Understanding endpoints for quality of vision important
September 15th 2003Houston-Developing a basic understanding of the relationships among wavefront, contrast sensitivity, and Snellen visual acuity and how each describes quality of vision is critical to interpreting studies investigating the efficacy and safety of wavefront-guided refractive surgery, noted Jack T. Holladay, MD, MSEE, FACS.
Aberrometers provide useful source for refractive error data
September 15th 2003San Francisco-The integration of refractive error information obtained with a wavefront aberrometer into surgical planning may improve the results of conventional LASIK, said David R. Hardten, MD, at the annual meeting of the American Society of Cataract and Refractive Surgery.
Intraoperative pachymetry valuable for LASIK safety
September 15th 2003San Francisco-Intraoperative pachymetry is important in eyes undergoing LASIK because corneal thicknesses measured just before the microkeratome pass differ significantly from values obtained on a preoperative day, and at least when using the Hansatome microkeratome (Bausch & Lomb), correlate significantly with flap thickness, said Michael A. Redmond, MD, at the American Society of Cataract and Refractive Surgery annual meeting.
Wavefront aberrometry yields essential data for managing post-LASIK symptoms
September 15th 2003San Francisco-Wavefront aberrometry is a valuable tool for understanding the etiology of visual complaints post-LASIK in some patients with large pupils and appears to be promising as well for guiding "custom upgrade" procedures to address debilitating symptoms in those cases, said James J. Salz, MD, at the annual meeting of the American Society of Cataract and Refractive Surgery.
Flap creation safe with femtosecond laser
September 15th 2003San Francisco-Femtosecond laser technology (Intralase FS laser, IntraLase Corp.) provides LASIK surgeons a more precise, predictable method for creating a corneal flap than the conventional mechanical microkeratomes, explained two LASIK experts at the American Society of Cataract and Refractive Surgery annual meeting.
Scleral-corneal incision limits induced astigmatism
September 15th 2003Mesa, AZ-A one-pass scleral-corneal incision technique seems to "offer the best of both worlds" to cataract surgeons, according to Neal Nirenberg, MD, who uses the technique almost exclusively for his cataract patients in his private practice in Mesa, AZ.
Nidek sets wheels in motion to be GM of health care
September 15th 2003Hideo Ozawa has an aggressive vision for his company. As president and founder of Nidek Inc., Ozawa has set a plan in motion to transform the Japan-based eye-care company to the size of General Motors by the end of the 21st century.
Combined procedure used to treat Graves' orbitopathy
September 1st 2003Kansas City, MO-The combination of endoscopic medial wall and floor and transcutaneous lateral orbital decompression used to treat Graves' orbitopathy has a low risk of morbidity, but may not result in as much anatomic retropulsion of the globe as other methods, according to W. Abraham White, a medical student at the University of Missouri-Kansas, Kansas City, MO. White presented an analysis of results achieved by one otolaryngologist and one ophthalmologist using this method.
Initial tests of laser treatment for presbyopia are promising
September 1st 2003n]1?4?Id of small studies conducted in the United States and Canada found that most patients who underwent laser presbyopia reversal (LAPR) had significant clinical improvement and could read magazines and newspapers without glasses shortly after surgery.
Steroid is safe for treating conjunctivitis
September 1st 2003Loteprednol etabonate ophthalmic suspension 0.2% (Alrex, Bausch & Lomb Pharmaceuticals and Pharmos Corp.), the so-called "safe steroid" approved for treatment of seasonal allergic conjunctivitis, appears to be living up to its billing, according to several ophthalmologists who prescribe the drug for a range of ophthalmic allergies.
Cyclosporine drops useful in topical steroid-resistant eyes
September 1st 2003Fort Lauderdale, FL-Cyclosporine A drops may be an effective treatment for Thygeson's superficial punctate keratitis (SPK) over the long term. It is especially useful in patients whose disease does not respond to treatment with steroids or those whose disease responds to steroids and who have elevated IOP levels, according to the results of a U.K. study reported at the Association for Research in Vision and Ophthalmology.
Patient compliance improves with twice-daily dosing
September 1st 2003Fort Lauderdale, FL-A twice-daily dosing regimen of pemirolast potassium 0.1% ophthalmic solution (Alamast, Santen Inc., of Napa, CA, and Tampere, Finland) is as effective as the four-times-daily regimen of the drug for treating seasonal allergic conjunctivitis. The simpler dosing regimen may enhance patient compliance.
Allergy drug efficacy confirmed at molecular level
September 1st 2003Fort Lauderdale, FL-Olopatadine hydrochlo-ride ophthalmic solution (Patanol, Alcon) reduces the release of mast-cell-derived mediators and their allergic effects in the eyes of patients with allergic conjunctivitis, according to Andrea Leonardi, MD.
Medical therapy, trabeculectomy offer protection for OAG
September 1st 2003Aggressive topical medical therapy and trabeculectomy offer equal protection against visual field loss to patients with newly diagnosed open-angle glaucoma (OAG). This is the conclusion, based on the current follow-up of patients enrolled in the ongoing Collaborative Initial Glaucoma Treatment Study (CIGTS).
Mapped serial excision safe approach for lentigo maligna melanoma
September 1st 2003Adelaide, South Australia-For patients with periocular lentigo maligna and lentigo maligna melanoma, slow Mohs' surgery may be the answer. The procedure is a combination of rush processing of paraffin-embedded sections and mapped margin-controlled excision, which provides tissue conservation and the best cure rate compared with other treatments, such as unmonitored surgical excision, according to Raman Malhotra, MBChB, FRCOphth.
Study links OAG, thyroid disease
September 1st 2003Fort Lauderdale, FL-Analyses of data collected in the Blue Mountains Eye Study (BMES) provide evidence for a relationship between open-angle glaucoma (OAG) and thyroid disease, and particularly hypothyroidism, said Anne J. Lee, MBBS, at the annual meeting of the Association for Research in Vision and Ophthalmology.
Preoperative corneal thickness helps predict flap thickness
September 1st 2003San Francisco-Preoperative corneal thickness is the most important predictor of achieved flap thickness using the Hansa-tome (Bausch & Lomb) microkeratome, but preoperative spherical equivalent (SE) and microkeratome head choice also play a role, according to the results of a study presented by Jay S. Pepose, MD, PhD, at the annual meeting of the American Society of Cataract and Refractive Surgery.