for end-stage macular degeneration has demonstrated that it can improve quality of life and sustain visual acuity (VA) improvements.

ReSTORing good vision

The diffractive AcrySof ReSTOR (Alcon) intraocular lens (IOL) can provide stable, high levels of spectacle independence for both near and distance vision.

Zeiss took advantage of the annual European congress to announce some product debuts and technological enhancements to currently marketed products.

The vast majority of ophthalmologists are going to become convinced that 2.2 mm microcoaxial surgery with Ozil (Alcon) phaco must be the method of choice for both surgeons and patients said Dr Robert Osher.

Penetrating keratoplasty (PK) with a femtosecond laser offers good surgical results and endothelial cell loss numbers similar to those found for PK using standard trephines.

The new acrylic *Acri.Lyc 356 (*Acri.Tec) diffractive intraocular lens (IOL) produces practically no posterior capsule opacification (PCO) compared with its silicone counterpart.

The use of selective laser trabeculoplasty (SLT) in the management of glaucoma is a safe and effective treatment method, according to Shlomo Melamed from the Sam Rothbery Glaucoma Centre in Tel Aviv, Israel, speaking at the Ellex symposium.

LASIK for myopia over -10 D is a safe procedure; myopic regression slows down with time and there is a high rate of best spectacle corrected visual acuity (BSCVA) increase in the long-term.

By using adaptive optics and physiological eye models, Pablo Artal and colleagues from Universidad de Murcia, Spain have determined that contrast performance peaks when spherical aberration is completely corrected.

By employing staged implantation of intraocular lenses (IOLs), surgeons can produce the best possible visual outcomes for each individual patient.

Three lenses go head-to-head

The implantation of multifocal and accommodative intraocular lenses (IOLs) can offer adequate near and far vision in addition to high levels of patient satisfaction.

Patients implanted with a hydrophilic intraocular lens (IOL) develop more posterior capsule opacification (PCO) and have worse visual acuity (VA), contrast sensitivity and glare after two years, compared with patients implanted with a hydrophobic IOL.

Non-penetrating filtering surgery with intraoperative mitomycin C (MMC) and without a scleral implant, can provide reasonable intraocular pressure (IOP) control.