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While many investigators are focusing on modifications to the standard CXL technique, Jorge F Alio MD, PhD, Alfredo Vega-Estrada MD, MSc and colleagues at Vissum Corporacion Oftalmologica, Universidad Miguel Hernandez, Alicante, Spain, are developing a novel “lightfree” tissue engineering approach to reinforce the corneal tissue using carbon nanomaterials. Speaking during the Expert Meeting on the Surgical Management of Keratoconus, Dr Alio described the technology, presented outcomes of an initial preclinical study, and talked about the next steps for its development.

On behalf of the Slovenian Society of Cataract and Refractive Surgeons, I would like to welcome delegates to the 18th ESCRS Winter Meeting in Ljubljana. The ESCRS Winter Meeting is one of the highlights of the ophthalmology year and this meeting has an excellent programme. The full meeting agenda is available on the ESCRS website at, but let me talk you through some of the highlights. The Annual Cornea Day, organised by ESCRS and EuCornea, takes place on Friday 14 February.

Genetic risk assessment for agerelated macular degeneration (AMD) should be part of the patient selection process for multifocal IOLs, Steve A Arshinoff MD told delegates at the XXXI Congress of the ESCRS in Amsterdam. Dr Arshinoff also believes the information provided by AMD genetic testing allows him to optimise clinical care of his patients in other ways as it allows him to individualise recommendations on follow-up for AMD and use of vitamin-mineral supplements to prevent AMD progression. Dr Arshinoff is in private practice, Toronto, Ontario, Canada.

The general global demographic shift in the US, Europe and Asia means that the number of cases of agerelated vision problems and agerelated dementia are both growing to near epidemic proportions. Ophthalmologists, whose patients are often elderly, increasingly have to play the part of neurologist, geriatrician and psychiatrist, in addition to helping with traditional eye care issues. The statistics are daunting.

Acanthamoeba keratitis remains a rare condition and particularly in developing countries. However, the numbers of these infections have been rising significantly in the US and other industrialised nations, and as the populations in underdeveloped areas become more affluent, there is the potential for a geometric increase in cases, said Elmer Tu MD, speaking at Cornea Day during the 26th Asia-Pacific Association of Cataract & Refractive Surgeons meeting in Singapore.

Adaptive optics scanning laser ophthalmoscopy (AOSLO) allows non-invasive, in vivo visualisation of the retinal microstructures of a living human eye and may help to pave the way to earlier detection and better management of a range of retinal pathologies, according to Wolf M Harmening PhD.

A certain style seems to come naturally to the Milanese. Naturally, a visitor to Milan can acquire it, too – at a price.

The forerunner of all the world's “galleria” shopping malls – Milan's Galleria Vittorio Emanuele II – opened in 1871 between the Cathedral and the Opera House.

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