A decision tree of VKC




















Photophobia is, however, an important factor in determining a patient's VKC grade.

Grade0, Grade1: antihistamine, tear substitutes
Grade2: fluorometholone
Grade3, Grade4: loteprednol, prednisolone acetate

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Posterior capsulotomy: history of using the YAG laser and best practices

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 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,...
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Using CTRs in practice/ September 2023 EYEWORLD

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  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...
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Presbyopia-correcting IOL pearls

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[June 2011 EyeWorld] Presbyopia-correcting IOL pearls by Faith A. Hayden EyeWorld Staff Writer  An implanted ReSTOR IOL (Alcon) Source: Richard Tipperman, M.D.     No matter which presbyopia-correcting IOL you favor, be it the ReSTOR (Alcon, Fort Worth, Texas), Tecnis (Abbott Medical Optics, AMO, Santa Ana, Calif.), or Crystalens (Bausch & Lomb, Rochester, N.Y.), experts agree that achieving the best possible outcomes begins with one critical component: the pre-op exam. EyeWorld spoke with Richard Tipperman, M.D., Wills Eye Hospital, Philadelphia; Y. Ralph Chu, M.D., adjunct associate professor of ophthalmology, University of Minnesota, Minneapolis, and clinical professor of ophthalmology, University of Utah, Salt Lake City; and William B. Trattler, M.D., cornea specialist, Center for Excellence in Eye Care, Miami, for tips on attaining spectacular outcomes with each and every patient. The feedback was largely universal. Proper patient selection and an extensive ...
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