Eurotimes Articles

May

May

Endothelial keratoplasty using a pre-Descemetic graft is being looked to as the future in endothelial keratoplasty. Focusing on the development of pre- Descemetic automated endothelial keratoplasty (PDAEK), corneal specialists at the University Eye Clinic, Maastricht, The Netherlands, have established proof of concept that safe, standardised harvesting of planar, pre- Descemetic grafts is possible using the Gebauer SLc Expert microkeratome system. Mor Dickman MD, reported on the study at the 4th EuCornea Congress, Amsterdam.

Below are some of the important issues that I think should be addressed to help assist in the training and development of ophthalmologists.

A tourist can look at London as a dauntingly big city, studded with attractions separated by a tube or taxi ride or as Londoners do, as a cluster of villages, each with its own individual character. One prime example of a village within London is Bloomsbury, home to the British Museum. Bloomsbury is also home to one of the most fascinating offbeat museums to be found anywhere – the Petrie Museum of Egyptian Archaeology.

The new hydrophilic acrylic micro-incision Incise™ IOL™(Bausch + Lomb) provides very predictable refractive results, good visual acuity and a well centred positioning within the capsular bag, according to a series of presentations at the 18th ESCRS Winter Meeting in Ljubljana. “The lens can be implanted through an 1.8mm incision into the capsular bag, providing excellent visual and refractive outcomes,” said Antonio Toso MD, S Bassiano Hospital, Bassano del Grappa (VI), Italy.

Cataract surgery is one of the most important and rewarding surgical procedures ever devised. Its evolution has been a story of amazing human achievement, tarnished sometimes by arrogance and jealousy. Cataract surgery started in India 1000-600 BC when Sushruta described a procedure to rupture the anterior capsule of a white mature cataract then asking the patient to express the liquefied lens matter by performing a Valsalva manoeuvre by holding his nose and breathing out. This evolved into couching where a lance was used to push the opaque lens backwards into the vitreous.

The ESASO Retina Academy will be held in Istanbul, Turkey, 14-15 November 2014, and will offer new and additional interactive clinically relevant sessions led by world-leading ophthalmologists. The two-day meeting will be run by a faculty of more than 40 experts with main plenary sessions on specific topics of the retina. These sessions will include presentations, prestigious Lectio Magistralis keynote lectures, debates between experts and two Retinamor interactive case study discussions.

A refined capsular bag-refilling procedure using an accommodating-membrane IOL has been successfully tested in monkey eyes and now warrants further study for possible clinical application in humans, according to Okihiro Nishi MD, PhD. “This new procedure required 20 to 30 minutes surgical time and was found to be highly reproducible.

Several currently available phakic intraocular lenses (IOLs) generally provide excellent short-term safety and refractive outcomes in moderate to high myopia patients, Rudy MMA Nuijts MD, PhD told the 2013 ESCRS Congress in Amsterdam. These include iris- and angle-supported anterior chamber lenses and posterior chamber designs.

One-year results with a new suprachoroidal stent called the iStent Supra (Glaukos) indicate that the device can bring about a satisfactory reduction of IOP and a reduced requirement for medication in open-angle glaucoma patients resistant to hypotensive topical therapy, said Anselm Jünemann MD at the XXXI Congress of the ESCRS in Amsterdam.

Refractive surprise; glare and haloes; lens tilt, dislocation and decentration; residual astigmatism; aberrations and loss of contrast sensitivity – successful as cataract surgery is in restoring vision, these remain vexing challenges. They particularly affect presbyopia treatment, but also standard monofocal IOL implantation.

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