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n]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.

Thinking of incorporating wavefront technology into your practice? Curious as to where we're headed with pseudophakic IOLs? Like to find out about the latest advances in glaucoma, neuro-ophthalmology, retina, or uveitis?

Loteprednol 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.

Fort 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.

With a host of allergy medications from which to choose, clinicians need to thoroughly explore patient history before determining which drug is most appropriate for each individual.

Fort 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.

Fort Lauderdale, FL-Ketotifen fumarate 0.025% ophthalmic solution (Zaditen/Zaditor, Novartis Ophthalmics) is safe for use in a pediatric population with allergic conjunctivitis, according to H. Jerome Crampton, MD.

Fort 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.

Aggressive 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).

Adelaide, 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.

Fort 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.

San 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.

New York-Potential suitors are lining up to express interest in the probable sale of Pfizer Inc.'s surgical ophthalmology business, but so far, no one is proposing-publicly.

San Francisco-An investigational oval suction ring for the Carriazo-Pendular microkeratome (Schwind) allows for optimal suction even in astigmatic eyes and maximizes the ablatable area of the stromal bed, according to its inventor.

Alameda, CA-Calling the OcuGene glaucoma genetic test a useful tool in identifying at-risk relatives of glaucoma patients, the director of Glaucoma Service at Wills Eye Hospital in Philadelphia announced he is incorporating InSite Vision Inc.'s test into the hospital's glaucoma patient management program.

Washington, DC-A bipartisan group of congressional representatives has formed the Congressional Vision Caucus to raise public awareness about the importance of funding research for eye disease and public health education efforts.

Rochester, NY-Bausch & Lomb will work with Faezeh Mona Sarfarazi, MD, to develop a single-piece, molded silicone lens with a dual optic design aimed at helping presbyopic patients.

Editor's Note: In last month's "Dispensing Solutions" column, Pamela B. Fritz left off with a discussion on space allocation for the MD dispensary (see Ophthalmology Times, July 15, 2003 issue, Page 42). There are several other considerations in determining proper space allocation.

Fort 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.

Fort 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.

Barcelona, 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.

Fort 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.

Fort 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.

Duluth, 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.

Fort Lauderdale, FL-Reformulated ketorolac tro-methamine ophthalmic solution 0.4% (Acular LS, Allergan) is a safe and effective topical nonsteroidal anti-inflammatory drug (NSAID) for treating ocular pain after PRK.

Ashland, 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.

In the ophthalmic market, there is a distinctive gap between industry leaders and followers.

Munich, 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.