While much of our surgery in Ophthalmology has moved away from needing sutures, there are still procedures that require very delicate suturing, including corneal transplant procedures, deep anterior lamellar keratoplasty, traumatic injuries, sutured intraocular lens implants, and other procedures. I am grateful to Doug Mastel and the great folks at John Weiss & Son International for their help in bringing into production the Carlson-Troutman needle holder that serves as an extremely precise needle driver while simultaneously serving as a tying forcep – allowing the passage of a needle and also tying the suture without exchanging instrumentation – improving efficiency, precision, […]
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 removal of scar tissue (synechialysis and removal of pupillary membrane), cataract removal, intraocular lens […]
The LipiView diagnostic instrumentation and LipiFlow Thermal Pulsation Units by TearScience bring an enormous advance for our patients suffering from one of the most common conditions seen in virtually every optometric and ophthalmic practice – including the Duke Eye Center in Durham, NC. This condition is dry eye and the most common cause resulting in dry eye is tear film instability rather than tear production. If you asked me 15 years ago about dryness of the ocular surface, I would relate the problem to aging, hormonal changes, and inadequate tear production. We have witnessed a dramatic shift in our understanding […]
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 apnea as a primary symptom. They report their findings in the June 2012 issue of Cornea.
The authors conducted telephone interviews with 101 patients diagnosed with […]
LipiFlow is a thermal pulsation treatment produced by TearScience (Morrisville, NC) invented by Dr. Donald Korb (Boston, MA) that received FDA approval in July 2011 established as safe and effective in the treatment of meibomian gland dysfunction (MGD) and its role leading to evaporative dry eye. This treatment has been available at Duke Eye Center since October 2011 when Duke became the first medical center in the country to offer this treatment on a commercial, non-experimental basis. Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Service at the Duke Eye Center has found […]
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 techniques. Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive […]
Seven Scientific Posters Sponsored by TearScience at ARVO Advance Understanding of Evaporative Dry Eye to Improve Patient Care
TearScience Inc. announced that it sponsored research for seven scientific posters on evaporative dry eye and its technology at ARVO. Subjects reflect new, ongoing research on the disease, TearScience’s technology, and clinical outcomes. The posters cover topics such as how the LipiFlow Thermal Pulsation System can rejuvenate Meibomian gland secretions for up to a year as well as LipiFlow’s efficacy and safety over warm compress therapy for treating Meibomian gland dysfunction. Another demonstrates LipiView Ocular Surface Interferometer’s ability to consistently and accurately measure the thickness of thin film, optically similar to the tear film. Additional research presented increases the general […]
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 Ophthalmology and Chief of the Corneal and Refractive Surgery Service at the Duke Eye Center in […]
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 experience.
The ceremony celebrated the team effort that has turned this dream of building a new Eye Center clinical facility into a reality. Thanks to the collaborative efforts of our legion of generous donors, […]
A gracious and wonderful patient has offered to share her story as we meet her today to evaluate and treat her severe dry eye condition. Her story is remarkably common and she has offered to share it because the Duke Eye Center has a new and improved ways of addressing this serious problem. Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Service at the Duke Eye Center interviews this patient prior to treatment and then again 20 minutes after her 12 minute treatment, after the topical anesthetic has worn off. The improvement is […]