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Head to head: Balanced phaco tip more efficient than Kelman tip
By Fred Gebhart;Reviewed by Brian E. Zaugg, MD The debate over Kelman phaco tips versus balanced phaco tips has taken a recess. A head-to-head study found the newer balanced tip is nearly 30% more...
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Integrating new technology into busy ophthalmic ASC
By Robert B. Nelson, PA-C; Special to Ophthalmology Times Ophthalmology continues to benefit from a steady stream of innovations—allowing cataract surgeons to deliver excellent postoperative outcomes...
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Early results of trifocal IOL exhibit solid performance
Reviewed by Thomas Kohnen, MD, PhD Take-home: Researchers conducted a 6-month study of patients implanted with the AcrySof IQ PanOptix presbyopia-correcting IOL to determine the binocular defocus...
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Know your options when expanding a pupil
Reviewed by Brian Hunter, MD Humans are creatures of habit, even ophthalmologists. Having learned to use one device for pupil expansion, it is easy to forget that there are alternative devices.“I have...
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NSAID after Dropless approach shown to lower CME
Reviewed by Ahad Mahootchi, MD Take-home: There was clinically significant less CME in patients who received trans-zonular triamcinolone acetonide, moxifloxacin hydrochloride, and vancomycin—known as...
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Complicated case underscores need for care, preparation
Take-home: Routine cataract surgery easily can become complex. Therefore, surgeons must pay meticulous attention to technique to minimize the risk of complications, but at the same time, be prepared...
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Capsulotomy creation: Benefits with low risks
Reviewed by Timothy V. Roberts, MDSydney, Australia—Findings from an updated analysis of outcomes at a single center reaffirm the safety of femtosecond laser capsulotomy by showing it is associated...
View ArticleWhat to do when the rhexis won’t tear
Take-Home: Metabolic insult from silicone oil exposure can cause lens epithelial cells to undergo fibrous metaplasia, making the lens capsule resistant to tearing. Instead of persisting in trying to...
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How femtosecond laser anterior capsulotomy can preserve capsular integrity in...
Take-Home: When performing IOL exchange in eyes with anterior capsule phimosis, use of a femtosecond laser to create a secondary anterior capsulotomy can allow in-the-bag placement of the new IOL....
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Unique approach to managing a posteriorly dislocated IOL
Reviewed by George Beiko, MDSt. Catharines, Ontario—When a three-piece IOL intended for sulcus placement dislocates posteriorly during an IOL exchange procedure, cataract surgeons can consider several...
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Why surgeons should not undersell their femtosecond laser
By Keith A. Walter, MD, Special to Ophthalmology TimesKeith A. Walter, MDWhen it comes to their eyes, patients want the safest treatments, and they know the best technology available is a laser. The...
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What is the best way to correct congenital cataracts?
Reviewed by Mohammad Soleimani, MDTehran, Iran—Piggyback IOL implantation is an optically acceptable option for refractive correction after cataract surgery in infants. However, the approach does not...
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Customized IOL calculator helps cataract surgeons navigate lens choices
Reviewed by Samir I. Sayegh, MD, PhD, FACSChampaign, IL—Cataract surgeons can use IOL calculators to help achieve the best possible surgical outcomes and spend less time calculating the right IOL...
View ArticleWhy IOL power selection requires ‘different’ thinking
Las Vegas—It is anticipated more than 3.7 million cataract surgeries were performed in the United States in 2015, 98% of them by means of phacoemulsification.“Of the additional 20.3 million cataracts...
View ArticlePearls for managing tricky cataracts in post-vitrectomy eyes
Boston–Cataract surgery in the post-vitrectomized eye is considerably tricky but with some surgical experience and implementing some valuable pearls—including whether to hydrodissect or...
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Experience with a single-use, preassembled silicone I/A tip system
Reviewed by Johan Blanckaert Take-home: The Allegro I/A tip system comprises a preassembled, single-use silicone I/A tip, which has advantages over other commercially available products. It helps to...
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How to manage cataracts with ocular surface disease
Reviewed by Jorge Alio Take-home: Ocular surface disease, including dry eye disease, is common in patients undergoing cataract surgery. It must be treated in order to optimise the ocular surface prior...
View ArticlePre-existing ruptured posterior capsule presents unique challenges
Surgeons are urged to take a more cautious approach to cataract surgery when a new, pre-existing rupture of the posterior capsule surfaces. For example, it is important to gently remove the nuclear...
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IOL centration stable 30 days after implantation, study confirms
Florence Cabot, MDOphthalmologists spend significant amounts of time during cataract surgery trying to precisely center an implanted IOL to achieve the best possible vision after surgery. The high...
View ArticleManaging dislocated IOLs with scleral suture fixation
Los Angeles—Scleral suture fixation of the IOL-capsular tension ring (CTR)-capsular bag complex is an effective option for surgical repositioning of a dislocated IOL, according to Robert K. Maloney,...
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