Cataract clinical features and news. - Ophthalmology Times
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Prepare for hyperopic shift following DSAEK graft surgery
A retrospective study including 45 eyes that underwent Descemet?s stripping automated endothelial keratoplasty (DSAEK) found an average refractive change of +0.88 D after surgery. That hyperopic shift after DSAEK has implications for management of patients undergoing cataract surgery simultaneously with or after DSAEK and for anticipating refractive outcomes in pseudophakic patients undergoing DSAEK.
Feature Articles
Changes to surgical routine cut risk of postoperative endophthalmitis
Intracameral cefuroxime major factor in reduction of cases in data analyses
Ophthalmology Times
A cluster of cases of postoperative endophthalmitis at the Prince Charles Eye Unit, King Edward Hospital, Windsor, England, over a 4-month period led to a thorough investigation of etiologic factors and multiple changes in the perioperative routines.
Phaco philosophy: consider IOL exchange pearls, practicalities
Case demonstrates procedure factors that may weigh in surgeon's decision
Ophthalmology Times
Exchanging an IOL is the only choice when the optical clarity of the implant is compromised by internal calcification or glistenings.
Imaging system takes OR microscope to next level
Digital platform provides physicians with improved visualization during microsurgery
Ophthalmology Times
As imaging continues to move in the direction of digital technology, one such vision platform (3-D HD, TrueVision) takes a stereoscopic view of a surgical microscope, converts it to a three-dimensional, high-definition digital image, and displays it on a projection screen. The technology, according to surgeons who have used it, affords a defined depth of field, offers the ability to play back and share images, and results in less neck and back strain.
Vision system enables easy transition to coaxial MICS
Platform lets surgery be performed with higher levels of vacuum, less dependence on ultrasound
Ophthalmology Times
A prospective evaluation of the first 50 cases of coaxial microincision cataract surgery performed with a vision enhancement system (Stellaris, Bausch & Lomb) shows that the platform facilitates adoption of this new surgical technique and allows surgery to be performed with higher levels of vacuum, less dependence on ultrasound, and excellent anterior chamber stability.
Reduced phaco time observed with use of oscillation device
Difference may mean less energy used in eye, less intraoperative trauma, more rapid visual rehab
Ophthalmology Times
Use of an oscillation device (NeoSoniX handpiece, Alcon Laboratories) results in a shorter phacoemulsification time compared with the time in cases in which a conventional handpiece was used. This difference may result in less phaco energy use in the eye, less trauma during surgery, more rapid visual rehabilitation postoperatively, and perhaps less loss of endothelial cells.
News
UV rays don't just damage skin
Ophthalmology Times
Prevent Blindness has dedicated May as UV Awareness Month in an effort to educate the public on the best way to protect their eyes.
IOL technology focuses on implant orientation, rotation
Ophthalmology Times
A retrospective study of eyes with a spherical IOL implanted found the lens haptics maintained a stable position in most eyes, but significant rotation was observed in a small proportion. This information is important to consider when implanting toric IOLs where orientation and rotation can affect vision outcomes.
Important eye health issues examined in Ophthalmology journal
Ophthalmology Times
Three studies on eye health examine the role of antioxidant supplements, the relationship of visual acuity and mortality, and the causes of glaucoma in the May 2008 issue of Ophthalmology, the journal of the American Academy of Ophthalmology.

How to conquer your first solo phaco
Ophthalmology Times
In every phacoemulsification procedure, the critical factors remain the common goals: the care and respect bestowed on the patient and the commitment to obtaining the best possible outcome. There is no place for cynical, business-as-usual attitudes (which are found in some operating rooms) in today's environment of refractive cataract surgery and presbyopia-correcting IOL implants. An expert offers 10 steps to help post-residency ophthalmologists conquer their first solo phacoemulsification procedures.
Protein adhesion studies aim to explain PCO rates
Ophthalmology Times

Oulu, Finland-Adhesion of soluble fibronectin differs significantly between IOLs of different materials, and that variability may explain differences between IOLs in rates of posterior capsule opacification (PCO), according to Reijo Linnola, MD.

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Will you attend the 2008 annual meeting of the American Academy of Ophthalmology?
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