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Lines continue to blur as to what constitutes refractive surgery, and likely will continue to blur well into the future. Multiple compounds-phenylephrine and ketorolac 1%/0.3%, (Omidria, Omeros) and the “Dropless” line (Tri-Moxi/Tri-moxi-Vanc, Imprimis Pharmaceuticals)-are designed for use in cataract surgery, but their goal is to improve refractive outcomes. 2015 was the year they started to get some serious attention.

New alloplastic materials are being used as intracorneal inlays to offer predictable and safe refractive surgical correction of presbyopia and low hyperopia. The major problem with such inlays is the wound-healing response following their insertion; however, they can easily be removed.

The authors assess the quantitative and qualitative aspects of vision following various lens- and corneal-based therapies for presbyopia. In many cases the KAMRA corneal inlay offers a long-term solution. It can easily be removed if the patient is not satisfied with the outcome.

Contact lens-assisted corneal crosslinking (CA-CXL) is a novel technique in which a riboflavin-soaked ultraviolet (UV) barrier-free soft contact lens is applied over the denuded cornea prior to UVA irradiation.

The expenditures for medical care in our country are “unsustainable,” says the Dallas Morning News, whereas The New York Times, in an editorial entitled “Why we must ration healthcare,” declares the monetary valuation of human life to be immoral. Everybody says we spend too much on healthcare, so they must be right. Right?

Quantitative techniques are important for researching changes to the anatomy of the anterior chamber angle in primary angle closure spectrum eyes. The authors evaluate the strengths and weaknesses of various such techniques: gonioscopy, ultrasound biomicroscopy, Scheimpflug imaging and anterior segment optical coherence tomography.

Accountability comes in many shapes and sizes in a medical clinic. One group of ophthalmic technicians learned a valuable lession in prioritizing to the patient, relates Dianna Graves.

The CEO that nobody loves

‘The irony is that compounding pharmacies were not long ago about as popular as Shkreli is today, related to an outbreak of fungal meningitis complicating the use of specially compounded steroids.’

People over 90 years of age may not benefit from being screened for diabetic retinopathy, researchers say.A review of 200 randomly chosen people in the United Kingdom eligible for screening at this age found that only 2 had been referred for further evaluation of diabetic retinopathy.

Intravenous administration of the anti-interleukin-6 (IL-6) agent tocilizumab (Actemra, Genentech) is well-tolerated in patients with non-infectious uveitis involving the posterior segment and showing promising efficacy, according to interim outcomes reported by Quan Dong Nguyen, MD.

Implantation of a silicone oil-filled accommodating IOL (FluidVision, PowerVision) provides 3 to 4 D of accommodation along with excellent distance, intermediate, and near vision-all of which remain stable during follow-up to 2 years, said Louis D. Nichamin, MD.