Cataract Surgery

Keratoconus as refractive surgery: Thinking outside the ‘cone’
Keratoconus as refractive surgery: Thinking outside the ‘cone’In this first of a two-part series, Arun C. Gulani, MD, MS, explains how approaching keratoconus as a refractive surgery will change the way both ophthalmologists and patients will approach this condition to bring in a new era of not only relieving but also enhancing the lifestyle of this patient population. In Part 2, Dr. Gulani will share strategies and cases of patients with keratoconus with different case scenarios in action.
Cataract surgery may benefit certain PAC/PACG patientsLens extraction may have a role in reducing IOP in patients with primary angle-closure or primary angle-closure glaucoma.
Reverse optic capture effective for posterior capsule tearsReverse optic capture may be a viable option for addressing a decentered single-piece IOL as the result of a compromised posterior capsular or a posterior capsular tear.
Intraoperative aberrometry providing ‘tighter’ outcomes“As we all know, errors in those initial measurements can have a negative effect on refractive outcomes,” Robert J. Cionni, MD, said. “Our goal is to get it right the first time.”
Accommodating IOL outcomes: Femtosecond laser or manual cataract removalPatients with accommodating IOLs implanted using a femtosecond laser-assisted procedure or manual cataract removal had similar excellent visual outcomes.
Improving cataract surgery in eyes with pseudoexfoliationCataract surgery in eyes with pseudoexfoliation syndrome is associated with increased intraoperative and postoperative risks. Strategies for improving outcomes include attention to IOL selection, and one surgeon describes why he is using a particular IOL.
Viscosplit and crack in mini-coaxial small-incision cataract surgeryCataract surgery assisted by viscosplit and crack with a new phaco tip gives good results compared with standard phacoemulsification, either bimanual or one-handed.
Combination of NSAIDs and steroids reduces CME outcomesA hot topic in cataract surgery is alternative ways to administer perioperative medications with the goal of lowering the incidence of cystoid macular edema (CME). One way to achieve that goal would be the combination of non-steroidal anti-inflammatory drugs (NSAIDs) and transzonular steroids.
How new ‘evolving’ IOL formula maximizes lens accuracyIn the modern landscape of ophthalmology, there is an abundance of intraocular lens (IOL) calculation formulae. This often leads to a clinical dilemma when it comes to choosing the most appropriate formula.
Laser cataract surgery continues to transform capsulotomiesFemtosecond laser-assisted cataract surgery will continue to lead the transition to a new era in ophthalmology with more precise, customizable, and reproducible capsulotomies.