Surgical Maneuvers with Thomas John, MD
iStent inject W offers better results than earlier-generation devices
Patients with primary open-angle glaucoma who undergo cataract surgery have an opportunity to have both phacoemulsification with IOL implantation and a glaucoma procedure performed at the same sitting.
‘Air Xen’ technique offers alternative way to implant gel stent
Since the Xen gel stent was FDA approved in 2016, this less invasive glaucoma surgical device has been widely used to treat refractory glaucoma, decreasing IOP by shunting aqueous to the subconjunctival space.
Ab externo technique eases implantation of Xen gel stent
In this column, Dr. Radcliffe describes his ab externo technique for implanting the Xen gel stent, thus eliminating the need for the prism and for changing the microscope and patient’s head positions. However, continued long-term studies can help further establish the safety and efficacy of this procedure.
Intracapsular administration may simplify Dexycu technique
Intraocular corticosteroid use at the end of phacoemulsification with IOL implantation is a quick and easy way to deliver the medication and control postoperative inflammation after cataract surgery.
Surgeons face choice of whether to implant IOL in pediatric cataract surgery
Pediatric cataract continues to be a leading cause of childhood blindness.
Single-pass four-throw pupilloplasty has advantages in various clinical settings
Pupil size usually plays a significant role in the quality of vision.
Corneal allogenic intrastromal ring segments can be implanted with manual technique
Corneal structural and morphologic distortion of any degree usually has a negative impact on quality of vision, and patients can often become symptomatic even at an early stage.
CAIRS a reversible, stand-alone option for keratoconus treatment
Anterior lamellar keratoplasty continues to evolve, with newer surgical techniques and improved surgical instruments, and this progressive, forward movement is transforming the landscape of corneal surgery.
Tissue tuck technique provides alternative method of pterygium removal
A pterygium consists of a triangular, thickened mass of conjunctival and subconjunctival fibrovascular tissue with elastotic degeneration that crosses the limbus and invades the cornea, possibly interfering with vision.
Variety of surgical options may be successful in pediatric cataracts
Congenital or pediatric cataracts, the leading cause of preventable blindness in children, can be challenging even for the experienced pediatric ophthalmologist. In addition to the cataract, both ocular growth and visual development add further complexity to such management. In dealing with pediatric cataracts, one has to consider preoperative, intraoperative and prolonged postoperative management for the overall success in obtaining and maintaining optimal vision without any significant amblyopia.