Modern Medicine Cases

Deeper implantation depth for inlay may enhance visual performanceA comparative analysis suggests placement of a cornea inlay (Kamra, AcuFocus) has improved patient satisfaction, refractive stability, and visual results when placed at 250 μm or deeper in the cornea. Shallower implantation depths may be more prone to refractive instability and lower patient satisfaction.
PiXL appears promising for low myopiaThe use of epi-on photorefractive intrastromal cross linking reduced myopia by about 0.25 D in a small study; In a high-oxygen group, the effect averaged 1.25 D.
SMILE procedure brings potential advantages to hyperopic correctionHyperopic SMILE is being investigated in a prospective study. Early outcomes show good efficacy, safety, and predictability along with some interesting differences compared with hyperopic LASIK.
LASIK, PRK enhancements yield similar safety, efficacy, predictabilityWavefront-guided LASIK and wavefront-guided PRK following previous keratorefractive surgery demonstrate similar safety, efficacy, and predictability and result in comparable wavefront outcomes.
Vector planning delivers superior outcomes for myopic astigmatismExcimer laser treatments using vector planning resulted in less corneal astigmatism, less refractive cylinder, and better unaided visual acuity postoperatively than treatments using manifest refractive treatment parameters alone, according to Noel Alpins, MD.
Visual acuity, other tasks appear unaffected by inlay decentrationDecentration of less than 0.75 mm from a light-constricted pupil with a novel corneal inlay for the surgical correction of presbyopia does not affect visual acuity, task performance, or severity of halos and glare.
What is the future of eye exams?See what eye exams may be composed of in a few years.
Tool provides standard for assessing LASIK patient-reported outcomesA new questionnaire can help assess candidates’ symptoms before LASIK surgery, monitor them for visual symptoms as well as satisfaction after LASIK surgery, and measure the impact any post-LASIK symptoms have on a patient’s ability to function.
How do physicians care for the digitally isolated?
How do physicians care for the digitally isolated?Although some patients are already harnessing the capabilities of new and emerging technologies enabled by high-speed internet, others are missing out.
Comprehensive analysis is key to plentiful retirement
Comprehensive analysis is key to plentiful retirementFor physicians with 15 or 20 years left to work before retirement, the planning is easy­­–as time is on their side. Adjustments can be made regarding savings rates, age of retirement, and future cash flow needs. When retirement is imminent within three years, the planning options are limited, and physicians must become realistic about what is mathematically feasible as far as generating sustainable cash flow to support their lifestyle. Here are some issues for physicians who are facing retirement within three years or less.