Ophthalmology at risk for significant cuts from 2021 E/M changes

All surgical specialties, particularly ophthalmology, are facing steep across-the-board cuts to reimbursement—through a reduction in the conversion factor—if the Centers for Medicare and Medicaid Services (CMS) 2021 policies for evaluation and management (E/M) go into effect without modification.

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Choosing between monovision and multifocals

Monovision is a proven and trustworthy option to attain spectacle independence in patients undergoing cataract surgery. According to Ehud Assia, MD, the best results are attained by waiting for the outcomes of the first-eye surgery before moving on the create monovision.

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Xiidra out of the comfort zone

any practitioners are now reaching for Xiidra (lifitegrast, Shire, Lexington, Massachusetts) 5% for dry eye cases, but sometimes a patient may not initially be considered a success. Here’s what leading practitioners are doing to help more patients find respite with Xiidra.

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What to know about the Light Adjustable Lens

Though FDA approved, the Light Adjustable Lens (LAL, RxSight, Aliso Viejo, California) is not yet currently available in the U.S. Robert Maloney, MD, Los Angeles, John Doane, MD, Leawood, Kansas, David F. Chang, MD, Los Altos, California, and Kevin Waltz, MD, Indianapolis, discussed their experience with the lens in clinical trial, how it works, and for what corrections it has approval.

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Understanding spherical aberration

Today the goal of cataract surgery is to provide patients with the best possible quality of vision. While it is common to see patients post-cataract surgery with a visual acuity (VA) of 20/20, many patients remain dissatisfied with their quality of vision. This is due to several factors, including problems with the ocular surface, pseudophakic dysphotopsia, and optical aberrations in general.

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How sleep position may affect dry eye

Dry eye is the single most common reason that patients come into a practitioner’s office, with a prevalence of around 40% of those seeking ophthalmic care, according to Hank Perry, MD, Ophthalmic Consultants of Long Island, New York. What may not be clear in an office visit is that the patient’s sleep position may be a prime factor in his or her condition.

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Trifocals outperforming other premium lenses

When multifocal lenses were first introduced, they were heralded as a means of providing both near and distance vision improvements for patients undergoing cataract surgery. These IOLs feature two main foci, but patients continually demanded better intermediate vision. In today’s world, one could argue intermediate vision is even more crucial than near for performing daily tasks such as using a computer, tablet, or smartphone.

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