Cataract

New tools are facilitating repositioning of a misaligned toric IOL. The corrective procedure is best undertaken sooner than later.

A disposable irrigation/aspiration handpiece is designed for the soft removal of cataracts following femtosecond laser fragmentation without the use of ultrasound energy. Dee Stephenson, MD, shares personal experiences with the integration of this technology into practice.

Stephen S. Lane, MD, describes his technique for using an ocular sealant, as well as cases where he finds it useful and superior to sutures.

Examining how utilizing an intravitreal transzonular injection can help patient compliance.

In patients who present with a cataract, certain histories should raise suspicion about existing damage to the posterior capsule or an increased risk for capsule rupture intraoperatively. Armed with that information, cataract surgeons can implement proper strategies for cataract removal and IOL implantation.

ACTIVATE System Control Software for the Stellaris Vision Enhancement System (“Stellaris”) and Stellaris PC (all Bausch + Lomb) includes 41 additional features and controls that collectively enhance the performance of the two systems and make them even easier to use.

Use of a femtosecond laser for capsulotomy and lens fragmentation can facilitate cataract surgery in eyes with a rock-hard cataract.

A new digital image guidance platform (Surgical Navigation System, Cirle) for cataract surgery is an open-source system designed to enhance accurate execution of cataract incision placement, capsulorhexis sizing and centration, toric IOL alignment, and limbal relaxing incision placement.

The approval of intracameral phenylephrine and ketorolac injection 1%/0.3% (Omidria, Omeros Corp.) could have implications for preoperative management and potentially postoperative management as well, according to John R. Wittpenn, MD, Ophthalmic Consultants of Long Island. While the FDA study evaluated pain and maintenance of pupillary dilation pertaining to intraoperative use of Omidria, the findings hint at additional benefits.

A physician who conducted cataract surgeries on 130 poor and elderly people at a health camp in the northern Indian state of Punjab has been arrested, according to the Associated Press.

Manufacturers of ophthalmic diagnostic systems are increasingly incorporating advances that improve the predictability of outcomes and integrate technologies.

In terms of medication use in cataract surgery, ophthalmologists discussed the continued increasing use of the intracameral route for antibiotic administration to prevent endophthalmitis and the launch of the “Go Dropless” campaign.

Innovations in femtosecond laser-assisted cataract surgery and microinvasive glaucoma surgery continue to drive the momentum of cataract procedures into 2015.

Features of a proprietary femtosecond laser system enable successful laser-assisted cataract surgery in eyes with a history of LASIK or other pre-existing corneal conditions. The addition of intraoperative aberrometry optimizes IOL power selection.

With a wide array of IOL options available to their foreign colleagues, U.S. ophthalmologists eagerly await the approval and availability of additional lenses.

Findings evaluating the incidence of posterior vitreous detachment on quality of vision and reading speed have been released.

Using the most recent nomogram for intrastromal astigmatic keratotomy using a proprietary femtosecond laser platform, the mean vector magnitude achieved was 87%.

Planning for the fifth year of “Cataract Surgery: Telling It Like It Is,” set for Thursday, Jan. 15, to Sunday, Jan. 18, is well under way and meeting organizer Robert H. Osher, MD, promises “more faculty, more topics, and a lot more fireworks” for this latest gathering here.

Patients who undergo second eye cataract surgery benefit with improvements in visual function and quality of life to levels beyond those obtained after first eye cataract surgery, said Nakul Shekhawat, MD.

Although infections caused by methicillin-resistant Staphylococcus aureus (MRSA) are a prominent concern for cataract surgeons, leading ophthalmologists discuss the pros and cons of performing universal MRSA screening to guide targeted prophylaxis.

A hydrogel sealant demonstrated significant superiority to suturing for sealing incisions that were leaking when tested immediately after small-incision phacoemulsification and toric IOL implantation.

Bausch + Lomb’s next-generation sub-micron gel formulation of loteprednol etabonate has been found to be statistically superior to placebo (vehicle gel) in eliminating inflammation and pain following cataract surgery by study day 8-the primary endpoints in the first phase III, multicenter, double-masked, vehicle-controlled, parallel-group study.

A femtosecond laser can create circular, well-centered capsulotomies to facilitate implantation of capsular tension rings and IOLs without decentration in pediatric patients with Marfan’s syndrome. Tim Schultz, MD, and H. Burkhard Dick, MD, of the University Eye Clinic Bochum, Bochum, Germany, described the case of a 10-year-old boy with Marfan’s syndrome.

The recent agreement between Valeant and Croma-which would provide for the distribution of Croma’s ophthalmology products in Western Europe-is expected to expand Bausch + Lomb’s (B + L) ophthalmic portfolio in the United States.

The European Society of Cataract and Refractive Surgeons (ESCRS) never fails to entice ophthalmology with cutting-edge technology, and the XXXII Congress in London has not disappointed attendees. This year’s congress has displayed a wide range of new technologies from cataract and refractive platforms to diagnostic units to surgical instruments. From all the equipment presented, IOL advances have again captured the attention of attendees.

A novel multifocal IOL with a unique axiconic-like shape changes a ray of light into a focal line and provides patients with an extended depth of focus.

A preloaded IOL system shaved about 1 minute and 2 seconds from each cataract case performed at a single surgical site by reducing preoperative lens-related preparation activities.

The decision on IOL type and fixation method in eyes without adequate capsular support should take into account the specific clinical presentation.

A new method being developed to improve the accuracy of IOL power calculations for cataract surgery uses pattern recognition as its basis.

Kenneth J. Rosenthal, MD, explains the advantages of an add-on sulcus-based IOL for correcting refractive errors in eyes that have undergone cataract surgery with in-the-bag IOL implantation.