Articles

The Centres for Medicare and Medicaid Service (CMS) has recognized Alcon's AcrySof IQ intraocular lens (IOL) as belonging to the New Technology IOL (NTIOL) classification of Reduced Spherical Aberration.

Deep sclerectomy is not the holy grail of glaucoma surgery, but available evidence indicates that it is definitively safer than trabeculectomy, according to Tarek M. Shaarawy, MD.

Marred by reports of vision loss due to contamination, amongst other complications, trypan blue has received its fair share of bad press over recent years, with many unapproved versions of the formulation making its way into cataract surgeons' practices.

As a result of our excellent postoperative patient data in a variety of applications, we will continue to use the femtosecond laser technology in our practice. It supports our procedures with great precision and safety, it is easy to use and enables us to set new standards in our surgeries

It's that time of year again and I'm sure most of you will be getting ready for Europe's largest annual congress, the 24th Congress of the ESCRS. I have to admit, although I have lived in England my whole life, London never ceases to amaze me. It's busy, expensive and sometimes can feel quite impersonal. That aside, it is a remarkable city. Its cosmopolitan nature gives rise to an eclectic mix of, amongst many other things, restaurants, bars, parks, theatres and shops. It's quite easy to feel spoilt for choice. So while you're visiting our wonderful capital, make sure you get out and sample the delights the city has to offer. Our quick guide to getting out and about in London (ESCRS Congress preview) gives you a little taste of what you might expect.

As described by Huang et al. more than a decade ago, optical coherence tomography (OCT) is a non-contact, non-destructive imaging modality that acquires depth-resolved two- and three-dimensional images of biological tissue.

PCO secondary cataract, no matter how you label it, it exists and it is the most common complication of cataract removal or extraction.

Laser assisted in-situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) offer comparable results for the correction of myopia, but LASIK provides faster visual recovery, according to the results of a review published in The Cochrane Database of Systematic Reviews 2006, Issue 2.

The European Medicines Agency (EMEA) has completed its "New Framework for Scientific Advice & Protocol Assistance", which outlines changes in the way it will provide scientific advice on the research and development of new medicines.

From the 9-13 September, the Excel Exhibition and conference centre in London will open its doors to more than four thousand delegates for the 24th Congress of the European Society for Cataract and Refractive Surgeons (ESCRS). This year's congress is full to the brim of symposia, courses and skills training, in addition to having one of Europe's largest ophthalmic exhibitions. The congress is also playing host to this year's annual meeting of the United Kingdom and Ireland Society of Cataract and Refractive Surgeons (UKISCRS), who will be hosting a free papers session as well as three presentations on complicated cases and videos, training refractive surgeons for the future and femtosecond lasers.

The popularity of phakic IOLs in both cataract and refractive surgery has soared in recent years with lens manufacturers all joining the race to develop better lenses with improved outcomes and fewer complications. Although phakic IOLs are considered the ideal tools for the correction of high ametropias, because of their excellent accuracy and predictability, stability of refraction from day one and independence of tissue healing, they have, unfortunately, been marred by reports of certain complications throughout their development history. These complications include corneal decompensation, chronic inflammation, iris atrophy (pupil distortion), cataract and glaucoma. Here, Ant?nio Marinho, MD, PhD discusses the influence of phakic IOLs on cataract and glaucoma development.

Globally, LASIK is a very popular refractive procedure, which provides excellent visual acuity and quality of vision in low to moderate myopia and hyperopia.1 In the mid-nineties, however, LASIK was performed even in extreme myopic errors (up to 23D) or in corneas that were too thin with or without Forme Fruste Keratoconus (FFKC).

The challenge of glaucoma surgery is not only to create a canal within the anterior chamber that acts as a pressure alleviator, it is to ensure that the canal is stable, will not close and, preferably, will alleviate intraocular pressure (IOP) to such an extent that medication is either no longer necessary or the frequency of dosing is minimized. This is the goal of every glaucoma surgeon and one that, unfortunately, is often not achieved, for a number of reasons.

Oertli survey

Ophthalmology is a branch of medicine that we, as ophthalmologists, regard as an elite branch of medicine and others, such as general surgeons and physicians, often consider as a minor and sometimes easy discipline. As a result of this misdirected preconception, a general practitioner, consultant or physician may not feel it necessary to fully inform us of a patient's health record because they do not consider that ophthalmic medications could, potentially, carry with them serious, sometimes life threatening side effects, if used inappropriately.

DSAEK will soon replace conventional PK surgery for the treatment of endothelial decompensation

Advanced surface ablation, such as LASEK and Epi-LASIK, defined as a refractive laser technique that does not create a lamellar flap, is the wave of the future, according to Richard Yee, MD. He said that advanced surface ablations are ideal procedures for problem cases, such as those with thin corneas and high myopia and is even better for routine cases.

QLT has formed a global co-development and licensing agreement with Retinagenix to develop active synthetic treatments for degenerative retinal diseases.

First described in 1881 by Litten 1 and attributed to Albert Terson, a French ophthalmologist who later described it in 1900, 2 Terson's syndrome is a condition defined as vitreous haemorrhage occurring in association with a subdural or subarachnoid haemorrhage (SAH). Here, Bastawrous and his team of colleagues describe a patient with Terson's syndrome and subsequent Candida endophthalmitis.

It has been demonstrated that a single compound is as effective as fixed combination therapy in lowering intraocular pressure (IOP), according to a study presented at the recent ARVO (Association for Research in Vision and Ophthalmology) meeting.

Many ophthalmic disorders give rise to neovascularization of the iris and neovascular glaucoma. Almost all of these disorders are characterized by retinal hypoxia and retinal capillary nonperfusion, the same factors involved in the development of retinal neovascularization. One of the most common causes is central retinal vein occlusion (CRVO), which is a visually disabling disease that is second in prevalence only to diabetic retinopathy.

When you attend an ophthalmology congress, what is it that you expect to gain? Does the opportunity to mingle with the elite inspire you to pay your congress fee, or do you want to learn new skills and improve your everyday practice? Certainly, people's motivations have been somewhat ambiguous in the past. With the style of the traditional meetings placing more emphasis on lecture-type presentations with no real discussion and less emphasis on the sharing of knowledge amongst participants, meeting attendees rarely had any input whatsoever.

In 1999, the World Health Organization (WHO) initiated its worldwide campaign, "Vision 2020 - The Right to Sight". The main aim of the programme was to eliminate the main causes of avoidable blindness by the target date of 2020. Hungary is participating in this "Fight for Sight" initiative. Here, J?nos N?meth summarizes the progress that he and his colleagues have made over the last five years, showing the current state of, and trends in, ophthalmic healthcare in Hungary, as well as the incidence of blindness in the country.

Didier Ducournau talks about the development and growth of the EVRS and on his personal vision for vitreoretinal surgeons.

Postoperative endophthalmitis is a rare but potentially devastating intraocular infection, which could lead to severe and permanent visual impairment or even the loss of an eye.1-3 With the average life expectancy on the increase, the prevalence of cataract in the older population and therefore the cataract surgical rate has increased in recent decades.1,3 Many have voiced their concerns that this rise in the number of surgical procedures could bring with it a rise in incidence of endophthalmitis, hence, evaluation of postoperative infection incidence is extremely important in every clinical setting.

CE marked in April of 2006, the KS-3Ai has become the first preloaded aspheric silicone IOL to be approved in Europe for use in cataract surgery. Although the product has yet to gain approval in the US market, it is already available in Japan and will shortly be entering clinics in Europe.

Alcon has added another device to its product portfolio in the form of the LADAR6000 excimer laser with high-speed ablation, which received FDA approval last month.

Swedish ophthalmologic research has a long tradition dating back to the slit lamp of Gullstrand of the early 20th century through later concepts such as the use of sodium hyaluronate in cataract surgery and latanoprost in glaucoma treatment. University departments of ophthalmology are present at the Karolinska Institute in Stockholm and at the universities of Uppsala, Lund (Lund and Malm?), Link?ping, Gothenburg and Ume?.

Dry eye ? the unknown menopausal symptom

No need for antimetabolites?