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Dr. McDonald advises taking a second visit to an established dry eye center of excellence a few months after your first visit. Begin by implementing the osmolarity units, train staff, and promote that your office is now a center of dry eye excellence. Watch more on how to be successful!”

While many people across the United States are hosting barbeques, attending parades and firework displays, and picnicking with their families today, ophthalmologists may find themselves celebrating Independence Day a little differently-handling emergencies due to firework-related eye injuries.

The first case series report of femtosecond laser flap creation for LASIK in eyes that have undergone radial keratotomy showed the technique was successful when novel settings were used. No significant intraoperative or postoperative complications were reported in the 27 eyes in the study, and uncorrected visual acuity improved significantly.

Patients with symptomatic vitreomacular adhesion (VMA) find that a single intravitreal injection of ocriplasmin improves their vision, according to an ancillary analysis of two multicentre randomised clinical trials reported in JAMA Opthalmology.

Follow the money

One thing that is interesting about the Medicare data is how much goes to the top 1% of physician billers.

Small incision lenticule extraction (SMILE), which has not yet been approved for refractive correction in the United States, may be less accurate and produce more irregular astigmatism than LASIK or PRK because of the imprecision resulting from the two incisions needed to create the lenticule. In addition, the technique for potential enhancements needs improvement. However, the treatment is promising and may stand the test of time as the technology advances.

Exfoliative glaucoma can prove to be a particularly difficult disease for opthalmologists to manage. In this article, aspects of IOP-lowering therapy specific to this type of glaucoma are considered, as well as the range of treatments available and the potential advantages and challenges associated with each therapy.

Careful preparation that includes planning ahead and going into surgery armed with the proper equipment and alternative strategies will facilitate easy and atraumatic explantation when performing IOL exchange, said Stephen S. Lane, MD.

A novel eyewear prototype wants to be the solution for those seeking wearable technology to track fitness and activities, but hate the bulky equipment that is required to be worn on wrists or clothing.

Intravitreal aflibercept 2 mg every 8 weeks after 5 initial monthly doses (IVT-AFL 2q8) improved visual acuity outcomes in eyes with center-involved diabetic macular edema (DME) to a greater extent than intravitreal ranibizumab 0.5 mg as needed (IVR 0.5 mg PRN), though vascular endothelial growth factor (VEGF) inhibition with either IVT-AFL or IVR is efficacious and appears safe