• Manual small-incision cataract surgery helps meet challenges in developing world

    2 monthes ago - By Healio

    Cataract surgery in developing countries can be a challenge. Phacoemulsification with disposable single-use cassettes may still have prohibitive costs, and extracapsular cataract extraction, with its large limbal incision and high induced astigmatism, is unacceptable for today's standards.
    A modified manual small-incision cataract surgery technique, which combines steps typically applied during microincision phaco surgery and SICS, has proven to be a valid alternative.
    “We routinely use this technique during our missions at the Comboni Hospital in Sogakope, Volta Region,
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  • Should premium surgeons consider DREAMing when optimizing the ocular surface?

    2 monthes ago - By Healio

    When performing refractive and/or refractive cataract surgery, premium surgeons must pay attention to the ocular surface in order to achieve premium outcomes for our patients. With the pathophysiology of the underlying ocular surface disease being so complex, advanced diagnostic and treatment algorithms, such as the TFOS DEWS II and CEDARS publications, should be followed in order to have a good game plan both preoperatively and postoperatively. Both of these algorithms and many other publications have suggested nutraceutical omega-3 and GLA supplementation to be an integral part of treatment
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  • Surgeons hold strong opinions for and against FLACS vs. manual cataract surgery

    2 monthes ago - By Healio

    Since its FDA approval in 2010, femtosecond laser-assisted cataract surgery has been an option for surgeons, a new method in their armamentarium along with the traditional manual phaco technique. However, opinions differ among surgeons regarding techniques, safety, complication rates and cost-effectiveness.
    Femtosecond laser-assisted cataract surgery offers few disadvantages but definite refractive advantages for patients undergoing cataract surgery, OSN Cornea/External Disease Section Editor Elizabeth Yeu, MD, said.
    “Really, two main differences between the two techniques, you
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