Articles

RLE benefits most eyes

In most eyes, the benefits of refractive lens exchange (RLE) outweigh the risks and it can provide a large improvement in patient quality of life, David Hardten said.

Khiun Tjia of the Netherlands believes that the new micro coaxial Aqualase tip (Alcon) is a promising tool for safe capsular bag cleaning and that treatment of the equatorial region using the tip could reduce posterior capsule opacification (PCO).

Selective laser trabeculoplasty (SLT) is an effective treatment for glaucoma and offers good long term outlooks, according to Madhu Nagar of the Clayton Eye Centre, UK.

It is possible to achieve a lower rate of endophthalmitis with a single injection of cefuroxime at the conclusion of cataract surgery than by using the more traditional subconjunctival/topical regimens, according to Per Montan of the St Erik Eye Hospital, Stockholm, Sweden.

Mixing and matching diffractive and refractive multifocal lenses increases overall visual performance by enhancing range of vision, according to Angel López Castro of the Laservisión Clínica Oftalmológica in Madrid, Spain.

Refractive lens exchange (RLE) is not reversible so doctors need to apply their surgical wisdom to identify the most appropriate cases, Jorge Alió of the Instituto Oftalmologico de Alicante, Spain said. Often indications are based on the simplicity of the procedure but that doesn't always balance well with the best patient benefit.

Selective laser trabeculoplasty (SLT) offers good long-term reductions in intraocular pressure (IOP), according to the results of a study performed by Rahul Yadav, MD and colleagues of the Mid Yorkshire Hospitals NHS Trust, Wakefield, UK.

Great care and detailed assessment are essential for cataract extractions where another ocular surface disease (OSD) is present, Thomas Neuhann said. Diseases range from dry eye, conjuntivalisation, irregular surfaces and corneal scars.

The use of the ReSTOR intraocular lens (IOL) (Alcon) for patients requiring cataract surgery after prior laser photoablation can result in excellent outcomes if optical results fall near emmetropia, according to Samuel Masket of the USA.

SLT is the sensible option

Selective laser trabeculoplasty (SLT) should be used before alteration of treatment or trabeculectomy, according to the findings of a study conducted by Bharat Kapoor and a team of colleagues from the UK.

A number of studies have been conducted and presented during a free paper session, supporting Alcon's research into its investigational AcrySof angle-supported phakic intraocular lens (IOL).

An initial clinical evaluation of the new ESIRIS excimer laser with integrated, online, optical coherence pachymetry (Schwind), showed that constant corneal monitoring is an important safety feature for LASIK procedures, Kumar J. Doctor said.

LASIK patients who make complaints symptomatic of dry eye may be suffering not from dry eye but from damaged, aberrantly regenerating nerve cells, said Timo Tervo.

There is no current proof that blocking blue wavelengths guarantees retinal protection and, couple this with the fact that blocking this form of light causes an actual loss in visual quality, Alessandro Franchini MD, suggests we concentrate our efforts on blocking UV and violet radiations instead.

The Zyoptix XP (Bausch & Lomb) microkeratome achieved increased stromal bed quality when compared with both standard and zero compression Hansatome heads (Bausch & Lomb), Thomas Hammer said.

Advanced Medical Optics (AMO) announced the launch of the Tecnis CL intraocular lens (IOL) at the XXIV congress of the ESCRS.

The LADAR 6000 excimer laser with high-speed ablation (Alcon) offers excellent visual outcomes, according to Ángel López Castro of Spain, speaking at the Alcon symposium.

The age of refractive surgery has introduced new aberrations to the human eye that require a shift in how visual performance is evaluated, said Ray Applegate, MD. Mesopic low contrast acuity best quantifies vision quality; it overcomes the weaknesses of other metrics and it can predict visual function among individuals.

The new MICS lens (Ioltech-Zeiss) is appropriate for the correction of intermediate vision in pseudophakia, according to Carlos Verges, Jorge Cazal and Marc Menezo of the Department of Ophthalmology, Institut Universitari Dexeus, Barcelona, Spain.

It is mandatory to develop precise , reproducible and accurate methodologies to obtain objective measurements of quality of vision, namely night vision, in order to create surgical techniques that will eliminate post-refractive vision disturbances, Joachim Murta said.

The primary function of biomechanical measurements is to improve safety and doctors can readily use these metrics in clinical practice today through the use of proxies, said William J. Dupps, MD.