蕭裕泉醫師眼科筆記

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Toric IOLs Off axis? Fixing a toric IOL that's malpositioned by Vanessa Caceres EyeWorld Contributing Writer Ophthalmic surgeons share pearls, perspectives T here's a starter question to ask if your patient has a toric IOL that is not at the right position postoperatively: Is the patient happy with his/her vision? "If their vision is 20/25 or perhaps even 20/40, I advise leaving it alone. There's no need to reposition their toric lens if they are happy," said Terry Kim, MD, professor of ophthalmology, Duke University Eye Center, Durham, N.C. "Many patients are happy with better, though not perfect, refractive outcomes," said Michael Y. Wong, MD, Princeton Eye Group, Princeton, N.J., and instructor, Rutgers Medical School, New Brunswick, N.J. However, if the patient is unhappy, there are a few choices to consider. First, consider the possible cause of his/her dissatisfaction. "If the patient is not happy, you have to go through a...

Toric IOLs Measurement remains key to best toric IOL outcomes by Rich Daly EyeWorld Contributing Writer " D espite all this planning and preparation, one can still have uncontrollable intangibles and end up with residual, off-axis astigmatism. Just be prepared to handle these eventualities postoperatively …" – Sydney L. Tyson, MD Although many patients can benefit from toric lenses, surgeons have to take special care to ensure their fit and location A dhering to key measurement steps in toric lens implantation can keep both standard and challenging astigmatism patients on track. Although Sydney L. Tyson, MD, an attending surgeon at Wills Eye Hospital , Philadelphia , avoids implanting toric IOLs in eyes with highly irregular corneas for fear of inducing or worsening higher order aberrations, he does not limit toric lenses to patients with regular corneal astigmatism. "In general, I believe that maximizing the treatment ...

 Anit-inflammation Perfecting cataract surgery EyeWorld Supplement to EyeWorld August 2012 Inflammation remains a significant challenge to modern cataract surgery. Left untreated, inflammation can ruin even the most consummately performed surgery utilizing the most advanced techniques and technology. Experts gathered to discuss “Ocular Anti-Inflammation: Prevention, Diagnosis, and Curative Treatment Options” at an EyeWorld Educational Symposium held at the 2012 ASCRS•ASOA Symposium & Congress. The event was supported by an educational grant from ISTA Pharmaceuticals (Irvine, Calif.). NSAID issues 2012 “Cataract surgery is evolving,” said Dr. Katsev. According to Dr. Katsev, patients’ standards have been increasing in the last decade in part thanks to the increasing role of premium IOLs in cataract surgery. In that time, the use of premium IOLs has increased dramatically, he said, but the promise of great vision these IOLs make does not necessa...