Refractive

Quantifying ectasia risk after LASIKA preliminary analysis of a dataset containing more than 300,000 eyes treated with LASIK between 6 to 10 years ago is beginning to quantify some of the risks for ectasia.
Aspiring for zero tolerance of residual astigmatism
Aspiring for zero tolerance of residual astigmatismWhen considering premium surgeries and high expectations from patients along with an unrelenting quest for vision exceeding 20/20, the tolerance of residual astigmatism must be zero. Like bespoke tailors, ophthalmologists need to be bespoke surgeons who tailor vision in each eye to the highest level possible. We cannot claim to design the best suit using the best technology and tailoring materials, and yet, in our minds, find it “acceptable” to have the suit length within a half-inch to three-quarters of an inch too short or wide.
Intrastromal procedure favored for myopic treatmentA review of 800 cases of small incision lenticule extraction for treatment of myopia and myopic astigmatism shows an evolution in surgical indications and technique with consistently positive outcomes.
Inlays provide option for presbyopic correctionThree corneal inlays are in clinical use for improving near vision in phakic presbyopic patients with low refractive spherical equivalent.
Presbyopic IOLs changing game for astigmatic patientsPresbyopia-correcting IOLs are changing the preoperative patient education discussion, making it easier for surgeons. However, the need for precision measurements and careful surgical technique may be more important than in the past.
12-month results with small-aperture IOL providing patients with an extended range of visionThe IC-8 IOL (AcuFocus) is one of the new class of extended-depth-of-focus (EDOF) IOLs that is definitively altering the landscape of cataract surgery in Europe and around the world. Whereas monofocal and multifocal lenses have one or two distinct focal points, an EDOF-IOL creates one elongated focal point, though each lens does so in a different way.
Laser update aids cataract outcomesA third system upgrade for a femtosecond laser system for refractive cataract surgery (Streamline III, LENSAR) will enhance the efficiency of the procedure, according to Jonathan Solomon, MD.
Thinking outside the cone: Over, above standard approachAll of these cases scenarios, which are an everyday occurrence in my practice, demonstrate my desire to take every patient to emmetropia despite the “so-called” complexity of the cases.
Patients’ health jeopardized by failed ophthalmology follow-upFailure to follow-up after ophthalmology appointments can damage patients’ health, a new study suggests. “In our view, national consideration should be given to create targets for reporting how well providers are managing follow-up patients,” reported A Davis and colleagues in the journal Eye.
Haze after PRK, LASIK tied to faulty epithelial regrowth
Haze after PRK, LASIK tied to faulty epithelial regrowthPoor regeneration of the epithelial basement accounts for most 'late haze' associated with PRK, LASIK, infections, or corneal transplants. Proper excimer laser maintenance may reduce irregularities.
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