Review of Ophthalmology

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Investigating IOL Complaints

1 week ago | reviewofophthalmology.com | Liz Hunter

Ocular surface issues are often exacerbated by cataract surgery, leading to patient dissatisfaction. Here, a patient presented in the clinic with complaints of blurred vision after cataract surgery with a multifocal IOL. Fluorescein staining revealed signs of anterior basement membrane dystrophy.1 Photo: Allister Gibbons, MD. The daily experience of a refractive cataract surgeon likely proves that the better the IOLs get, the higher patient expectations become.
Alternatives to the Yamane Technique

1 week ago | reviewofophthalmology.com | Christine Leonard

In the Yamane technique, the IOL haptics are inserted into the lumen of a needle and externalized through sclerotomies before flange creation. Photo: Uday Devgan, MD. Eyes with zonular loss and inadequate capsular support often require secondary intraocular lens fixation to restore vision.
Refractive CXL: An Update

1 week ago | reviewofophthalmology.com | Liz Hunter

Corneal collagen cross-linking has become the mainstay of treating keratoconus and corneal ectasia. The observed corneal flattening that takes place in eyes treated with CXL fostered theories about its utility as a primary refractive procedure, and while subsequent studies have seemingly supported this idea, it hasn’t been widely adopted. We spoke with A.
Navigating Unplanned Anterior Vitrectomies

1 month ago | reviewofophthalmology.com | Liz Hunter

Every cataract surgeon knows to expect the unexpected, and that includes inadvertently rupturing the posterior capsule. This complication can throw a wrench into an otherwise routine day in the OR, but if they remain calm and remember the proper steps for performing an anterior vitrectomy, cataract surgeons can manage the case efficiently and focus on their next patient.
Current Therapies for PVR

1 month ago | reviewofophthalmology.com | Michelle Stephenson

Proliferative vitreoretinopathy is the main cause of failure after retinal detachment surgery. “There is going to be some proliferation in all cases of retinal detachment. It’s a matter of whether it’s so excessive that it causes enough harm to frustrate the success of the surgery,” says William Smiddy, MD, in practice at Bascom Palmer Eye Institute. When PVR does occur, it has traditionally been treated surgically. According to Jennifer Lim, MD, in practice at the University of Illinois at Chicago.
Dealing with Post-Cataract Inflammation

1 month ago | reviewofophthalmology.com | Liz Hunter

Advancements in instrument cleaning, draping and the use of intracameral antibiotics have all contributed to the remarkably low risk of endophthalmitis following cataract surgery—which one 2019 study estimated to be 1.36 incidents per 1,000 surgeries.1 Despite its rarity, cataract surgeons should remain vigilant about its characteristics, many of which can resemble other forms of inflammation—namely toxic anterior segment syndrome.
Handling Refractive Surprises

1 month ago | reviewofophthalmology.com | Christine Leonard

Before the era of refractive cataract surgery, refractive misses weren’t much of a concern says Robert J. Weinstock, MD, of The Eye Institute of West Florida. “We didn’t promise spectacle independence, like we do today, so if there were refractive errors after cataract surgery we didn’t worry as much,” he explains. “Back then, if there was a significant refractive miss or if the IOL dislocated, requiring an IOL exchange, it felt like a huge failure.
VR Visual Fields: A Game-Changer?

2 months ago | reviewofophthalmology.com | Liz Hunter

Children of the 1980s and 1990s once dreamed of the day when video games would be fully immersive, with the ability to stand inside Mario’s mushroom world or the streets of Mortal Kombat without leaving home. Not only have these dreams become reality for gamers in the form of virtual reality headsets, but the technology has been harnessed for purposes beyond entertainment, including ophthalmology.
SMILE Procedures: How to Get the Best Results

2 months ago | reviewofophthalmology.com | Michelle Stephenson

Proponents of small incision lenticule extraction say that it offers several benefits compared to LASIK. But in order to realize these benefits, it takes the right techniques and approach to surgery. Here, expert SMILE surgeons share their favorite techniques and pearls that you can use to get the most from this procedure. SMILE’s Purported BenefitsFirst, SMILE fans say, the procedure is less invasive when compared to LASIK because no corneal flap is made.
Retinal Risks in Myopia and LASIK Surgery

2 months ago | reviewofophthalmology.com | Liz Hunter

Scientific literature has demonstrated the link between myopia and degenerations in the peripheral retina, including lattice degeneration, snail-track degeneration, retinal tears/holes, etc.1 Myopes are also more likely to experience a posterior vitreous detachment, and at a younger age.2 Laser-based refractive surgery such as LASIK can put this population of patients at risk for changes in the vitreous, retina and macula, even in femtosecond LASIK,1 and while most refractive surgeons agree...