Cataract & Refractive

Microincision cataract surgery (MICS) with the Whitestar ICE and CASE systems (AMO) can be performed safely and effectively even in the hardest nuclei, according to a Turkish study.

The loss of confidence in bimanual microincision surgery over the years has caused many surgeons to seek an alternative approach that balances the advantages of minimally invasive cataract surgery with the safety of a sleeved tip. The hunt is also still on for a multifocal lens that offers good vision across all distances, coupled with a low incidence of side effects.

Modern cataract surgery requires the implantation of a lens with design features that ensure stability, excellent biocompatibility and minimal posterior capsule opacification (PCO), using an injector which is safe and predictable, through an incision that is as small as possible. Is this possible without compromising standards? I would argue that it is.

Microincision cataract surgery (MICS) intraocular lenses (IOLs) provide better patient outcomes, which are more like refractive surgery in terms of reduced postoperative astigmatism and minimal induced aberrations, according to a French study.

Clopidogrel and warfarin are associated with a significant increase in minor complications of sharp needle and subtenon?s cannula local anaesthesia but are not associated with sight-threatening complications, according to a study published online ahead of print by Eye.

Microincisional bimanual phacoemulsification and non-penetrating glaucoma surgery appears to be a safe option for patients with glaucoma and co-existing cataract, according to a Turkish study.

A Czech study has found that 2.2 mm square clear corneal incisions for microcoaxial phacoemulsification are very stable and provide adequate postoperative sealing.

Nowadays, cataract surgery not only has a therapeutic purpose, which is to substitute an opaque lens with a transparent IOL, but it also has a refractive aim; to correct previous refractive defects in order to eliminate the use of spectacles. The need for a good postoperative visual acuity and a fast functional recovery has lead cataract surgery to become more and more micro-invasive in nature so that surgical trauma is reduced, a faster recovery and good, time-stable visual results are achieved.1 The achievement of this goal has been realized, thanks to the improvement of surgical techniques, in the form of microcoaxial phacoemulsification and bimanual microphacoemulsification,2 which now allow the almost complete reduction of surgically induced astigmatism.

I have been so impressed with the aspheric optics and good centration of the Akreos MI60 that I use it as my first choice for implantation; including in patients with visual-critical occupations such as aviators and air traffic controllers

The new Custom Control Software on the MICS Millennium platform (Bausch & Lomb) results in less endothelial cell loss than torsional phacoemulsification performed on the Infiniti System (Alcon), according to a Greek study.

Microincision cataract surgery (MICS) with implantation of an aspheric intraocular lens (IOL) through a 1.8 mm incision can minimize surgically-induced corneal and ocular aberrations and improve optical performance, according to a French study.

Results of the European Society of Cataract and Refractive Surgeons (ESCRS) study of endophthalmitis prophylaxis do not appear to have had a significant impact on the practices of US cataract surgeons, according to the findings of an online survey conducted by the American Society of Cataract and Refractive Surgery (ASCRS) Cataract Clinical Committee.1 The survey results were reported by David F. Chang, MD, at the Spotlight on Cataracts 2007 symposium held during the annual meeting of the American Academy of Ophthalmology.

During accommodation, changes in lens thickness are mainly caused by deformation of the nucleus. In older, non-accommodating lenses, the deformations occur predominantly in the equatorial region and do not affect the central curvatures of the lens, according to a report published online ahead of print by Acta Ophthalmologica.

There have always been good arguments for surface ablation, but in most cases I have personally preferred LASIK. Yet every year I find myself performing more and more surface ablation cases and I am not alone in this.

The AcuFocus ACI 7000 corneal inlay could become a new, minimally invasive option for treating patients with presbyopia, Dr Günther Grabner announced at this year's Alicante Refractiva International meeting.

Intracameral cefuroxime is a safe alternative to subconjunctival cefuroxime and leads to a lower rate of endophthalmitis, claims a study published in the March 2008 issue of the Journal of Cataract & Refractive Surgery.

Compensation of cyclotorsion using iris registration can be helpful in decreasing misalignment of the axis of correction and in improving the overall outcome of LASIK, according to a study to be published in the April 2008 issue of the Journal of Cataract & Refractive Surgery.

Look at some of the Phakic IOLs that have been making a name for themselves in Europe.

Accommodating IOLs are making a splash in Europe - why don't you take a closer look at some of them?

Take a look at some of the Monofocal IOLs available in Europe.

Have a closer look at some of the multifocal IOLs available in Europe.

Intraocular lenses (IOL) made from polymethylmethacrylate (PMMA) may be associated with an increased risk of postoperative endophthalmitis.

The first results of an ongoing multicentre study in France suggest that a new diffractive intraocular lens (IOL), Diffractiva-s (HumanOptics), offers good visual results.

Cataract referrals made by optometrists are more likely to include better information regarding vision loss than referrals made by general practitioners .

Preoperative tear volume may affect recovery of the ocular surface after LASIK and could increase the risk for chronic dry eye.

Topical levofloxacin penetrates better than ofloxcin or ciprofloxacin into the aqueous of eyes with functioning filtering blebs.

Six-month data for myopia treatments with the SCHWIND AMARIS laser show that it is effective and patient friendly.

Bausch & Lomb has acquired eyeonics, the maker of the crystalens accommodating IOL.

Diffuse lamellar keratitis (DLK) occurs more frequently after LASIK performed with the IntraLase 15 kHz femtosecond laser than after LASIK performed with the Moria M2 microkeratome.

Female cataract surgery patients are more likely to assess their postoperative visual function as worse than male patients.