Iridotomy is done: Now what?
Is an angle closure glaucoma suspect off the hook once the laser peripheral iridotomy (LPI) is performed? Not quite.
Is an angle closure glaucoma suspect off the hook once the laser peripheral iridotomy (LPI) is performed? Not quite.
The SMILE (small incision lenticule extraction) procedure (Carl Zeiss Meditec, Jena, Germany) is increasing in popularity, with many studies on its results and how it compares to LASIK. Though it does not have as long of a track record as LASIK, which has been used for around 2 decades, SMILE is gaining ground, with particular application for patients with myopia.
Eric Donnenfeld, MD, Rockville Centre, New York, said: This patient has three significant problems that are all likely contributing to his problem of glare and halo: IOL opacifications, hyperopic refractive error, and a fixed dilated pupil. The cataract surgery was otherwise done well and the 1-piece acrylic IOL is in the bag.
Over the past 2 decades, numerous epidemiologic studies have revealed that normal tension glaucoma (NTG) represents a much higher proportion of all open-angle glaucoma than previously thought. These studies have also demonstrated significant regional variation in the prevalence of NTG. This was the focus of one of the glaucoma sessions at the 2016 World Ophthalmology Congress (WOC) in Guadalajara, Mexico.
Meibomian gland dysfunction (MGD) is a common finding among patients who seek eyecare. In many patients, the disease is completely asymptomatic. In others, the severity can range from being a mild annoyance to significantly impacting vision and quality of life.
The correction of high myopia is limited, but phakic IOLs do provide a surgical option. "For many years we have been looking for a quality anterior chamber phakic IOL that could be easily performed in a clean room rather than an operating room," said Eric D. Donnenfeld, MD, partner at Ophthalmic Consultants of Long Island, Rockville Centre, N.Y., and clinical professor of ophthalmology, New York University Medical School.
The best way to treat negative dysphotopsia remains a hot topic among surgeons. Negative dysphotopsia that occurs right after cataract surgery is usually best left to resolve on its own. However, if the problem continues a few months after surgery, ophthalmologists must step in to provide a treatment. Their treatment approach usually depends on what they suspect is the cause.
The visual disturbances exacerbated by ocular surgery can range from annoying to disabling.
The success of any surgical intervention depends as much on postoperative care and management as it does on the surgical procedure itself. This undoubtedly also holds true for corneal crosslinking. At our hospital, we have been performing corneal crosslinking with the IROC illumination system since the development of the first prototype and continue to use the latest UV-X 2000 crosslinking device.
Supplements aimed at treating dry eye have garnered increasing attention from ophthalmologists, but spotty data has limited their use.