Cataract & Refractive

The corneal stroma has the ability to clear microorganisms introduced during LASIK.

The desired refractive outcome is approximately 2 D by age two and 1 to 2 D by age three, reflecting the fact that the majority of growth of the eye has occurred by this age

Although the incidence of post-LASIK ectasia is relatively low, the topic continues to be the focus of much debate.

I am sure many surgeons are familiar with these complaints and for those wishing to switch to bimanual cataract surgery, there are certainly a number of initial difficulties that must first be overcome.

I have been developing a new technology for the surgical treatment of myopia for some years now and I presented the results with my first set of patients at this year's ASCRS congress in San Diego, USA. Overall, I believe that this new, minimally invasive method of surgery could present a feasible alternative to invasive LASIK and intraocular surgery in moderate to high myopes.

Without performing LASIK, 85-90% of [multifocal IOL] patients may achieve spectacle independence. However, with LASIK success rates are about 99%

The use of intracameral cefuroxime at the end of cataract surgery reduces the occurrence of postoperative endophthalmitis.

Overall, this study showed that wound integrity was maintained in eyes receiving microcoaxial phaco, while all eyes receiving bimanual phaco had spontaneous wound leakage, increased wound hydration, penetration of ink particles into the anterior chamber and some degree of corneal wound burn

...we have been able to develop some real staging-based guidelines for the therapeutic treatment of keratoconus and, in our opinion, corneal collagen cross-linking is mainly effective in the first and second stage of the disease

Professor Gholam Peyman discovers a new use for dry eye therapy cyclosporine A.

MICS is no longer just a more modern and innovative therapeutic option for cataract; it is also the best choice when offering refractive solutions.

The development of small sutureless incisions in cataract surgery has led to an increased interest in the use of topical ocular anaesthesia. Topical administration of anaesthetic agents is a very simple technique that can achieve good anaesthesia and eliminate potentially sight-threatening complications related to peribulbar or retrobulbar anaesthesia, such as haemorrhaging, optic nerve trauma or globe perforation.

Guy Sallet talks us through a new "viscoless" procedure and outlines the advantages of such surgery, which include fewer IOP spikes, shortened surgery time and less microincision blockages.

There are several surgical options available for the correction of aphakia, yet there is no clear winner in the competition for the best method: anterior chamber intraocular lenses (IOLs), suturing a posterior chamber IOL in the sulcus or using an iris claw lens. If an iris-claw lens, like the Verisyse IOL (AMO), is chosen, it will usually be fixated to the iris in the anterior chamber. Alternatively this IOL can also be fixated on the posterior surface of the iris (Figure 1).

Angle-supported phakic IOLs can no longer be sold or implanted in France because of their association with significant endothelial cell loss, which was discovered in patients two to three years after implantation.

AMO has received FDA approval for the Advanced CustomVue Monovision procedure, the first wavefront-guided procedure for the correction of myopic prebyopes, with or without astigmatism.

Blue-blocking intraocular lenses (IOLs) offer no advantages to the eye and could actually cause health problems such as insomnia and depression.

Although femtosecond lasers offer a strong alternative to microkeratomes, they are not suitable for every situation, according to Theo Seiler, MD.

One surgeon's quest to reduce intraoperative LASIK complications has led to the development of a new multifunctional instrument, which is hoped will help standardize surgical manoeuvres and reduce the need for retreatment.

Prior to the advent of wavefront-guided LASIK, the only parameters that could be modified in order to obtain optical correction for a given patient's refractive error were the sphere, cylinder and axis. This approach, however, would often not yield the ideal optical correction and, in many cases, the post-refractive surgery patient may be able to read the 20/20 line but not clearly. In some cases, best corrected visual acuity (BCVA) would even decrease following surgery. This situation can usually be attributed to the persistence of significant amounts of higher order aberrations (HOAs).

Dr Richard Duffey seeks to answer this question by comparing the results of femtosecond LASIK flaps with those of the mechanical microkeratome.

In recent years, excimer laser refractive surgery has provided solutions for myopia, astigmatism and hyperopia and now it is also taking on the challenges presented by presbyopia.

The quest for safe, effective surgery, which produces optimal results, has prompted much debate among experts on what the best procedure is for performing laser enhancements. For wavefront-guided enhancements, lamellar and surface procedures are both popular methods and I would like to discuss my experience and share my thoughts on their future in refractive surgery.

By mixing and matching diffractive and refractive IOLs, patients can achieve much better all round visual results.

The British intraocular lens (IOL) manufacturer, Rayner Intraocular Lenses, has received pre-market approval (PMA) for its C-flex lens from the FDA making it the first non-US IOL to receive FDA approval in twenty years.

Medennium has obtained CE mark clearance to market its photochromic intraocular lens (IOL), Aurium in Europe, making it the first lens of its kind to be introduced to the cataract lens market.

The US FDA has approved wavefront-guided and mixed astigmatism indications for WaveLight's Allegretto Wave Eye-Q system.

Aspheric-based treatments with the SCHWIND ESIRIS excimer laser and ORK-CAM software offer high predictability, increases in visual acuity (VA) and no induction of aberrations.

AMO has launched an online series featuring US TV star Kristin Cavallari.

Long waiting times have become a progressively important issue, particularly in countries with publicly funded systems.