Cataract Extraction

Intraoperative Descemet’s detachment after the lens capsule is opened but before complete extraction of the nucleus/cortex can be challenging.

Thirty years ago, I eliminated injection anesthesia from routine cataract extraction. I combined this with clear corneal incisions and topical anesthesia to create what I termed “Fichman Quick Sight.”

NEW YORK — At OSN New York 2019, Ashvin Agarwal, MD, discusses how he incorporates the glued IOL technique to complex cataract surgeries such as dislocated crystalline lens and Soemmering’s ring cases.

SAN FRANCISCO — At the American Academy of Ophthalmology meeting, John A. Hovanesian, MD, discusses his presentation showing improvement in dry eye parameters after 1 month of treatment with Xiidra (lifitegrast, Novartis) preceding cataract surgery.

SAN FRANCISCO — At the American Academy of Ophthalmology meeting, Helga F. Pizio, MD, FACS, discusses her poster presentation on energy fluid metric analysis of cloud-based data for patients undergoing phacoemulsification.

SAN FRANCISCO — At the Ophthalmology Innovation Summit preceding the American Academy of Ophthalmology meeting, Nick Curtis, CEO of Lensar, discusses three recent advancements for Lensar involving microincision, improvements in cataract surgery results and practice partnerships.

LAS VEGAS – Clark Chang, OD, MSA, MSc, FAAO, of Wills Eye Hospital and TLC Laser Eye Centers, shared some recent developments in cataract surgery here at Vision Expo West, including Alcon’s AcrySof IQ PanOptix trifocal IOL and the Light Adjustable Lens from RxSight.

PARIS — Pavel Stodulka, MD, PhD, performed the first in-human surgery with a new femtosecond laser for cataract surgery manufactured by the French company Keranova. The laser, which raised great interest at the European Society of Cataract and Refractive Surgeons meeting, fragments the nucleus in 20,000 cubic fragments of 200 µm size in less than 20 seconds and through a sophisticated intelligent technology customizes laser power to the different parts of the lens.

PARIS — At the European Society of Cataract and Refractive Surgeons meeting, John A. Hovanesian, MD, speaks about the importance of treating dry eye before cataract surgery. Four-week treatment with Xiidra (lifitegrast ophthalmic solution 5%, Novartis) significantly improved accuracy of biometry and visual outcomes in a study.

PARIS — In a series of 125 patients looking at the precision of capsulotomies created with the CAPSULaser compared with manual technique before routine cataract surgery, Erik L. Mertens, MD, FEBOphth, of Medipolis Eye Centre in Antwerp, Belgium, found the selective laser capsulotomy technique to be better in sizing accuracy, circularity and centration.