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...
August 2010‧EyeWorld Challenging refractive cases Pharmaceutical corner Balancing risks and benefits by Vanessa Caceres EyeWorld Contributing Editor Treating pregnant patients not an easy task Managing ophthalmic medications in pregnant patients is a challenging team effort between ophthalmologists and OB/GYNs, said Louis B. Cantor, M.D., Jay C. and Lucile L. Kahn Professor of Glaucoma Research and Education and vice chairman, Education, Department of Ophthalmology, Indiana University School of Medicine, Indianapolis. "It's important to make decisions with the patient and their obstetrician," Dr. Cantor said. Most specialists are vigilant about contacting patients' obstetricians as they want to protect the health of the mother and unborn baby and avoid dangerous side effects, said Jennifer R. Niebyl, M.D., professor and Residency Program Director, Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa Cit...
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