• Premium surgeons should help patients navigate vicious maze of care access

    2 monthes ago - By Healio

    Premium surgeons face challenges regarding patient care access daily, from access to certain eye drop pharmaceuticals to a growing population of aging patients living longer and the cataract pool ever-enlarging to the health insurance industry making decisions about patient care from a desktop in some remote building overseas. Adding affordability to this vicious maze of increasing out-of-pocket costs and high deductibles and co-pays makes even it more prohibitive for patients to have access to our premium technologies. The end result: Patients delay their eye health care and end up at our
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  • Rock-hard cataracts require more planning, intraoperative skill

    2 monthes ago - By Healio

    The cataract with an extremely dense and hard brunescent nucleus, or so-called “catarock,” is challenging surgery for any ophthalmic surgeon. There is often also a reduced endothelial cell count, a poorly dilating pupil, and weak or partially absent zonules. The capsule can be distended in an intumescent lens, normal or even crenated in some very hypermature cases. The lens can be white from opaque cortex, dark brown or in extreme cases even black.
    These are always complex cases and can be coded as such. I document the complex nature in the chart and list the probable adjuncts that
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  • Surgeons meet challenges of removing rock-hard cataracts

    2 monthes ago - By Healio

    Whether in a senior citizen with diabetes or in a young patient who suffered a traumatic injury, rock-hard cataracts pose a challenge to remove and need extra postoperative steps to ensure proper recovery.
    Young or old, good vision or poor vision, it can be a surprise which patients have a brunescent cataract, OSN Cataract Surgery Board Member Sumit “Sam” Garg, MD, said. Even in patients whose vision is “passable,” in the 20/60 to 20/70 range, the lens may be more dense than it appears.
    A dense cataract does not diminish the patient's potential for good vision
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