Authors

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James C. Loden, MD, an ophthalmologist in private practice in Nashville, learned much from his father, who also was an ophthalmologist.

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For more than 10 years, it has been inevitable at every meeting that a colleague will nudge me and ask in hushed tones and quivering whispers about performing retina surgery in ambulatory surgery centers (ASCs). It is much like asking for matrimonial advice from Playboy model-turned-actress Anna Nicole Smith, knowing that the advice may be tempting, but somehow immoral and unholy.

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Innovations have made procedure quick, safe, effective.

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Smithtown, NY-The old saw "It's hard to find good help these days" may hold some truth. It's not because solid, qualified, hard-working people aren't looking for jobs. The trick, says James Rienzo, is finding them-and that takes an organized, systematic approach.

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In this podcast, Neda Shamie, MD, and Peter J. McDonnell, MD, discuss real-world experiences, patient choices, and the nuances of integrating femtosecond laser-assisted cataract surgery into practice, offering insights into the latest developments in ophthalmology.

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Expert eye care specialists comment on the use of aceclidine as a selective miotic for the treatment of presbyopia.

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Q. If your state of domicile is important to you for specific reasons, you may want to consult an attorney.

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Q. If your state of domicile is important to you for specific reasons, you may want to consult an attorney.

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Q. If your state of domicile is important to you for specific reasons, you may want to consult an attorney.

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When choosing an aspheric IOL, aiming for an overall postoperative spherical aberration of +0.10 ?m provides better patient outcomes based on the latest research.

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Editor's Note: Sherif Amer, MD, proposes a new hypothesis for pressure dissociation in optic disc edema due to increased intracranial pressure (ICP) (i.e., papilledema). This theory provides some insight into some of the clinically controversial scenarios that occur in increased ICP such as pseudotumor cerebri without papilledema, asymmetric or frankly unilateral papilledema, and progressive visual loss due to increased ICP without disc edema. The theory has merit and deserves further study and testing of the hypotheses generated. -- Andrew G. Lee, MD

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Spain-home of Toledo and some of the finest sword-makers in history, and home to the Alhambra and such people as Gaudi and Christopher Columbus-also lays claim to manyof history's most important ophthalmic families. The Barraquer family comes to mind, but there are others, including the Arruga family, which is the subject of this month's vignette.

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With daily operating costs rising, reimbursement rates declining, and concerns over soaring liability insurance prices, profitability is a hot topic for the modern ophthalmology practice. Some groups are finding an effective solution in the symbiosis between ophthalmology and optometry. By adding optometrists to their staffs, ophthalmologists are offering a more complete vision-care package to their patients and driving up profits in the process. The advantages, as seen by the doctors involved in these relationships, are many.

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Hardly a week passes that I am not queried by my fellow ophthalmologists about some aspect of the business of optical dispensing. The more common questions revolve around the practicality of setting up a dispensary in the ophthalmology practice and increasing the bottom line for the optical dispensary.

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Pfizer will acquire Wyeth in a cash-and-stock transaction valued at $50.19 per share, or a total of about $68 billion, as of the Jan. 26 announcement of the planned merger. The companies expect the transaction to close toward the end of this year.

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Contact lens practices are probably feeling the effects of more and more patients simply taking their prescriptions and buying their lenses on the Internet. But, if contact lens fitting is a valuable service that you offer and you want to improve your productivity and profitability, then you might want to make a few changes. Using the Internet to send email updates to patients, ordering supplies online, and giving patients the option to purchase on your Web store will make a big difference in your practice.

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It is imperative, especially in uncertain economic times, for physicians to be thoroughly familiar with Medicare's National Correct Coding Initiative (NCCI). This initiative was put forth in 1996 in order to promote correct coding and to serve as a ready mechanism by which to reduce improper coding.

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Q My parents are living on a fixed income. Lately, their monthly expenses have begun to exceed their income. The only real asset they own is their home, which is paid off. It is not important to me to inherit their house, but I also don't want to have to subsidize their income if I don't need to. How could they use the equity in their home to augment their cash flow, without selling it?

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Q My parents are living on a fixed income. Lately, their monthly expenses have begun to exceed their income. The only real asset they own is their home, which is paid off. It is not important to me to inherit their house, but I also don't want to have to subsidize their income if I don't need to. How could they use the equity in their home to augment their cash flow, without selling it?

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Whether your retirement is years away or just around the corner, inflation is destined to exert a major influence on your future economic well-being.

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As the diversity of drop products expands and knowledge of the nuances of various ocular surface maladies increases, consider how the differences between drop products might make one drop a better choice for a given patient.

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The American Association of Dispensing Ophthalmologists Inc. (AADO) will provide educational programs during the continuing education component of International Vision Expo East, March 22 to 25 at the Jacob K. Javits Center in New York City.

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By offering visitors the option of watching a video about topics they are interested in (instead of just text to read), your Web site will stand out in the crowd.

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New Orleans-It's often said that necessity is the mother of invention. That being true, it was a realization that postoperative measurements with a Hertel exophthalmometer in some categories of patients could be inaccurate, which led to the development of the Naugle exophthalmometer.

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Anthony Aldave, MD, explains when cataract extraction should be done alone or with Descemet's stripping automated endothelial keratoplasty (DSAEK).

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To clarify whether total intracranial CSF volume increases in IIH, researchers prospectively studied MRI-derived measures of total cranial, ventricular, and extraventricular CSF volumes in patients with IIH and controls. Results showed that the extraventricular CSF space was significantly greater in the patient group versus the controls. The ventricular volume was the same between the two groups.

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Continuing medical education is essential for the provision of good medical care.

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Q Should I consider making annual gifts to my grown children? If so, what amounts can I givewithout paying a gift tax?

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From a patient's perspective, using a non-steroidal anti-inflammatory drug (NSAID) before and after cataract or refractive surgery can help to ease pain, swelling, and irritation, and accelerate the return of visual acuity. From a surgeon's perspective, using an NSAID reduces surgical complications and makes surgery easier: it keeps the pupils larger, allowing for quicker and less traumatic procedures. It also prevents cystoid macular edema (CME) and reduces the incidence of striae because it suppresses pain and, therefore, the patient's tendency to squeeze/rub the eyes post-surgery. This article will examine the different classes of NSAIDs, compare their analgesic and anti-inflammatory activity, and determine the potency of different NSAIDs.