Panuveitis Treated with Cataract Surgery, Intraocular Lens Insertion, Synechialysis, Retisert Steroid Implant, and Glaucoma Filtration Tube

  Panuveitis can be one of the most challenging problems in Ophthalmic Surgery as this type of severe and pervasive inflammation can affect multiple aspects of the eye resulting in loss of vision.  This particular patient needs the Retisert steroid implant for the treatment of severe inflammatory complications.  Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Service at the Duke Eye Center in Durham, NC works closely with Glenn Jaffe, MD and Pratap Challa MD to treat this patient with...

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Leading Eye Surgeons Gather to Teach the 8th Annual Harvard Cataract Course

Leading eye surgeons selected by their peers as best teachers / surgeons from 28 Universities gathered to teach the 8th Annual Harvard Cataract Course under course directors Roberto Pineda II, M.D. and Sherleen Chen, M.D from Mass Eye and Ear Infirmary.  The course, given over two days included Dr. Natalie Afshari, Professor of Ophthalmology at Duke Eye Center addressing the importance of intraocular lens calculations.  Dr.  Barry Seibel lectured on Phaco settings and Fluidics and Dr. Bob Avery gave a meticulous discussion on Phaco Chop...

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Pupillary Circlage: Repairing the Permanently Dilated Traumatic Pupil During Cataract Surgery

There are a number of potential injuries that can occur to the eye producing the permanently dilated pupil.  Infection, angle closure glaucoma, previous surgery, and blunt trauma can all produce this problem.  The permanently dilated pupil is more likely to produce unwanted glare, brightness during the day, and halos around oncoming headlights.  This functional impact may also include a cosmetic problem as well in patients that have a light colored iris  making the problem of anisocoria more apparent. Alan N. Carlson, M.D., Professor of...

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Ceremonial Ground-Breaking for New Duke Eye Center Clinical Facility

Thanks to Bill and Kathy Hudson and LC Industries for their generosity toward the new state-of-the-art clinical Duke Eye Center in Durham, NC.  From: Victor J. Dzau, M.D., Chancellor for Health Affairs; CEO, DUHS Subject: Ceremonial Ground-Breaking for New Eye Center Clinical Facility _____________________________________________________________________ This morning we held a ground-breaking ceremony for a new, state-of-the-art Duke Eye Center building that will add much-needed clinical examination space and enhance the patient...

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Cataract Surgery Pearls for Treating the Patient with Small, Poorly Dilating Pupils

Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Service at the Duke Eye Center was asked by Cataract and Refractive Surgery Today to review and edit the surgical “pearls” used for successful cataract surgery in patients with small, poorly dilating pupils.  Patients undergoing cataract surgery with small pupils pose additional risk for potential complications.  It is important to establish prior to surgery the ability to dilate the patient and factors that may hinder dilation. ...

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Cataract Surgery in Patients with Keratoconus

Keratoconus (KC) patients frequently seek the benefits of Intacs Intracorneal Ring Segments (ICRS) as these devices improve the corneal curvature (topography) and also in many patients remarkably slows down the progression of KC, making corneal transplantation less likely.  Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Services at the Duke Eye Center in Durham, North Carolina sees a large number of patients with Keratoconus from Raleigh and Durham and Chapel Hill and has wondered if...

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