Surgery

Several techniques can result in better surgical outcomes for patients

Dual-plane blepharoplasty can improve tear trough, skin, lower lid position

Surgical strategies can minimize risk by selecting appropriate patient, optimizing intraoperative view

CXL has potential to alter disease course; progression display plays role in when to intervene

Evaluate patients’ social situations; educate parents about their participation

Improvement was seen with experience gained, show data from comparative study

April 15 marked the 10-year anniversary of FDA approval of onabotulinumtoxinA (Botox Cosmetic, Allergan) to help improve the look of moderate to severe frown lines between the eyebrows in patients aged 18 to 65 years.

Preparing the contracted socket for grafting requires careful assessment and planning to ensure a positive result.

Numerous small-incision approaches make it possible to gain access to orbital tumors. The choice of surgical approach or combination of approaches is dictated by the size and location of the lesion or the area being pursued.

Diseases of the canaliculus can be managed with microtrephination and the silicone stent.

London-The visual outcomes of patients with keratoconus were improved when using a femtosecond laser (IntraLase, Advanced Medical Optics Inc.) to create the channels for implantation of intrastromal corneal implants (Intacs, Addition Technology Inc.), according to Sheraz Daya, MD, FACS.

Las Vegas-The use of a femtosecond laser (IntraLase, Advanced Medical Optics) to create channels for placement of corneal implants (Intacs, Addition Technology Inc.) seems to provide better visual and refractive improvements compared with mechanical implantation of the segments, according to Aylin Ertan, MD.

Irvine, CA-Visiogen Inc. has received FDA approval to expand the phase III clinical trial of its dual-optic accommodating IOL (Synchrony) in the United States.

Las Vegas-Refractive lens exchange (RLE) is associated with an increased burden of informed consent disclosure because of the complex issues, both current and future, accompanying that procedure, said Douglas D. Koch, MD, at the Refractive Sur-gery Subspecialty Day during the American Academy of Ophthalmology annual meeting.

Las Vegas-Selective laser trabeculoplasty (SLT) is comparable to medical treatment as the initial therapy for open-angle glaucoma (OAG) or ocular hypertension, according to results of a study reported by L. Jay Katz, MD, and colleagues here at the American Academy of Ophthalmology annual meeting.

Editor's Note: During the time I was a resident at Manhattan Eye, Ear and Throat Hospital (1969-1972), I had the good fortune to work with Byron Capleese Smith, MD. Those who knew him will never forget him, and those who were not able to know him will gain a small glimpse of his persona and his contributions, as written by Christopher Teng, MD. -Norman Medow, MD

London-Thin, shallow corneal flaps of approximately 80 to 90 ?m created with an IntraLase femtosecond laser (IntraLase Corp.) may produce the best results in refractive surgery, effectively eliminating pain and haze while producing long-term visual stability, said John Marshall, PhD, in a keynote address during a session on femtosecond lasers here at the XXIV Congress of the European Society of Cataract and Refractive Surgeons (ESCRS).

A 59-year-old male was referred for decreased vision and glare in his right eye 7 days after uneventful clear corneal (CC) phacoemulsification with IOL implantation. On postoperative day 1, his visual acuity was 20/25 in the affected eye. The anterior chamber reaction revealed 1+ cell and flare and the IOL was clear.

St. Petersburg, FL-Lenstec Inc. says the FDA has granted it an investigational device exemption to begin a clinical trial of the Softec HD posterior chamber IOL.

Carlsbad, CA-SynergEyes Inc. has received FDA market clearance for the use of Alcon Opti-Free Replenish multi-purpose disinfecting solution with SynergEyes contact lenses.

Austin, TX-A new surgical technique addresses the cosmetic concerns of patients with facial palsy and provides them the eye protection that they need, said Sheri L. De Martel?re, MD, an oculoplastic surgeon in private practice in Austin, TX.

New York-The use of a scleral spacing procedure using PreView Scleral Implants (Refocus Group Inc.) appears to improve the technique to correct presbyopia. This revised technique seems to be a safe and effective method of improving near visual acuity without affecting distance visual acuity in emmetropic presbyopia, according to Barrie D. Soloway, MD, FACS.

Boston-SOLX, the glaucoma division of OccuLogix Inc., has begun an international program to train and certify ophthalmologists in Europe and the Middle East in surgical implantation procedures using the company’s Gold Micro-Shunt (GMS) products to treat patients with glaucoma.

Houston-Intestinal surgeries-such as gastric bypass, resections of the large and small bowel, and gallbladder removal-may interfere with the intestine's ability to absorb vitamin A, resulting in the potential for severe deficiencies and compromised vision.

London- One of the most revolutionary technological changes in corneal transplant surgery in decades is beginning to hit clinics around the world. A software and hardware upgrade for the femtosecond laser (IntraLase FS, IntraLase Corp.) has been released to help surgeons design custom incision shapes that improve surgical precision and promote faster healing.

Many factors play a role in wound healing after epi-LASIK. For example, use of nonsteroidal anti-inflammatory drugs (NSAIDs) after surgery, advanced age, and a compromised tear film have been associated with delayed wound healing, whereas younger age, healthy tear film, and certain nutritional supplements have been associated with rapid wound healing.