Posterior capsulotomy: history of using the YAG laser and best practices Alanna Nattis, DO SightMD Babylon, New York Robert Weinstock, MD The Eye Institute of West Florida Largo, Florida Stephen Weinstock, MD The Eye Institute of West Florida Largo, Florida JULY 2023 | EYEWORLD Following cataract surgery, patients may experience blurry vision. A posterior capsulotomy with the YAG laser is often employed by physicians as a solution to help patients achieve their desired vision. “A YAG capsulotomy has to be one of the most commonly performed procedures for a cataract and refractive surgeon,” said Robert Weinstock, MD. “Fortunately, it’s a safe, easy, and efficient technology.” Prior to YAG capsulotomies and the invention of the YAG laser, this was a much more challenging condition because it required going back into the eye and doing a surgical procedure, with the risk of infection. In addition,...
Using CTRs in practice Cataract: Complicated cases September 2023 EYEWORLD by Ellen Stodola Editorial Co-Director A capsular tension ring (CTR) can be a useful tool for ophthalmologists to have on hand during surgery. Two physicians discussed the available products, when the best time is to use them, and methods for good placement. John Hart Jr., MD, said there are three CTR products that he routinely uses: a standard CTR, a Cionni CTR, and the Ahmed capsular tension segment. “I use a CTR in approximately 10% of my cataract cases,” Dr. Hart said. “Patients with zonular abnormalities are commonly referred to me by other ophthalmologists. I think that most ophthalmologists don’t use them as frequently as I do.” When a CTR is properly positioned in the capsular bag, it distributes support from areas with intact zonules to areas with weak or missing zonules, Dr. Hart said. The CTR also keeps the equator of the capsular bag expanded in areas where zonules are missing. “This is i...
Diagnosing dry eye by Michelle Dalton EyeWorld Contributing Editor Clinical signs and patient-reported symptoms may not correlate; patient symptoms must take precedence An eye with a poor tear film surface Source: Gary Foulks, M.D. Lissamine green staining helps clarify the severity of the ocular surface Poor tear break-up time is also indicative of increased dry eye severity Source: Gary Foulks, M.D. One of the most common reasons people visit eyecare specialists is due to complaints of dry eye, yet specialists and those in general practice believe the numbers are wildly underestimated. "In my practice, 40-50% will have some form or complaint of ocular surface dysfunction," said Christopher E. Starr, M.D., assistant professor of ophthalmology, and director, cornea, cataract, and refractive surgery fellowship and service, Weill Cornell Medical College, New York. According to Caroline Blackie, O.D., Ph.D., clinical research scientist, Korb Associates,...
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