9/20/2023 0 Comments Achroma intraocular lens![]() He began employing the device for small eyes to create more space in the anterior chamber, which he found made phacoemulsification easier. “Jay” McDonald II, MD, of Fayetteville, Arkansas, resurrected his use of the Honan cuff during cataract surgery. Agarwal’s techniques are always a fresh way to look at an old problem,” commented Dr. ![]() Lahners, MD, praised Amar Agarwal, FRCS, FRCOphth, for his glued IOL technique, in which the surgeon fixates a PCIOL using scleral tunnels and tissue glue rather than sutures. He then proceeded with phacoemulsification and a bimanual vitrectomy, after which the patient achieved “a great postoperative outcome without having to visit the retina guys.”īased in Sarasota, Florida, William J. Loden visco-levitated the remaining nucleus into the anterior chamber and inserted a three-piece IOL into the sulcus. Apparently, I chopped my bag along with the nucleus.” Remembering Dr. “Unfortunately, I had the opportunity to employ this technique with the rupture of the capsule after my first nuclear quadrant was removed. It showed “the insertion of a single-piece IOL into the sulcus as a lens fragment barrier in the face of capsular rupture,” Dr. Loden, MD, of Nashville gave Cincinnati surgeon Michael Snyder top marks for the video he presented during the 2010 Caribbean Eye Meeting. Although refractive surprises can still occur, their likelihood is reduced.” Cionni said that he has “been impressed with my ability to center the IOL (easily ascertained postoperatively with the AcrySof Restor due to the diffractive rings visualized centered in the undilated pupil and achieve 360° optic coverage. Since he began following Dr Hill’s suggestion, Dr. Cionni added that, because of their “sticky” nature, hydrophobic acrylic IOLs can be centered in the capsulorhexis and typically remain where positioned. The result, he said, is a continuous curvilinear capsulorhexis of about 5 mm in diameter due to the effect of corneal magnification. He then traces the capsulorhexis directly under the ring marked on the cornea. Cionni places the marker on the cornea and centers the Purkinje image from the microscope light’s filaments in the marker. As the patient fixates on the microscope’s light, Dr. Cionni began using a 5.75-mm optical zone marker (Mastel Precision, Inc., Rapid City, SD). However, by covering the IOL with 1 mm of residual anterior capsular rim for 360°-in addition to other factors such as measuring axial length and keratometry values with an IOLMaster or Lenstar LS900 and using newer optimized IOL power formulas appropriate for the axial length measured-one should be able to be within about 0.25 D of expected refractive result more consistently.” Cionni continued, “Without doing so, one cannot expect to be within 0.50 D of the expected refractive goal reliably. Cionni singled out Warren Hill, MD, of Mesa, Arizona, for explaining that “no single factor is more important in achieving the anticipated refractive goal than a capsulorhexis that is consistently sized to cover the IOL optic for 360°.” Dr. Three surgeons prized advice on lens implants. Slade reports that it “completely eliminates viscoelastics” from the procedure. He learned the technique from fellow Houston surgeon John Goosey, and Dr. ![]() Slade, MD, nominated the use of a Lewicky cannula for Descemet’s stripping automated endothelial keratoplasty. This article summarizes the responses of 13 ophthalmologists for several categories.īased on the panel’s responses, the best clinical pearls of 2010 pertained to cataract surgery, although CRSToday’s Chief Medical Editor Stephen G. One of the best ways we at Cataract & Refractive Surgery Today could think of to identify the ophthalmic highlights of last year was to ask the opinion of cataract and refractive surgeons hard at work in practices across the country. INNOVATIONS: A preview of today’s new products Refractive Surgery: Complex Case Management ![]() Refining Outcomes, Improving Conversion RatesĬataract Surgery: Complex Case Management Improving Safety, Visual Recovery, and Outcomes Technological Improvements Enhance Patients’ OutcomesĬapsular Cleansing and Primary Posterior Continuous Curvilinear Capsulorhexis CHIEF MEDICAL EDITOR’S PAGE: The Best of 2010įorecasted Volumes of LASIK and Presbyopiacorrecting IOLs for 2011Ĭataract Surgery: Top New Things I Am Doing Today ![]()
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