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In eyes with keratoconus undergoing CXL, topography-guided photorefractive keratectomy (TG-PRK) provides superior refractive and functional outcomes compared with transepithelial phototherapeutic keratectomy (TE-PTK). Yet, there remains a role for PTK, said Simon P. Holland, MD.

Ophthalmologists know from large studies that the major driving factor for patient satisfaction is having a good postoperative refractive outcome. "That is especially so for patients receiving multifocal IOLs, toric lenses, or having clear lens exchange," said Oliver Findl, MD, MBA.

Instead of thinking about getting patients to see 20/20 uncorrected vision and out of the inconvenience of glasses or contact lenses, perhaps in the future we will be talking about getting them all to see 20/10 uncorrected and better than they could before with correction, said Daniel S. Durrie, MD. .

Results of the EAGLE study support clear-lens extraction as initial intervention for eyes with primary angle-closure glaucoma (PACG) or primary-angle closure (PAC) and high IOP, said David S. Friedman, MD, PhD, at the 2018 ASCRS Glaucoma Day.

Small pupils usually travel in clusters with other surgical challenges. Kendall E. Donaldson, MD, MS, explains how surgeons may better manage small pupils during phacoemulsification by employing all tools and techniques available to them.

Surgeons work hard to get happy patients, and satisfied patients spread the word and refer their friends. They don't need extra post-op visits, and can return yearly to see their referring doctor. Selecting the best presbyopia-correcting IOL for a patient is critical and depends on methodical, preoperative decision-making.

Findings of a study determining the prediction error in the magnitude of residual astigmatism after cataract surgery with a toric intraocular lens (IOL) suggest that use of intraoperative wavefront aberrometry for toric power selection could enhance the refractive outcome in a large subset of eyes.

The famous line from George Bernard Shaw's "Man and Superman"-"those who can, do; those who can't, teach"-is sometimes quoted to explain why certain of us choose a career in academics. Fortunately for many medical students, the head of medical student education in my medical school was both a doer and a teacher.

Results of a retrospective study show that simple congenital ptosis, even when the pupil is obstructed, is less amblyogenic than conventionally thought. The study supports correcting refractive error and strabismus before considering ptosis surgery.

Topography-guided LASIK and small-incision lenticule extraction (SMILE) were compared for the treatment of myopia and myopic astigmatism in a randomized, contralateral eye study. Results were good with both procedures, but at 3 and 12 months, there were statistically significant differences for most outcomes favoring LASIK.

LASIK is a highly customized treatment option, which makes it a sought-after procedure to the millennial generation.The popular online review platform Yelp! is a helpful tool in generating positive feedback, which then attracts younger people to visit your practice.

The development of many innovations in ophthalmology did not happen in a straightforward manner as shown in these case examples.

Two headlines broke new ground recently when it comes to horror and adversity. Coincidentally, they both involved worms and left eyes: "Woman pulls wiggling cattle worms from her eyeball, makes medical history" appeared along with "Brain-eating pork worm removed from man's eye."

Despite a heightened atmosphere on the Relative Value Scale Update Committee due to Congressional mandates to reallocate funds from specialty codes, ophthalmologists have been spared from the significant financial impact affecting certain other specialties. However, a number of important ophthalmic codes have been placed under review, leading to decreases in payment for some procedures.