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Capsulotomy creation: Benefits with low risks

The most recent analysis included over 3,800 eyes that underwent laser anterior capsulotomy between April 2012 and September 2015, and it found that the anterior capsule tear rate remained around 1 in 1,000 cases.

Cataract Surgery Resource Center

NSAID after Dropless approach shown to lower CMEThere was clinically significant less CME in patients who received trans-zonular triamcinolone acetonide, moxifloxacin hydrochloride, and vancomycin—known as the Dropless approach—in addition to an NSAID after cataract surgery.
Know your options when expanding a pupilHumans 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.
Capsulotomy creation: Benefits with low risksFindings from an updated analysis of outcomes at a single center reaffirm the safety of femtosecond laser capsulotomy by showing it is associated with a low rate of anterior capsule tears.
Complicated case underscores need for care, preparationA case of cataract surgery with planned presbyopia-correcting IOL implantation– complicated by posterior capsule rupture and a postoperative refractive surprise– reinforced important lessons and provided a new revelation to one experienced surgeon.
How femtosecond laser anterior capsulotomy can preserve capsular integrity in IOL exchangeWhen 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.
What to do when the rhexis won’t tearMetabolic 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 initiate a tear, surgeons should use an instrument to cut through the fibrotic material. This non-standard approach for opening the capsule recognizes potential for capsular fibrosis in eyes filled with silicone oil.
Why surgeons should not undersell their femtosecond laserWhen it comes to their eyes, patients want the safest treatments, and they know the best technology available is a laser. The cataract patient demographic is changing, and patients today have active lifestyles that demand functional vision.
Unique approach to managing a posteriorly dislocated IOLWhen a three-piece IOL intended for sulcus placement dislocates posteriorly during an IOL exchange procedure, cataract surgeons can consider several possible strategies.
Corneal astigmatism independent of patient age at surgeryOptimal planning for correction of pre-existing corneal astigmatism at the time of cataract surgery should take into account an age-related, against-the-rule (ATR) shift.
Why choosing the right multifocal IOL patients is importantThe best candidates for multifocal intraocular lenses (IOLs) are highly motivated, have nearly perfect optics, and have healthy tear film. Otherwise, patients could have issues with contrast sensitivity, glare, and haloes.