Cataract

Cataract surgeons have several tools to help them manage the challenges presented by cases with zonular pathology. However, consideration should be given to the Malyugin modified capsular tension ring (Morcher GmbH), according to Botis Malyugin, MD, PhD.

In his latest blog, Mark Packer, MD, predicts why performing cataract surgery in minor procedure rooms will become the next big push in ophthalmology.

The number of presbyopia correcting options has increased along with the size of the presbyopic market. Clear lens exchange (CLE) is becoming a popular option as a result of the latest generation of intraocular lenses that have been shown to offer spectacle independence to a high proportion of patients. In this article, Mr Chitkara presents the 1-year results of his small study evaluating CLE with implantation of the Diffractiva-aA lens.

Here, Dr Verdoorn presents his experiences with the Raindrop Near Vision Inlay, which he has found to be a successful option for presbyopic patients.

The aim of modern glaucoma surgery is to reduce IOP by creating a drainage pathway for aqueous fluid. Trabeculectomy surgery has been modified over the years to prevent certain complications, however some still occur. In this article, the authors present a combined method of trabeculectomy with cyclodialysis as a potential option for glaucoma surgeons.

The FDA granted 510(k) clearance for five new performance applications in the LensAR Laser System with Streamline.

A double-ended dissector allows improved opening of all femtosecond laser-created corneal incisions during cataract surgery.

The safety and efficacy of femtosecond laser cataract surgery was evaluated in a small series of patients with small pupils.

When a capsulotomy is completely separated from the anterior capsule, or free floating, surgeons can simply grasp the capsule and lift it from the eye-literally as easy as lifting a napkin up from a table-thus the “napkin” capsulotomy.

A software upgrade brings flap-making capability to the first commercially available femtosecond laser for cataract surgery.

Since scleral implant surgery for presbyopia correction was first introduced, numerous enhancements have standardized and simplified the procedure. In this article, Dr Cummings discusses binocular visual improvement outcomes observed with a new generation implant system, and explains which patients may benefit from the procedue.

Occasionally, post-cataract surgery endothelial cells don’t function well enough to keep the cornea clear, which can commonly cause corneal oedema. Here, Prof. Feinbaum describes a new treatment modality that has been designed to reduce and in most cases stop the oedema in 24–48 hours.

Accumulating evidence shows intracameral antibiotics decrease the risk of endophthalmitis after cataract surgery, but questions and concerns remain.

Weak zonules are known to add intraoperative complications and affect every step of the cataract procedure. Luigi Fontana, MD, PhD, describes how capsule retractors have helped him tackle this issue in his cataract practice.

An updated analysis from cataract surgeons at Kaiser Permanente Northern California again shows the benefit of intracameral antibiotic use for reducing the rate of postoperative endophthalmitis.

Different corneal diseases present different challenges to achieving the desired refractive outcome after cataract surgery. Cornea specialist Dasa V. Gangadhar, MD, highlights measures to consider in various situations.

In his latest blog, Mark Packer, MD, FACS, CPI, defends why doctors should not allow the restrictions of third party payers on reimbursement for cataract surgery to drive your diagnosis or your recommendations for treatment, as diagnosis and treatment must remain the surgeon’s sole responsibility if our profession is to retain any of its natural inherent authority.

A new capsule polisher can efficiently polish and sweep debris from the entire anterior capsule.

The unique properties of a light-adjustable lens are designed to provide predictable results and customized refractive treatments.

A new sequentially shifting wavefront device for intraoperative aberrometry provides continuous feedback on refraction during cataract surgery.

In crowded eyes, removal of vitreous through a one-port pars plana vitrectomy is the only viable strategy to deepen the anterior chamber and allow safe phacoemulsification, according to R.J. Mackool Jr., MD.

Five pearls should be considered to protect the endothelium after cataract surgery. These involve consideration of the phacoemulsification techniques and technology, use of viscoelastics, irrigation and aspiration techniques, intracameral medications, and postoperative medications.

Better management of white cataracts with these pearls can help avoid complications like the Argentinian flag sign.

Intraoperative aberrometry may reduce refractive surprises and result in a higher percentage of happy patients following cataract surgery, particularly those who had undergone previous corneal refractive surgery and in those planning for a toric IOL.