What Can Diabetic Patients Expect From Cataract Surgery?

VA Outcomes and Prognostic Factors Following Phacoemulsification Cataract Surgery in Patients with Diabetes

In Denmark, investigators performed a cohort study to assess visual acuity outcomes after phacoemulsification cataract surgery in a large population of diabetic patients with all degrees of diabetic retinopathy. This review of prospectively collected data comprised patients who had small-incision phacoemulsification cataract surgery between 1999 and 2008 (10 years) according to the Danish National Patient Registry.

The investigators reviewed the data of 7,323 diabetic patients. They noted that of these patients, 285 had cataract surgery. They found that the corrected distance visual acuity (CDVA) increased significantly after cataract surgery […]

By |October 31st, 2011|Astigmatism, Blog, Cataract Surgery, Duke Eye Center, LASIK|0 Comments

Are You Thinking About LASIK? Weigh all of the options!

A great overview from the AAO is as follows:

LASIK (laser-assisted in situ keratomileusis) is an outpatientrefractive surgery procedure used to treat nearsightedness,farsightedness and astigmatism. A laser is used to reshape the cornea — the clear, round dome at the front of the eye — to improve the way the eye focuses light rays onto the retina at the back of the eye.

With LASIK, an ophthalmologist (Eye M.D.) creates a thin flap in the cornea using either a blade or a laser. The surgeon folds back the flap and precisely removes a very specific amount of corneal tissue under the flap using an excimer laser. […]

By |September 26th, 2011|Astigmatism, Blog, Duke Eye Center, LASIK, Myopia|0 Comments

14th Annual VISX Laser Certification Course at the Duke Center for Vision Correction

The Refractive Surgery program at the Duke Eye Center and the Duke Center for Vision Correction successfully completed the 14th annual VISX Laser Certification Course making it now the longest running “in house” program in the nation for training and certifying surgeons to perform PRK and LASIK using the VISX Laser.  Alan Carlson, M.D., Professor of Ophthalmology at Duke has given this program each year at Duke which begins with a 5 hour didactic session reviewing 252 slides and quizzing the participants along the way to make sure they grasp the concepts.  There is strict adherence to the FDA guidelines […]

By |August 13th, 2011|Astigmatism, Blog, Duke Eye Center, LASIK, Myopia, Refractive Surgery|2 Comments

Reflecting on my time with Sir Harold Ridley and the present debate over Monofocal vs Multifocal IOLs

 

 

The great debate: Monofocal vs. multifocal

by Jena Passut EyeWorld Staff Writer

Ever since Nov. 29, 1949, when Sir Harold Ridley, M.D., F.R.S., first successfully implanted an IOL in a patient in a London hospital, surgeons have researched, debated, and sometimes obsessed over the best surgical lens to use.
Nearly 62 years later and after many advances in the surgical technique and the lenses themselves, the discussion continues—this time over multifocal versus monofocal IOL implants for presbyopia correction.
While monofocal IOLs are still considered the standard, especially in distance vision, advocates for the latest in multifocal implants say that patients’ push for spectacle […]

By |August 10th, 2011|Astigmatism, Blog, Cataract Surgery, Duke Eye Center, Myopia|0 Comments

Cataract Surgery Delayed in Countries Offering Socialized Medicine

Cataracts sufferers forced to wait longer for treatment
Hundreds of thousands of people with cataracts will have to wait longer for treatment due to cost-cutting changes by health authorities, a survey indicates.

A poll of GPs has found more than a quarter of them (27 per cent) said recent changes to qualifying criteria by primary care trusts meant patients would have to wait for their eyesight to deteriorate further before getting surgery on the NHS.

Some 720,000 people are diagnosed with cataracts each month, which leave sufferers with blurred vision.

But the eye treatment company Ultralase, which commissioned a survey of 100 GPs and […]

By |August 7th, 2011|Astigmatism, Blog, Cataract Surgery, Duke Eye Center|1 Comment

“Should I discontinue my blood thinner before I have cataract surgery?”

Multiple studies over the past 2 decades repeatedly demonstrate that the risks associated with discontinuation of coumadin and antiplatelet therapy in patient at high risk for thrombotic or embolic events exceed  the risks associated with excessive bleeding during surgery.  The attached recent study is one more study that affirms this.  Patients needing more involved surgery, such as cases anticipating sutured IOLs, vitrectomy, membrane pealing, etc; however, may need to hold antiplatelet therapy in advance of this nonroutine surgery.

Risk assessment of simple phacoemulsification in patients on combined anticoagulant and antiplatelet therapy

Irina S. Barequet, MD
Corresponding author: Irina S. Barequet, MD, Goldschleger Eye […]

By |August 3rd, 2011|Astigmatism, Blog, Cataract Surgery, Duke Eye Center|1 Comment

Cataract Surgery: Quality, Cost, Value – Is it really worth it?

As pressures mount to contain the cost of health care, particularly when more people are expected to live longer, it is reasonable to look critically at the “return on investment” (ROI) and see where cataract surgery compares to other frequently performed procedures that account for substantial health care dollars. The most common method of looking at cost-utility or cost-effectiveness is the use of the QALY or quality-adjusted life year which addresses the “area under the curve” – assessing both increased quality of life and extended duration of life.  For example, a year of perfect health gets a score of 1.0 […]

Advances in Keratoconus Treatment

ANC Comment:  Nice review below borrowed from an email from Expert Review.
Thoughts – We are still lacking in our understanding of how the genetically predisposed individual develops the onset and progression of keratoconus.
Why do only 7% of patients diagnosed with this genetic condition have a positive family history?
Why are they more prone to eye rubbing, floppy eyelids, weight gain, and obstructive sleep apnea?
Is corneal crosslinking, which in effect strengthens the cornea by “aging” the tissue, going to become a standard treatment option?
Should we be putting Intacs corneal ring segments in earlier to prevent progression?
Is Keratoconus a disease, a susceptibility, or […]

The Next “Big Thing” for Patients with High Myopia.

STAAR Surgical Announces First Visian® ICL V4c Implants in Europe
–KS-AquaPORT(TM) Pre-Launch Utilizing the Proprietary CentraFLOW(TM) Technology Begins –Eliminates a Step in the ICL Procedure Making it More Efficient and Cost Effective –Successful Visian ICL Implants Worldwide Now Surpass 225,000

MONROVIA, Calif., June 27,2011 /PRNewswire via COMTEX/ — STAAR Surgical Company STAA +0.19% , the leading developer, manufacturer and marketer of minimally invasive refractive lenses that go inside the eye, today announced the completion of the first procedures to implant its recently CE Mark-approved Visian® Implantable Collamer® Lens (ICL(TM)) V4c design. Dr. Erik Mertens, Medical Director and founder of the […]

By |July 12th, 2011|Astigmatism, Cataract Surgery, Dry Eye, Duke Eye Center, LASIK, Myopia|0 Comments

Organ Donation – Changing Lives Through Corneal Transplantation

A donor made the difference for me

Published on Friday 8 July 2011 04:14 

A mum whose eyesight was saved in a transplant operation feared she may never have seen her children’s faces properly again.

Claire Talbot, 30, started to have problems with her vision when she was 15 and was diagnosed with Keratoconus, a degenerative disorder which causes the cornea to thin and vision to worsen over time.

But an operation in 2007 to remove her cornea and stitch a donor’s onto her left eye was a success and she is urging others to sign up to the […]