Jules Stein Eye Institute

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Would you recommend multifocal IOLs to patients who have previously undergone refractive surgery?

Ocular Surgery News U.S. Edition, April 10, 2019
Before extended depth of focus lenses, I was not using multifocal IOLs in patients who had had prior refractive surgery. I had concerns about quality…
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IOL calculations in highly myopic eyes

Ocular Surgery News U.S. Edition, November 25, 2018
Uday Devgan, MD
Most people consider high myopia to be about –10 D or greater, but what about patients who are –20 D or more? For these patients with…
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Cataract surgery with traumatic zonular loss

Ocular Surgery News U.S. Edition, October 25, 2018
Uday Devgan, MD
The patient is a relatively young construction worker who sustained a blunt traumatic ocular injury that was fortunately nonpenetrating. This…
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Two techniques effective for YAG laser capsulotomy

Ocular Surgery News U.S. Edition, September 25, 2018
Uday Devgan, MD
Posterior capsule opacification, or PCO, is common after cataract surgery, especially after a few years have passed. Even a perfect surgery by a…
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Surgical repair of corneal laceration and anterior lens capsule rupture

Ocular Surgery News U.S. Edition, August 25, 2018
Uday Devgan, MD
A patient presents to our resident ophthalmology clinic with a 1-day history of a nail piercing his eye while doing construction work. Fortunately…
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Cataract surgery in patients older than 90 years

Ocular Surgery News U.S. Edition, July 25, 2018
Uday Devgan, MD
Average life expectancy is at an all-time high in the U.S. at 79 years, with even better news for people who are already seniors, who are expected to…
Cover Story

AI applications in ophthalmology achieve human expert-level performance

Ocular Surgery News U.S. Edition, June 10, 2018
Artificial intelligence, deep learning and machine learning are being used by ophthalmologists to verify disease diagnoses, read images, perfect IOL…
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Phaco chop revisited: Combo-chop combines horizontal and vertical chop techniques

Ocular Surgery News U.S. Edition, May 25, 2018
Uday Devgan, MD
When Dr. Nagahara introduced the phaco chop technique 25 years ago, it improved cataract surgery dramatically. Total ultrasound energy was reduced…
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IOL calculations evolve with artificial intelligence

Ocular Surgery News U.S. Edition, April 25, 2018
Uday Devgan, MD
An experienced cataract surgeon has developed an intuition after having done thousands of cases over the course of many years. If you ask this…
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Dealing with and learning from surgical complications

Ocular Surgery News U.S. Edition, March 25, 2018
Uday Devgan, MD
There are two types of doctors who never have surgical complications: those who do not operate and those who are not quite fully truthful. This…
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Approach to the dense brunescent cataract

Ocular Surgery News U.S. Edition, February 25, 2018
Uday Devgan, MD
Patients with dense brunescent cataracts have typically delayed having cataract surgery for many years. During this time, the nuclear sclerosis…
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Intumescent white cataract causes many surgical challenges

Ocular Surgery News U.S. Edition, January 25, 2018
Uday Devgan, MD
The intumescent white cataract poses challenges during many different steps of surgery. This begins in the preoperative period where biometry is…
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Certain challenging cataract cases can benefit from femtosecond laser

Ocular Surgery News U.S. Edition, December 25, 2017
Uday Devgan, MD
The femtosecond laser can be a useful tool for cataract surgery. In routine cataract cases, the benefit is typically mild and in expert hands may not…
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Plano may not be best refractive outcome for every patient

Ocular Surgery News U.S. Edition, November 25, 2017
Uday Devgan, MD
There is a pride that we feel as surgeons when our patients can read the 20/20 line without glasses after surgery. Achieving true emmetropia for the…
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IOL calculations in eyes with prior hyperopic LASIK

Ocular Surgery News U.S. Edition, October 25, 2017
Uday Devgan, MD
We know that patients who underwent prior corneal refractive surgery pose more of a challenge when it comes to performing IOL calculations for…
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Astigmatic effect from phaco incision placement

Ocular Surgery News U.S. Edition, September 25, 2017
Uday Devgan, MD
Many patients desire a refractive correction at the same time as cataract surgery. This makes sense because we can correct a large degree of…
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Three rules for corneal phaco incisions

Ocular Surgery News U.S. Edition, August 25, 2017
Uday Devgan, MD
Over the last two decades, cataract surgery has evolved from scleral incisions to corneal incisions, from retrobulbar anesthesia to topical…