Cataract

Sulcus refractive IOLs solid option for presbyopia, other refractive errorsImplantation of a sulcus-supported, pseudophakic supplementary intraocular lens (IOL) can be a safe and effective method for improving vision in eyes with residual refractive error after cataract extraction, refractive lens exchange, or keratoplasty, said Thomas Kohnen, MD, PhD. It also can be used to provide reversible presbyopia correction.
Dislocation main reason for IOL explantations, survey findsThe most common complication associated with the explantation of foldable intraocular lenses (IOLs) is lens dislocation or decentration. While glare and visual aberrations are the most common reasons for explanting multifocal lenses.
New technology aims to improve ease, accuracy of toric IOL surgery planningAn enhancement for a proprietary cataract/refractive surgical suite will facilitate and improve astigmatism management with toric IOLs so that surgeons can expect better patient outcomes.
Sustained-release insert aids patient noncomplianceThe current convention for treating pain and inflammation in postsurgical cataract patients is confusing, inconvenient, and expensive. Patient compliance with a self-administereddrop regimen is poor. Multiple studies confirm that the vast majority of patients fail to instill the drops properly or administer the drops as prescribed.
Dropless cataract surgery effective choice without compliance issuesDropless prophylaxis in patients scheduled to undergo cataract surgery seems to be more practical than and as efficacious as the standard of care for use in this patient population.
FLACS offers enhanced surgical precision, patient safety, reliability Femtosecond laser assisted cataract surgery (FLACS) offers surgeons a reproducible, noninvasive technique to replace the least predictable and most technically demanding steps of conventional cataract procedures. Do we absolutely need this technology to perform cataract surgery? No—but it certainly makes the job easier for us and safer for the patient.
Case of profound posterior pressureWhile participating in an ORBIS Flying Eye Hospital program in Trujillo, Peru, and operating on an elderly patient with a dense cataract under peribulbar anesthesia, James Lehmann, MD, encountered iris prolapse as soon as he made the paracentesis.
Cataract, glaucoma surgery in uveitis patients present added challengesCataract surgery in patients with coexisting uveitis is more challenging than managing either condition alone. Surgeons must answer a different set of questions and consider alternative management strategies, said Debra A. Goldstein, MD, FRSC, professor of ophthalmology and director of the Uveitis Service, Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago.
Micro-instrumentation reduces trauma in IOL exchangeIncreased procedure volume and patient expectations have made IOL exchange procedures more common. Smaller incisions and the need to reduce trauma require new micro-instrumentation for best outcomes.
New IOL category offers more natural range of visionThere are a number of ways to improve near vision for presbyopes, including multifocal intraocular lenses (IOLs)–traditional or low add–and pseudoaccommodative IOLs. It has been well documented that a small pupil and higher order aberrations, such as spherical aberration (SA) or coma, can increase depth of focus.