Loteprednol/tobramycin yields comfort, tolerability
June 1st 2009Loteprednol etabonate 0.5%/tobramycin 0.3% ([LE/T]; Zylet, Bausch & Lomb) was found to be superior to dexamethasone 0.1%/tobramycin 0.3% ([DM/T]; Tobradex, Alcon Laboratories) in a comparison study that tested ocular comfort and tolerability in healthy volunteers. LE/T also has shown to be less likely to cause increases in IOP levels compared with DM/T. LE/T may provide some small advantages, possibly resulting from formulation differences and/or the steroid used, the researchers concluded.
LASIK research continues in NEI/NIH grant by Kansas State professor
May 13th 2009Gary Conrad, PhD, has received a 4-year grant renewal of $1.48 million from the National Eye Institute for the National Institutes of Health (NEI/NIH) to study the cornea. Dr. Conrad is a university distinguished professor at Kansas State University's Division of Biology.
Study compares M-SICS, phaco in charity camp population
May 1st 2009To answer the question of whether quality - specifically, uncorrected vision, astigmatism, visual rehabilitation, and safety - is sacrificed when M-SICS is performed instead of phaco, Sanduk Ruit, MD, Geoffrey Tabin, MD, David F. Chang, MD, and colleagues conducted the first prospective, randomized trial of phaco versus M-SICS in a charity camp population.
Cyclosporine for dry eye shows significant improvement in symptoms, according to phase II study
May 1st 2009Phase II of a clinical study examining a formulation of cyclosporine (Cyclokat, Novagali Pharma) has been completed, and results demonstrate statistically significant improvement with signs and symptoms in patients suffering from moderate-to-severe dry eye syndrome.
Perimetry software measures functional progression of glaucoma using trend, event analyses
April 15th 2009The newest version of proprietary software (Guided Progression Analysis, Carl Zeiss Meditec) to measure the functional progression of glaucoma combines event and trend analyses and enables faster, more quantitative evaluation of change in visual field than that permitted by older methods, according to one ophthalmologist. Use of the software requires a particular, newer perimeter (Humphrey Field Analyzer II-i, Carl Zeiss Meditec), and clinical correlation is advised.
SD-OCT provides improvement in imaging compared with TD-OCT
April 15th 2009Spectral-domain optical coherence tomography (SD-OCT) represents an improvement in imaging compared with time-domain OCT and, therefore, the potential for improved patient care. Proprietary technology (3D OCT 1000, Topcon Medical Systems) is easy to use and has versatile software, according to one ophthalmologist. The choice of any SD-OCT unit, however, must be based on an analysis of an individual practice's needs.
Computer-based software used to visualize in vivo human lens morphology, density
April 15th 2009A model under development for in vivo visualization of human lens morphology could have clinical applications in patients at risk for changes in lens transparency. The device, which uses a rotating camera, creates a three-dimensional model of the lens and uses the relationship between contrast sensitivity measurements and lens optical density to evaluate visual function.
Wal-Mart offers money-, time-saving contact lens options
April 15th 2009Wal-Mart Stores, along with 1-800 Contacts, have a new program that will save customers as much as 12% to 50% on the costs of a yearly supply of contact lenses. Additionally, Wal-Mart is offering frame-and-lens packages for children age 18 or under for as low as $39.
Mini-glaucoma shunt rivals trabeculectomy, results indicate
April 15th 2009The mini-glaucoma shunt (Ex-Press, Optonol) appears to be an effective procedure compared with standard trabeculectomy, as it shows a higher efficiency with minimal inflammation and lower rates of postoperative hypotony and its sequelae. Although both approaches demonstrate very similar IOP control in the long-term, less postoperative adverse events are seen with implantation of the shunt.
OCT criteria offer favorable performance in discriminating ODE from ONHD
April 15th 2009Analyses of optical coherence tomography images from eyes with established diagnoses of optic nerve head drusen or optic disc edema and unaffected controls showed qualitative and quantitative criteria had reasonable sensitivity and specificity for discriminating between the two pathologies.
Study: High IOP linked to RNFL loss in progression of glaucoma
April 15th 2009Elevated IOP accelerates retinal nerve fiber layer (RNFL) loss and increases the risk that glaucoma will progress, according to an observational cohort study of 204 patients recruited from the Diagnostic Innovations in Glaucoma Study.
The new rules for personal finances
April 15th 2009The upheaval in our current economy is changing the ground rules for skillful handling of personal finances. Some of the time-honored methods for building and maintaining a secure financial future for you and your family need to be modified while today's unpredictable financial crisis runs its course. Here are seven tips from the experts that will help you to come out on top once the financial storm has abated.
Tonometry measurements characterize changes in keratoconic eyes during, after crosslinking
April 15th 2009Results of a study using a non-contact applanation tonometer (Ocular Response Analyzer, Reichert) to evaluate keratoconic eyes during and after corneal collagen crosslinking demonstrate changes in tonometer measurements that are consistent with changes in corneal thickness, hydration, and regularity.
Patient has decreased vision, photophobia
April 15th 2009A 26-year-old African American female presented to the Bascom Palmer Eye Institute emergency room with complaints of progressively decreasing vision in both eyes over the past 2 weeks associated with numbness on the right side of her face and mouth. She also had symptoms of light sensitivity but denied flashes, floaters, or other ocular symptoms. She denied any other recent illnesses, drug usage, exposure to parasites, infections, or risk factors for HIV.
Physician still most important 'diagnostic imager'
April 15th 2009The clinical exam remains the key to ophthalmologists' decision-making related to the diagnosis and determination of progression of glaucoma. "Baseline" technology in ophthalmology practices includes the slit lamp, some lenses, a gonio prism, an automated perimeter, a pachymeter, and optic nerve imaging capability. Other technology, however-such as confocal scanning laser ophthalmoscopy; nerve fiber layer imaging devices capable of scanning laser polarimetry and optical coherence tomography (OCT); and some anterior segment imaging technologies, including ultrasound biomicroscopy and anterior segment OCT-do not yet have absolute sensitivity and specificity and serve as aids to, not replacements for, the ophthalmologist.
Donor death-surgery interval may affect DSAEK outcomes
April 15th 2009Data analyzed from a total of 568 eyes included in a prospective study of Descemet's stripping automated endothelial keratoplasty indicate that the time from donor death to surgery affects endothelial cell density loss and risk of graft dislocation, but more data are needed to understand possible associations better.
High-resolution SD-OCT offers advantages to clinicians
April 15th 2009A proprietary high-resolution spectral-domain optical coherence tomograph (Spectralis, Heidelberg Engineering) offers many advantages to clinicians, such as superior image quality, true multimodal imaging, and improved monitoring of disease progression, says one doctor.
Efficiency key when managing busy glaucoma practice
April 15th 2009The future will bring an influx of glaucoma patients due to an aging population as well as more patients with angle-closure glaucoma, stemming from an influx of immigrants. Increasing the efficiency of the clinical and business sides of the glaucoma practice is a must for survival in this changing environment. Some procedures that can increase cost efficiency include gonioscopy and tailoring visual field testing to the patient.
Ophthalmic lenses: Progress and promise
April 15th 2009One needs to have an understanding of materials, designs, and changes in processes of manufacture to appreciate today's high-tech quality options. Knowing where materials and designs originated helps in seeing the road from which we traveled, as well as gaining insight into where we are going in the world of ophthalmic lenses.
Spectral-domain OCT unit offers high-quality retinal and anterior segment imaging
April 15th 2009A number of factors should be considered when choosing a spectral-domain optical coherence tomography system. Although the capabilities of many systems essentially are similar, some differences exist based on ease of image acquisition and quality, software versatility, and other factors that may make them the best choice for a specific practice's needs. Proprietary technology (RTVue-100, Optovue Inc.) has the capability to perform both retinal and anterior segment imaging, which may make it a versatile instrument for a general ophthalmology practice, according to one practitioner.
Ultrastructural analysis demonstrates benefits of 150 kHz femtosecond laser
April 6th 2009San Francisco-Results of a study using scanning electron microscopy (SEM) analysis to study the ultrastructural characteristics of lamellar flap specimens and stromal beds show marked differences depending on the instrument used for flap creation. The variation noted may have implications for clinical outcomes, said Renee D. Solomon, MD.
Capsular tension rings enhance performance of multifocal IOLs in study
April 6th 2009San Francisco-Capsular tension rings enhance the optical performance of multifocal IOLs by ensuring centration of the lens and reducing irregularities in the posterior capsule such a folds and wrinkles, said Tobias Neuhann, MD, director, AaM Augenklinik am Marienplatz, Munich, Germany.