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A large survey has recently been piloted in the UK to demonstrate the use and benefits of electronic data collection with respect to rapidly monitoring the access, delivery and outcome of cataract surgery in the UK's National Health Service (NHS) and to update benchmark standards for these parameters of care.

According to Alessandro Franchini, it is insufficient to design an aspheric lens that maintains a certain degree of spherical aberration simply to achieve a degree of pseudo-accommodation.

According to Omid Kermani from the Augenabteilung der PAN-Klinik am Neumarkt, Köln, Germany, and colleagues, the implantation of a foldable toric intraocular lens (IOL) is a safe and predictable procedure for the correction of high pre-existing corneal astigmatism in cataract surgery.

Although image quality has a clear influence on visual acuity, it does not account for all the individual variability of other factors that must be involved including, measurement errors, or wavefront, optical or neural factors, Raymond Applegate said.

Howard Fine, MD, speaking at the ISRS/AAO symposium, believes that the answer to correcting presbyopia lies in accommodating lenses rather than multifocal intraocular lenses (IOLs).

The IntraLase femtosecond FS30 laser creates a more predictable and more stable flap thickness than the Hansatome XP microkeratome (Bausch & Lomb) and the IntraLase femtosecond FS2 laser, according to research conducted by Baha Toygar and colleagues from Turkey.

Tensioning of Schlemm's canal may reduce intraocular pressure (IOP) in non-penetrating surgical treatment of open angle glaucoma (OAG), according to the results of a study conducted by Manfred Tetz and colleagues from Germany.

According to Zdenek Gregor of Moorfields Eye Hospital, London, UK, prevention of endophthalmitis will always be preferable to a cure. While the use of preoperative povidone iodine has managed to decrease the incidence of the infection, the hope is that per-operative intracameral antibiotics will further fuel a decrease in incidence of this worrying consequence of cataract surgery.

Among the different IOL options for presbyopia, monofocals are probably by far the most practically used ones said Thomas Neuhann. He added that competing options must be able to beat an already high level of success and patient satisfaction.

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.