News

Pathology is the branch of medicine that deals with the nature of diseases, their cause and effect, particularly from the structural and functional changes that they cause. In its earliest forms, its origins date back to biblical times.

Asthenopia, blurred vision, and diplopia are classic symptoms of strabismus, which occasionally requires the use of prism or surgery to restore normal binocular vision. Ophthalmic prisms may be useful in the management of both tropias and phorias. In this column, we will discuss the management of prescriptions that contain prism.

New York-Obtaining corneal pachymetry readings and correcting IOP based on those data is key to improved evaluation and management of glaucoma, said James C. Tsai, MD.

Nice, France-The diffractive/refractive, fold-able, multifocal AcrySof IOL (study model MA60D3, Alcon, Fort Worth, TX) achieves similar mean distance vision and better near vision compared with the Array multifocal SA40N IOL (AMO, Santa Ana, CA), an FDA-approved IOL. Importantly, patients reported significantly fewer complaints of halos compared with the SA40N IOL, according to Philippe Dublineau, MD.

Nice, France-Microburst phacoemulsification improves surgical control and efficiency during high-vacuum/high-flow cataract surgery, resulting in a safer procedure compared with the standard phacoemulsification procedure.

Orlando-Cataract and refractive surgeons have worked hard over the last decade, perfecting their surgical techniques. Small-incision cataract surgery has revolutionized the ophthalmic profession as have developments in laser refractive procedures. But surgical technique is only part of the equation for producing outstanding surgical outcomes. Prevention of post-surgical infection is another concern.

Malm?weden-The initial results of the Early Manifest Glaucoma Trial (EMGT), a National Eye Institute-sponsored study conducted in Sweden, suggest that IOP-lowering treatment significantly delays progression of open-angle glaucoma in patients with elevated and normal IOP.

The Castillejos LASIK re-treatment spatula (Rhein Medical Inc.)was designed to help surgeons lift stubborn flaps more easily, and with less trauma to theepithelium, according to the instrument's inventor, David Castillejos, MD, FACS.

Cleveland-Cleveland Clinic's Cole Eye Institute has been chosen as the Foundation Fighting Blindness' national collection site for eyes donated for blindness research. The collection center, formally known as the Retinal Degeneration Pathophysiology Facility, was previously located in Phila-delphia.

Geneva-Visual impairment and blindness are taking a toll on poor countries in terms of lost productivity. About 80% of these cases could be prevented or treated, according to a report issued by the World Health Organization (WHO) and the International Agency for the Prevention of Blindness (IAPB).

Orlando-Abdullah Abdullah, MD, the foreign minister of the transitional government of Afghanistan, asked members of the American Academy of Ophthalmology (AAO) to help his country in any way they could to improve the state of eye care for 22 million people.

This study was designed to determine treatment sequences in patients whose advanced glaucoma was not able to be adequately controlled with maximum medical therapy.

Cincinnati, OH-The quarterly Video Journal of Cataract and Refractive Surgery has published two more issues in 2002 that are available free to residency programs in the United States and surgeons abroad.

Nidek gains approval for operating system, eye-tracking deviceThe FDA has approved Nidek Inc.'s Windows-based operating system and new intraoperative eye-tracking device for the Nidek EC-5000 excimer laser system. The laser system is approved for commercial distribution in the United States for LASIK and PRK for myopia with or without astigmatism.

Fairfax, VA-Don Bell, who has spent 8 years handling membership, special projects, and program development with the American Society of Cataract and Refractive Surgery (ASCRS), takes on a new role as director of the ASCRS Foundation.

Mountain View, CA-IRIDEX Corp. will design and manufacture a green, 532-nm laser photocoagulator module for Bausch & Lomb to include with its Millennium Microsurgical System.

Birmingham, AL-The University of Alabama at Birmingham (UAB) has opened the first fully integrated low vision rehabilitation center in the United States.

New York-Amar Agarwal, MD, and Murali K. Aasuri, MD, have won first and second prizes, respectively, in the phacopearls.com video contest sponsored by Bausch & Lomb.

Santa Clara, CA-Lumenis Ltd. is hoping to broaden the use of its ophthalmic laser products via two new strategic alliances with Ellex Medical Pty. Ltd. and Moria S.A.

Fremont, CA-Addition Technology Inc. will double its product line in Europe since it recently received a CE marking for six new sizes of Intacs prescription inserts. The new sizes extend the availability of the inserts in both smaller increments (0.275, 0.325, 0.375, and 0.425 mm) and new sizes (0.21 and 0.23 mm).

New York-Innovative partnerships between the public and private sectors are key to solving many of the complex health challenges facing the developing world today, according to former President Jimmy Carter; Merck Chairman, President, and CEO Raymond V. Gilmartin; and other participants of a roundtable discussion held prior to World Sight Day in October.

Nice, France-An innovative ultra-thin, small-incision IOL featuring a unique optical system addresses existing limitations of IOL technology and has the potential to revolutionize cataract and phakic refractive IOL surgery, according to J. Charles Casebeer, MD, at the XX Congress of the European Society of Cat-aract and Refractive Surgeons.

Posterior polar cataracts represent one of the more challenging cases for cataract surgeons. The difficulty with these cataracts stems from a frank defect or abnormal attenuation in the posterior capsule in the region of the polar cataract and an increased risk of posterior capsule rupture at any stage of the lens extraction procedure.

Kathmandu, Nepal-What may be one man's elective may be another man's necessity. Such is the case with LASIK in the Himalayas.

Like other areas of ophthalmology, refractive surgery enjoyed a number of refinements and advancements over the past year, including the FDA approval of both wavefront technology and conductive keratoplasty for hyperopia, and advances in refractive IOLs, among others. However, wavefront technology took center stage as the development cited as having the most potential benefit for patients undergoing refractive procedures. Several refractive surgeons weigh in on advances in their subspecialty in 2002.

In a recent Market Scope report onphakic IOLs, editor David Harmon observes: "Phakic IOLs have become a standard part of the European ophthalmologist's tool kit. CE Mark regulatory approval has been granted to four manufacturers of the devices . . . Europe has become the center of worldwide phakic IOL clinical experience . . . European surgeons implanted an estimated 15,350 phakic IOLs last year."

San Francisco-The angiostatic steroid anecortave acetate continues to show promise as a safe and effective treatment for subfoveal, exudative age-related macular degeneration (AMD), according to results from an interim analysis of an ongoing phase II trial.

For John Bingner Lyman, MD, time spent in his wood shop is just plane fun.