OSN New York and OSN New York Retina

At OSN New York 2016, John W. Kitchens, MD, discusses ways the anterior segment specialist can partner with a retina specialist, sharing ideas from both a business standpoint and a surgical standpoint.

At OSN New York 2016, Karolinne Maia Rocha, MD, discusses dysfunctional lens syndrome. In the aging eye, the first stage of dysfunctional lens syndrome is loss of accommodation. The approach to dysfunctional lens syndrome improves light scatter and aberrations, according to Rocha.

The emergence of refractive cataract surgery is the "most important development" in cataract surgery over the past few years, Carlos Buznego, MD, told colleagues at OSN New York 2016. Ideally, refractive cataract surgery incorporating a surgical planning system to correct astigmatism should decrease surgeon stress in the operating room by guiding axis marking, nomogram application and incision precision and adjustment, according to Buznego.

At OSN New York 2016, Kathryn M. Hatch, MD, describes how she uses intraoperative aberrometry in the operating room routinely for astigmatism management to titrate limbal relaxing incisions and to adjust IOL power decisions. She also relies on intraoperative aberrometry in atypical cases to help guide decision making.

Prompt handling is key to successful management of epithelial ingrowth after LASIK, according to Helen K. Wu, MD, who spoke on the topic at OSN New York 2016. Management techniques include scaping and replacement of the flap; suturing of the flap, use of tissue adhesive, sealant or amniotic membrane patching to facilitate flap adhesion; and YAG treatment of areas of ingrowth in recalcitrant cases. "Prevention may be, however, the best cure," she said.

At OSN New York 2016, Nicole Fram, MD, tells colleagues how to manage positive dysphotopsia, which can manifest on postoperative day 1 after cataract surgery. According to Fram, changing the IOL material to collamer or silicone is a strategy to try in patients with "recalcitrant complaints," although research is needed to confirm the best material for IOL exchange.

In his keynote address at the 25th anniversary of the OSN New York meeting, OCULAR SURGERY NEWS Chief Medical Editor Richard Lindstrom, MD, discusses refractive corneal surgery -- where it is now and where it has been. He advises ophthalmologists to prepare for the higher demand that will come as the millennial generation ages.

NEW YORK ― At the OSN New York meeting here, Thomas "TJ" John, MD, reports results of a randomized controlled study testing the use of cryopreserved amniotic membrane in cases of dry eye disease. The study was undertaken to test the hypothesis that cryopreserved amniotic membrane, which is rich in nerve growth factors, would promote corneal nerve regeneration and, through its anti-inflammatory properties, would also improve overall ocular surface health.

NEW YORK — Abandoned LASIK flap procedures due to complications are uncommon, but a second surgery can still result in positive outcomes for patients if surgeons optimize timing and their surgical technique, a speaker said here.

NEW YORK — Both PRK and LASIK are effective refractive surgery procedures, but patients with preoperative dry eye and those who are at high risk for ectasia may be better candidates for PRK, according to a speaker here.