Duke Eye Center Links Obstructive Sleep Apnea to Keratoconus

Research Digest New & Noteworthy Journal Articles Compiled by Andrew E. Mathis, PhD, Medical Editor ► Keratoconus and sleep apnea. Noting the sparseness of post-keratoplasty patients among their elderly patients, ophthalmologists Preeya Gupta, M.D., Assistant Professor of Ophthalmology and Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal Service at the Duke Eye Center in Durham, NC, undertook a study to determine whether there was any correlation between keratoconus and mortality, looking specifically at sleep...

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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 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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The Dry Eye Patient 4-Months After LipiFlow Thermal Pulsation Therapy

Early results representing my clinical observations and also the subjective response of several patients after treatment have overall led me to believe that the LipiFlow Thermal Pulsation device from TearScience has been one of the most worthwhile additions to my clinical practice in recent years.  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 subspecializes in cataract surgery, corneal transplantation, and laser vision correction (LASIK) and as...

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Recent Advances is the Surgical Management of Keratoconus

Two of the most significant surgical advances now available for patients suffering from keratoconus who develop contact lens intolerance are Intacs instrastromal corneal ring segments (ICRS) and deep anterior lamellar keratoplasty (DALK) - both provide an alternative to full thickness (or penetrating) keratoplasty or corneal transplantation.  Many folks are going to immediately wonder about corneal collagen cross-linking and I am going to cover that later as “the jury” is still out and as I try to meticulously “connect the...

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Fuchs’ Corneal Dystrophy, Dense Cataract, Salzmann’s Nodular Degeneration, and Monocular = Needs Fixing

Today’s patient presentation has Fuchs’ Corneal Dystrophy, a visually significant nuclear sclerotic cataract, an elevated Salzmann’s Nodule, and only has one eye.  Each monocular patient, having only one eye, requires special consideration in preparation for eye surgery in terms of surgical options, timing, limitations, benefits, risk analysis, emotional support, postoperative care, and also the process of informed choice and consent.  I feel fortunate to have operated on over 500 patients considered “monocular”...

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