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Cataract & Refractive

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Compensation of cyclotorsion using iris registration can be helpful in decreasing misalignment of the axis of correction and in improving the overall outcome of LASIK, according to a study to be published in the April 2008 issue of the Journal of Cataract & Refractive Surgery.

Phakic IOLs

Look at some of the Phakic IOLs that have been making a name for themselves in Europe.

Accommodating IOLs

Accommodating IOLs are making a splash in Europe - why don't you take a closer look at some of them?

Monofocal IOLs

Take a look at some of the Monofocal IOLs available in Europe.

Multifocal IOLs

Have a closer look at some of the multifocal IOLs available in Europe.

The first results of an ongoing multicentre study in France suggest that a new diffractive intraocular lens (IOL), Diffractiva-s (HumanOptics), offers good visual results.

Cataract referrals made by optometrists are more likely to include better information regarding vision loss than referrals made by general practitioners .

DLK post FS LASIK

Diffuse lamellar keratitis (DLK) occurs more frequently after LASIK performed with the IntraLase 15 kHz femtosecond laser than after LASIK performed with the Moria M2 microkeratome.

Incision sizes needed to remove cataracts have been significantly reduced by new technology, such as the vision enhancement system (Stellaris; Bausch & Lomb) which allows surgeons to make two 1.8 mm cuts on either side of the eye.

A study published in the January issue of Antimicrobial Agents & Chemotherapy, has found that the high proportion of corneal infections linked to contact lens solutions are fuelled and made resistant to treatment by the formation of a highly resistant structure of microbial cells held together with a glue-like matrix material, called biofilms.

Telemedicine benefits

Using a telemedicine system to assist ophthalmologists in developing countries with the diagnosis and management of various ophthalmic conditions can be successful.

In eyes that have undergone corneal refractive surgery, non-Goldmann measurements of intraocular pressure (IOP) and continued examination of the optic nerve is essential as changes of the corneal shape can lead to falsely low IOP values.

Modern intraocular lenses (IOLs) transmit only a part of the spectrum, just like natural lenses, but the transmission of the natural lens changes with age. With increasing age, the lens becomes far less transparent in the violet/blue part of the visible spectrum. Can the transmission of an IOL, therefore, be compared to that of the natural lens at a certain age? In other words, can we assign a virtual age to an IOL? The answer is yes and such an age is far easier to interpret than the complicated transmission curves provided by industry.

Sreening for early ectatic disease is essential in the evaluation of the refractive surgical candidate. There have, however, been many cases of severe post-LASIK ectasia without evidence of preoperative risk factors. Improving preoperative screening with better detection of subtle corneal topographic abnormalities may therefore help eliminate these rare but devastating cases.

Refractive surgery has come a long way since the first lamellar refractive surgeries were performed decades ago. Through continuous fine-tuning and evolution, LASIK has become today's dominant refractive procedure. However, as with all medical procedures, there is always room for improvement.