Unique approach to managing a posteriorly dislocated IOL September 16, 2016 By Cheryl Guttman Krader When a three-piece IOL intended for sulcus placement dislocates posteriorly during an IOL exchange procedure, cataract surgeons can consider several possible strategies. Creating corneal inlay pockets with femtosecond laser technology September 15, 2016 By Fred Gebhart A surgeon with clinical experience with three femtosecond lasers discusses the practicalities of creating ideal femtosecond laser inlay pockets. How to choose a subspecialty in ophthalmology September 15, 2016 By Peter J. McDonnell MD Shub-ad loved ophthalmology, but was having trouble deciding on her subspecialty. She knew her wise chairman, Pay-Dro, would help her think through the options. Reverse side cut produces better self-sealing efficacy September 01, 2016 By Michelle Dalton ELS A 110° reverse side cut primary incision created with a femtosecond laser provides an effective seal for potential wound leakage in a recent study. Achieving patient satisfaction with multifocal IOLs September 01, 2016 By Cheryl Guttman Krader Multifocal IOLs offer the potential to reduce spectacle dependence, but outcomes vary depending on optical design. Optimizing success and satisfaction depends on careful patient selection, thorough counseling, and good surgical technique. Novel forceps design improves iris hook placement September 01, 2016 By Nancy Groves New forceps designed by Lawrence Goldberg, MD, improve the technique for iris hook placement due to two-point fixation. Slit beam enhances visualization with corneal opacities September 01, 2016 By Nancy Groves A tool found in every ophthalmologist’s office, the slit beam, can also be used to enhance visualization during cataract surgery in patients who have corneal opacities. Getting beyond the surface in ocular surface disease September 01, 2016 By Laura M. Periman MD Ocular surface disease (OSD) is a prevalent, chronic, and progressive condition with an often multifactorial etiology. A comprehensive approach to detection, treatment, and monitoring is required. Corneal astigmatism independent of patient age at surgery Optimal 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 important August 19, 2016 By Vanessa Caceres The 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.