Ophthalmology

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Publication Exclusive: Extra effort needed to achieve ideal results in refractive cataract surgery patients

August 31, 2015

The most demanding lens implant patient for me in regards to postoperative residual refractive error is the individual who has significant astigmatism and desires spectacle independent vision at all distances. While there are different surgeon preferences and lens implant approvals in each country, let’s presume we have access to and have chosen to use a bifocal or trifocal toric diffractive multifocal IOL.

My experience is that in order to achieve high patient satisfaction, I need to generate a refractive outcome with no more than 0.5 D of residual astigmatism and less than 0.5 D of residual spherical equivalent. There are many published series of refractive outcomes, including those from the United Kingdom, the Swedish registry and, closer to home, a large registry of cases accumulated by Guy Kezirian. These data sets suggest that with standard methods of optical biometry, astigmatism measurement and steeper meridian marking, the “typical surgeon” only achieves this outcome in 50% to 65% of cases.

In the Journals

Readmission rates may skew hospital quality measurements

August 31, 2015
Readmission rates were an ineffective measure of a hospital’s quality because they did not take into account readmissions from different hospitals, resulting in a…

Top five ophthalmology news stories this week

August 30, 2015
This week, the most frequently viewed ophthalmology articles on Healio.com ranged from business news from leading ophthalmology companies to peer-reviewed journal…

Publication Exclusive: Pediatric patient presents with acute onset of vision loss

August 29, 2015
An 8-year-old Asian boy presented with vision loss in the right eye for 1 day. He described a central area of vision loss with intact peripheral vision. At the onset of…
In the Journals

Age, gender, subtype may influence recurrence of AMD after anti-VEGF treatment

August 28, 2015
Recurrence of neovascular age-related macular degeneration after anti-VEGF treatment may be associated with age and gender, and occur sooner in patients with polypoidal…
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Practical Retina

Comparing Aflibercept, Bevacizumab, and Ranibizumab for DME: Analysis of DRCR Protocol T

Ophthalmic Surgery, Lasers and Imaging Retina, March 2015, Volume 46 Issue 3
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CME
Premium Cataract Surgery in 2015: Advances in Technique, Technology, and Premium IOL Materials

Premium Cataract Surgery in 2015: Advances in Technique, Technology, and Premium IOL Materials

This activity is supported by an educational grant from Bausch + Lomb.

Patients have high expectations for their visual acuity following cataract surgery and implantation of premium IOLs. To…
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Meeting News Coverage Video
VIDEO: Defining and treating astigmatism

VIDEO: Defining and treating astigmatism

July 26, 2015
At the Kiawah Eye 2015 meeting, John A. Hovanesian, MD, FACS, discusses how treating astigmatism in patients will…
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