Cataract Surgery

Global eye care hope soars with airborne teaching hospitalAn aircraft that houses an ophthalmic teaching hospital, containing an on-board operating theatre, training and broadcasting facilities, and treatment rooms, recently visited London Stansted Airport in the UK.
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.
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.
Does FLACS cost, benefit outweigh manual? Yes!Though further study is needed to determine conclusively whether or not femtosecond laser-assisted cataract surgery (FLACS) is associated with better refractive outcomes compared with conventional manual surgery, FLACS offers many other benefits that justify its use, according to Robert J. Cionni, MD.
Does FLACS cost, benefit outweigh manual? No!Femtosecond laser-assisted cataract surgery (FLACS) offers some advantages compared with a conventional manual procedure, particularly for certain patients. Currently, however, FLACS does not result in superior outcomes and it has drawbacks that outweigh its benefits, according to Rosa Braga-Mele, MD.
Study: Visual acuity outcomes similar, but FLACS has some advantagesFemtosecond laser-assisted cataract surgery (FLACS) facilitated a precise capsulotomy and reduced phaco energy in a recent ongoing study with about 100 consecutive eyes, said Jeffrey Whitman, MD, Key-Whitman Eye Center, Dallas.