Cataract & Refractive

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New developments in diagnostic technology should enable better screening and follow-up of refractive surgery patients, said Dan Z. Reinstein, MD, delivering a keynote address during the refractive surgery subspecialty day preceding the annual meeting of the American Academy of Ophthalmology in November 2007.

The anti-inflammatory nepafenac 0.1% is more comfortable and at least as efficacious as ketorolac 0.5% in the prevention and treatment of postoperative ocular pain and inflammation.

With regards to maintaining corneal biomechanics, sub-Bowman's keratomileusis (SBK) and advanced surface ablation (ASA) are improvements over conventional LASIK.

LASIK linked to depression

Patients who undergo LASIK may have an increased risk of developing depression, according to reports from the US.

Medically well-controlled glaucoma patients and patients with exfoliation syndrome may experience intraocular pressure (IOP) elevation shortly after cataract surgery. This can be controlled by the instillation of timolol maleate 0.5%.

People who are dissatisfied with the results of LASIK are more likely to be referred to a cornea service by their doctor than by their LASIK surgeon.

Topical nonsteroidal anti-inflammatory drugs often are administered for off-label purposes to patients who are undergoing cataract surgery, but surgeons should consider the cost, the risks, and the evidence available to support such use.

Microincision cataract surgery (MICS) does not degrade the optical quality of the cornea or induce a modification in corneal astigmatism.

Bausch & Lomb has entered into an agreement to purchase eyeonics, the maker of the Crystalens accommodating IOL.

Performing cataract surgery using a fluid-based method of phacoemulsification results in less corneal endothelial cell loss compared with conventional ultrasound phacoemulsification.

The pros and cons of surface ablation procedures were reviewed at the opening session of the refractive surgery subspecialty day at the American Academy of Ophthalmology annual meeting.