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A surgeon's chances of success  in their first cataract cases involving glaucoma patients are  greatly enhanced through a slow and steady approach, said Thiemo Rudolph MD, FEBO, Sweden, at a Young Ophthalmologists Symposium at the 19th Winter Meeting of the ESCRS

Arcurate keratotomy performed with a femtosecond laser  at the time of cataract surgery can produce results similar to those achieved with toric IOLs and the accuracy of the technique is likely to improve as experience with the n

This year’s ESCRS Winter Meeting poster competition had over 400 entries and the winning presentations addressed two important issues in cataract and refractive surgery.

>Cataract category

A new matrix regenerating therapy preparation appears to restore the structural integrity to to corneas severely damaged by autoimmune diseases, said Ewa Mrukwa-Kominek MD,Katowice, Poland at the ESCRS/EuCornea Day in Istanbul.
She presented a case study involving a 42-year-old man with Sjogren's syndrome and rheumatoid arthritis who had advanced dry eye syndrome which manifested as filamentous keratopathy in the right eye causing corneal melting and perforation, necessitating agent rating keratoplasty procedure.The patient’s left eye also had less advanced corneal melting.

Ocular surface reconstruction using expanded limbal stem cell culture combined with penetrating keratoplasty can restore good vision even in some cases with severe acid burns, said Merce Morral MD, Barcelona, Spain at the 19th Winter Meeting of the ESCRS in Istanbul.
She presented a case study involving a 31-year-old patient who had severe acid-burn in both eyes. His right eye regained a visual acuity of 20/20 following several reconstructive surgeries. However, his left eye had a vision of only 20/400 due to severe limbal cell insufficiency.

Almost everyone is at some risk for herpes simplex virus (HSV) keratitis, although there are several risk factors that need to be kept in mind and prophylaxis in those cases can reduce the risk of recurrence by around 50 per cent , said Marc Labetoulle MD, Paris, France, at the ESCRS/EuCornea Cornea Day during the 19th ESCRS Meeting in Istanbul.

CONGRESS REFLECTIONS I might have never learned how to manage phaco complications, if it wasn't for my lack of access to portable black holes. If I had had such a thing, I would have most certainly used it to make myself disappear within minutes of starting my very first wetlab at the ESCRS Winter Meeting. Instead, I just stood there, feeling overwhelmed while my instructor kindly yet urgently enquired whether I had actually even seen a vitrector? And in the same breath: Seriously, who is your trainer? Suffice to say, it wasn't going well.

EuCornea, a new subspecialty organisation dedicated to the specialty of cornea and ocular surface disease, was launched in Barcelona in 2009 during the XXVII Congress of the ESCRS. After six years, the society has gone from strength to strength and it is now firmly established as a major point of reference for cornea specialists.
Dr François Malecaze was one of its founding members and this year Dr Malecaze is the new president of EuCornea, taking over the office from Dr José Güell.

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