Drug therapy may enhance outcomes of retinal repair
August 15th 2003Fort Lauderdale, FL-Pharmacologic enhancement for retinal repair surgery continues to be a viable strategy, and the promise of its use to improve outcomes may be fulfilled as drug therapy enters a new era, said Mark S. Blumenkranz, MD, at the annual meeting of the Association for Research in Vision and Ophthalmology.
Lid scrubs, fluoroquinolone good prophylaxis before surgery
August 15th 2003Fort Lauderdale, FL-The combination of lid scrubs and a broad-spectrum fluoroquinolone appears to reduce the number of bacteria in the eyelids and conjunctiva when used before cataract surgery. However, the use of preoperative lid scrubs alone appears to make more bacteria available to the ocular surface, in a recent study, produced a higher rate of positive cultures than when no prophylactic measures were used.
Cataract patients tolerate tobramycin and dexamethasone suspension four times daily
August 15th 2003Barcelona, Spain-A combination eye-drop formulation of tobramycin and dexamethasone suspension (TobraDex, Alcon) is safe and well tolerated in patients when administered four times daily to control inflammation following cataract surgery.
Fluoroquinolone helps combat keratitis after lamellar keratectomy
August 15th 2003Fort Lauderdale, FL-In a comparison study of three fluoroquinolones, gatifloxacin ophthalmic solution 0.3% (Zymar, Allergan), a new fourth-generation compound, was the most effective agent in the treatment of Mycobacterium chelonae keratitis after lamellar keratectomy in an animal model.
Topical drop handles moderate inflammation associated with KCS
August 15th 2003Fort Lauderdale, FL-Topical loteprednol etabonate 0.5% (Lotemax, Bausch & Lomb) instilled four times daily may be beneficial to treat patients who have keratoconjunctivitis sicca (KCS) with at least a moderate inflammatory component.
NSAID helps reduce pain after cataract, refractive surgery
August 15th 2003Duluth, GA-Diclofenac sodium ophthalmic solution (Voltaren, Novartis Ophthalmics) is a nonsteroidal anti-inflammatory drug (NSAID) with a proven track record. It is the drug of choice to relieve pain following cataract or refractive surgery, and it has maintained that position despite the increased incidence of corneal melt associated with a generic version of the drug, according to Douglas A. Katsev, MD. He described diclofenac as a staple in his private practice in Santa Barbara, CA.
Doctors restore vision, hope to poor in Dominican Republic, Honduras
August 15th 2003Ashland, OH-Less than 2 hours by air from the sun-drenched beaches of Miami lay countries where impoverished people have never seen a doctor. In the Dominican Republic and Honduras, where electricity is unreliable and roads are often impassable, congenital glaucoma blinds children and cataracts grow rock hard. Diabetes robs young and old of their limbs, jobs are scarce, and mail and garbage service are nonexistent. Most adults carry machetes for protection.
ESCRS to focus on four symposia during annual meeting
August 15th 2003Munich, Germany-The 2003 annual gathering of the European Society of Cataract and Refractive Surgeons (ESCRS) will open on Saturday, Sept. 6 and continue through Wednesday, Sept. 10, at the ICM Congress Centre, in this city in the heart of Bavaria.
Iris registration a new angle on cyclotorsion
August 15th 2003San Francisco-Automatic iris registration is the basis for the next-generation registration and tracking technology and represents a superior technique for cyclotorsional compensation, said Marc G. Odrich, MD, at the annual meeting of the American Society of Cataract and Refractive Surgery.
Researchers pursue genetic link with secondary glaucomas
August 15th 2003Boston-Genetic researchers are trying to identify the genetic causes of several conditions that seem to predispose individuals to secondary glaucomas, according to Janey Lee Wiggs, MD, PhD. She reviewed the current knowledge of the molecular genetics of the secondary glaucomas.
Experts reveal latest wisdom in glaucoma management
August 15th 2003Chicago-In a series of formal lectures, panel discussions, mini-workshops, and Q&A sessions at "Glaucoma 2003," glaucoma experts summarized recent information on new imaging and perimetry technologies, treatment modalities, clinical trial findings, and the management of challenging glaucoma cases and surgical complications with a focus on applications to daily patient care.
Fluoroquinolone more effective against gram-positive bacteria
August 1st 2003Fort Lauderdale, FL-Gatifloxacin ophthalmic solution 0.3% (Zymar, Allergan) shows clearly improved activity against commonly encountered gram-positive ocular bacteria in vitro compared with older fluoroquinolones. This fourth-generation fluoroquinolone received FDA approval in March (see related article, Ophthalmology Times, May 1 issue, Page 1).
Detection of glaucoma progression critical
August 1st 2003Fort Lauderdale, FL-What constitutes glaucoma progression and the relationship between progressive structural and functional injury? These were the main questions researchers set out to answer during a glaucoma mini-symposium at the annual meeting of the Association for Research in Vision and Ophthalmology.
Intravitreal triamcinolone favorable in treating persistent DME
August 1st 2003Fort Lauderdale, FL-In the short term, intravitreal triamcinolone acetonide (4 mg) reduces the risk of progressive loss of vision and commonly improves vision in patients with diabetic cystoid foveal edema that persists after laser treatment, said Mark C. Gillies, MD, PhD, at the annual meeting of the Association for Research in Vision and Ophthalmology.
Skills Exchange program pairs doctors for mutually beneficial relationship
August 1st 2003When Charles A. Kirby, MD, wanted to learn more about expanding his practice with conductive keratoplasty (CK), he did more than read about the procedure and attend seminars. He took a cue from a popular television game show to "phone a friend."
IOL design mimics optic shape change of natural lens
August 1st 2003San Francisco-A novel accommodating IOL (FlexOptic, Quest Vision) designed to mimic the natural crystalline lens through an ability to change optic sphericity is a promising new alternative to treating presbyopia, with the potential for superior efficacy and safety relative to other options for surgical accommodative correction, said John D. Hunkeler, MD, at the American Society of Cataract and Refractive Surgery annual meeting.
Pseudophakic multifocal IOL affords reduced spectacle dependency
August 1st 2003San Francisco-For appropriately selected patients undergoing cataract surgery, implantation of a foldable, multifocal IOL (Array SA40 IOL, AMO) is the best available solution for providing good uncorrected near and distance vision, said Roger Onnis, MD, at the American Society of Cataract and Refractive Surgery annual meeting.
Intravitreal triamcinolone shows promise for CRVO
August 1st 2003Fort Lauderdale, FL-Intravitreal injection of triamcinolone acetonide (Kenalog, Bristol-Myers Squibb) may be a safe and effective treatment for central retinal vein occlusion (CRVO), said Michael S. Ip, MD, at the annual meeting of the Association for Research in Vision and Ophthalmology.