News

Kingston, PA-FDA study results show the safety and effectiveness of the investigational viscous-dispersive ophthalmic viscosurgical device (OVD) DisCoVisc (Alcon Laboratories) for use during cataract surgery and IOL implantation, said Harvey Reiser, MD.

San Diego-A system for performing a sutureless posterior vitrectomy uses 25-gauge cannula instruments that can be inserted directly through the conjunctiva and eliminates the need for its dissection. The transconjunctival sutureless vitrectomy system (TSV25, Bausch & Lomb) reduces the problems associated with performing surgery in eyes with a shallow anterior chamber, according to Rosa Braga-Mele, MD.

IOLs that block blue light, such as the AcrySof Natural IOL (Alcon Laboratories), trade scotopic visual performance for limited protection against acute UV-blue retinal phototoxicity, and they are a particularly poor choice for individuals whose scotopic vision is impaired because of conditions such as age-related macular degeneration (AMD) and diabetic retinopathy, according to Martin A. Mainster, PhD, MD, FRCOphth.

San Diego-A laboratory comparison of the theoretical optical performance of three different IOLs conducted under similar intraocular conditions indicated that the aberration-free IOL (L161AO, Bausch & Lomb) was superior to the conventional IOL (L161U, Bausch & Lomb) in optical performance under all conditions. It was superior to the modified prolate aspheric IOL (Tecnis Z9000, Advanced Medical Optics) in various degrees of decentration, and it maintained optical performance in various simulated clinical conditions.

Almost all cases of phacoemulsification can be performed by means of a bimanual microincision approach. The major advantage ofbimanual microincisions has been an improvement in control over most of the steps involved in endocapsular surgery. The anterior chamber is more stable during capsulorhexis construction, hydrodelineation and hydrodissection can be performed more efficiently, and separation of irrigation from aspiration allows for improved followability by avoiding competing currents at the tip of the phaco needle.

Magnets have led travelers and explorers safely home and have spared ship's captains from the ocean depths. Today, they play a major role in medicine in the analysis of ourinternal organs by the use of magnetic resonance imaging (MRI).

New York-Multifocal electroretinograms (mfERGs) and multifocal visual evoked potentials (mfVEPs) are relatively new techniques that are starting to be used in a clinical setting. Jeffrey G. Odel, MD, discussed the usefulness of these diagnostic tests in patients with neuro-ophthalmic pathology.

Buffalo, NY-In the absence of optic nerve swelling, the clinician may be faced with a difficult diagnosis in a patient with a pale optic nerve, according to Norah S. Lincoff-Cohen, MD. A comprehensive differential diagnosis needs to be made to rule out disorders that may require immediate treatment.

New York -Five potential causes of failure of glaucoma filtration surgery include excessive subconjunctival fibrosis, tight scleral flap sutures, encapsulated bleb, occluded internal ostium, and intraocular obstruction, according to James C. Tsai, MD.

Munich, Germany-The key to minimizing vision loss associated with diabetic macular edema (DME) is to develop a treatment to prevent the edema from reaching the center of the macula, according to analyses of a study by Eli Lilly and Co.

San Carlos, CA-The international approval process of pegaptanib sodium injection (Macugen) as a potential treatment for neovascular age-related macular degeneration is under way, as the companies begin filings in Europe, Canada, and Japan.

New York-The New York Eye and Ear Infirmary (NYEEI) celebrates the grand opening of its $1 million, 1,200-square-foot Microsurgical Education Center for Otolaryngology and Ophthalmology.

Therapies for the management of age-related macular degeneration (AMD) have progressed rapidly in recent years. Ophthalmology Times convened a panel of cutting-edge retinal specialists from across the United States to discuss the latest in the diagnosis of AMD and to explore current practice patterns with pharmaceutical and surgical treatment options.

Verisyse lens approved

The FDA approval in mid-September of the Verisyse/Artisan phakic IOL [Advanced Medical Optics Inc. (AMO) and Ophtec USA] for use in patients with myopia could be the start of a revolution comparable to the advent of LASIK, according to Eric D. Donnenfeld, MD, FACS, one of the investigators who took part in clinical trials of the lens.

Bethesda, MD-Baseline data from the Age-Related Eye Disease Study (AREDS) have shown a protective effect for fish consumption in patients with age-related macular degeneration (AMD), said Emily Y. Chew, MD. Furthermore, 5 years of additional follow-up have yielded new data on mortality.

Nashville-Although outcomes data from the Submacular Surgery Trials are not yet available, quality-of-life information from the study will help investigators evaluate the effectiveness of various treatment options for age-related macular degeneration (AMD), said Paul Sternberg Jr., MD.

New York-The 3-D Anatomy Imager software, the latest modular feature associated with the Retinal Thickness Analyzer (RTA) ophthalmic imaging system (Talia Technology), offers a new level of interactivity in retinal imaging, according to Richard B. Rosen, MD, FACS.

San Diego-An off-label use of conductive keratoplasty (CK) is treatment of presbyopia in patients who had undergone a previous LASIK procedure. Stephen Pascucci, MD, demonstrated that CK improves near vision in these patients and has little effect on the uncorrected binocular distance visual acuity. Patient counseling is mandatory to prepare them for 3 to 4 months of blurry distance vision.

San Diego-Scleral ablation with the 2.94 erbium:YAG laser for the treatment of presbyopia seems to be an effective and safe procedure in most patients, according to Bobby Maddox, MD, here at the American Society of Cataract and Refractive Surgery annual meeting.

San Diego-LASIK using the Allegretto Wave Laser (WaveLight Laser Technologie AG) can be effective to treat anisometropic amblyopia in the absence of any other appropriate treatments. Well-centered ablations can be achieved even in patients with poor fixation because of the eye tracker.

SEE concluded that the preventable risk associated with pre-surgery lies in obtaining an adequate patient history and performing a thorough examinationof the patient.