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.
The FDA has approved AcuFocus’ corneal inlay product (KAMRA inlay.) The device is indicated to improve near vision by extending depth of focus in patients with presbyopia who have emmetropic refractions (+0.50 to –0.75 D).
Contrast sensitivity is a more valuable metric than many ophthalmologists realize, with applications in preoperative and postoperative management of corneal and refractive surgery patients and routine screening of patients’ quality of vision.
Keratoneuralgia, also known as “pain without stain” is primarily a clinical diagnosis made for patients with corneal pain symptoms with minimal-to-no clinical signs and minimally, if at all, relieved by conventional dry eye treatments.
Early experience with a new intrastromal corneal ring segment arc length appears to be a valuable addition to the keratoconus treatment armamentarium for one surgeon.
Endothelial keratoplasty makes it easier to follow patients with glaucoma and lowers the risk of ocular surface disease.
Immunomodulatory therapy for ocular inflammatory disease can be potent and effective, but physicians should be patient while awaiting results-and watch carefully for complications.
Autologous serum drops, amniotic membrane, and scleral lenses offer advanced options for management of persistent epithelial defects refractory to standard treatment modalities.
The rationale for epithelium-on crosslinking procedures is strong, and may ultimately make customized treatment of topographic abnormalities more attractive for therapeutic and refractive indications.
Results were encouraging from patients in a small study group receiving Bowman layer implantations to treat advanced keratoconus.
Premium IOLs can be used successfully in patients with corneal pathologies.
Peripheral melting disorders require surgical intervention when all else has failed and there is an impending risk of perforation. A peripheral C- or banana-shaped graft can restore tectonic integrity while maintaining a reasonable corneal contour to preserve vision.
The Steroids for Corneal Ulcers Trial allays some fears about using a topical corticosteroid as an adjunct to antibiotic treatment in eyes with a bacterial corneal ulcer.
Evidence for assessing the efficacy and safety of anti-vascular endothelial growth factor (VEGF) agents for treating corneal and ocular surface disease is accumulating. However, there is clearly a need for more research to define if, when, and how this therapy should be used, said Anat Galor, MD.
Pre-Descemet’s endothelial keratoplasty is a new corneal transplantation technique using a graft consisting of the pre-Descemet’s layer (Dua’s layer), Descemet’s membrane, and endothelium.
In the second of a two-part series, Arun C. Gulani, MD, reviews how to repair or prepare the cornea from any situation to present it for final corneal reshaping-straight to 20/20.
In vivo confocal microscopy has enormous potential to be used in a large number of physiological and pathological ocular conditions.
Procedure may increase near and intermediation vision without compromising stereopsis
There is no current justification for considering routine corneal crosslinking for primary prevention of postLASIK ectasia-considering the many unknowns about the efficacy and safety of combining procedures-relates one ophthalmologist.
Children and adolescents with keratoconus may have rapid progression between the ages of 8 and 19 years and immediate treatment with corneal crosslinking may stop that progression.
Corneal confocal microscopy may be a useful tool for physicians performing corneal collagen crosslinking.
Results from preclinical studies and early clinical experience show that iontophoresis is an efficient and effective method for delivering riboflavin into the cornea, while CXL performed after the procedure is associated with good results in early follow-up.
A corneal presbyopia inlay seems to have overcome two obstacles to patient satisfaction by providing good near vision without glare and halos.
Numerous clinical trials are under way that may help to define the role of immunotherapy in ocular allergy.
There are many causes of limbal stem cell deficiency and it is important to know how to recognize them and how to intervene.
