Some pathogens difficult to treat, even with newer agents
November 1st 2003Miami-Microbiologic studies indicated that Mycobacterium chelonae and M abscessus respond to antibacterial treatment differently from other atypical nontuberculous mycobacteria, reported Eduardo Alfonso, MD, of the Bascom Palmer Eye Institute, University of Miami.
OCT provides reproducible pachymetry measurements
November 1st 2003Mainz, Germany-Corneal thickness can be reproducibly measured using either noncontact optical coherence tomography (OCT) or ultrasound pachymetry. A comparison of results obtained with those two techniques, however, indicates that ultrasound pachymetry may underestimate corneal thickness, probably due to its applana- tion of the cornea, said Peter Breil, MD.
Six tax-saving ideas you can implement now
November 1st 2003As an ophthalmologist, you work too hard not to consider tax planning a priority. That is, of course, unless you like spending 40% to 50% of your time working for the IRS. Still, if you are like most physicians, you don't even dedicate 1 day per month to see how you could reduce your tax liability.
Femtosecond laser superior for ring segment channels
November 1st 2003Virginia Beach, VA-Femtosecond laser (IntraLase FS) creation of channels for implantation of intrastromal corneal ring segments (Intacs micro-thin prescription inserts, Addition Technology) represents an improved technique relative to mechanical dissection because it is easier and associated with better visual outcomes as well as fewer explantations and exchanges, according to the results of a comparative study.
Prophylactic mitomycin-C limits haze, regression in PRK
November 1st 2003Montreal-PRK using adjunctive intraoperative mitomycin-C (Mutamycin, Bristol-Myers Squibb) is a safe and effective tech- nique for treating eyes with high myopia, thin corneas, and large pupils, according to Pierre E. Demers, MD.
LASEK flaps easier to create with new instrument
November 1st 2003Wilmington, NC-There's new help available for creating LASEK flaps. Instead of making one large, hinged flap in LASEK, the Brown Butterfly trephine (Rhein Medical) allows ophthalmologists to create two smaller flaps, which, according to its inventor, is significantly more manageable.
Omega fatty acid supplements useful strategy before LASIK
November 1st 2003Wilkes-Barre, PA-Preoperative oral intake of nutritional supplements containing omega fatty acids prevents the precipitous drop-off in tear lactoferrin that occurs following the LASIK-induced creation of a neurotrophic cornea, reported Frank A. Bucci Jr., MD.
Atypical features signal when to image glaucomatous cupping
November 1st 2003Imaging studies in typical glaucomatous cupping are usually unnecessary because the diagnosis can normally be made on clinical grounds alone (e.g., elevated IOP, glaucomatous cupping, nerve fiber layer visual field defects). In addition, glaucoma produces a specific and differentiating form of optic atrophy (i.e., cupping). Although most patients with glaucoma have an elevated IOP, some have normal-tension glaucoma.This article reviews the "red flags" for considering imaging in suspected glaucomatous optic atrophy.
Sight preserved in AMD patients receiving steroid derivative
November 1st 2003New York-More drugs are in the pipeline that may have a positive impact on the treatment of patients with age-related macular degeneration (AMD). One that is providing good results is anecortave acetate (15 mg) for depot suspension, (Retaane, Alcon).
Dual linear technology, burst mode yields greater surgeon control
November 1st 2003Toronto-Offering dual linear control of vacuum and phaco power in conjunction with burst mode, the Millennium microsurgical system (Bausch & Lomb) enhances phaco safety and efficiency to optimize patient outcomes, said Rosa M. Braga-Mele, MD.
IOL material, designs aid cataract surgery in uveitis patients
November 1st 2003Although patients with uveitis are at increased risk of complications following cataract surgery with IOL implantation, due to pre-existing inflam- mation, improvements in technology, materials, and surgical techniques have greatly improved outcomes.
Experience may be best teacher for hands-on learning
November 1st 2003Denver-It's been said that one learns more from experience than from reading or observing. Some ophthalmic procedures, such as myopic LASIK, can be performed safely by house staff physicians-provided they are properly supervised by an experienced mentor, said Darren G. Gregory, MD.
Vision research advocates request NEI funding
November 1st 2003Washington, DC -- Members of the Alliance for Eye and Vision Research updated Congressional staffers about the latest developments in LASIK and corneal healing, and asked that Congress keep its promise to double the National Eye Institute's budget.
Vitrase results presented at retinal society meeting
November 1st 2003Irvine, CA -- Two phase III clinical trials of ovine hyaluronidase (Vitrase, ISTA Pharmaceuticals) reveal a statistically significant reduction in vitreous hemorrhage density in patients with diabetes during each of 3 months following a single intravitreous injection of ovine hyaluronidase when compared with a single injection of saline solution.
Results favor visual axis centration for hyperopic LASIK
November 1st 2003Beverly Hills, CA-Centration on the coaxially sighted corneal light reflex (visual axis) is a safe and effective technique for LASIK when treating low to moderate hyperopia with or without astigmatism, according to the results of a retrospective study.
Pediatric uveitis: a diagnostic dilemma
November 1st 2003Editor's Note: Although less common than uveitis in adults, uveitis in children can present unique diagnostic and therapeutic challenges. Emmett T. Cunningham Jr., MD, PhD, MPH, editor of the "Uveitis Update" column in Ophthalmology Times, asked a panel of uveitis specialists to comment on various aspects of the condition in this roundtable discussion. Their comments have been edited for length and clarity.