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Refractive Surgery Outlook: 2012 Archives

Read the clinical news and journal updates from the 2012 issues of Refractive Surgery Outlook.

Outlook Features

December | Biological Effects on the Cornea of the Kamra Inlay for Presbyopia

Refractive surgeon Marcony R. Santhiago, MD, PhD, was fresh out of medical school in Brazil in 2003 when he traveled to New York City for elective courses at Mount Sinai School of Medicine. Read more »

November | The Basics: A New Direction for Some ISRS Symposia?

After an ISRS-sponsored symposium on the fundamentals of refractive surgery for residents drew an overflow crowd at the American Academy of Ophthalmology’s Annual Meeting in Chicago in early November, the symposium’s organizers have explored continuing their “back to basics” learning opportunities for next year’s Annual Meeting in New Orleans. Read more »

October | New Tools for Diagnosing Dry Eye

Both clinical trial data and practical experience have demonstrated that high LASIK satisfaction correlates directly with patients’ improvement in UCVA and inversely with the severity of post-op dry eye. Read more »

September | To Link or Not to Link: CXL Discussion at ESCRS Matures as Procedure’s Use Grows

Corneal collagen cross-linking (CXL) stayed securely in the spotlight at the 2012 meeting of the European Society of Cataract and Refractive Surgeons (ESCRS) in Milan this month, as researchers and clinicians wrestled with clinical issues that are emerging as CXL transitions into wider use. Read more »

August | Treating Dry Eye Before Surgery

To achieve the best possible visual outcomes, refractive surgeons continuously update the equipment and techniques they use in surgery. Likewise, surgeons should be taking steps to assure that their preoperative testing routines are rigorous enough to detect the sometimes subtle signs of dry eye, according to a chorus of experts around the world. Read more »

July | More Views on the Economics of Femtosecond Cataract Surgery

If money were no object, many ophthalmologists throughout Latin America would be investing in one of the four femtosecond cataract lasers now marketed internationally. Read more »

June | Patients See the Value of Femto-cataract Surgery

While most cataract surgeons remain undecided about femtosecond cataract surgery, a handful of surgical pioneers around the world have leaped wholeheartedly into the commercial use of femtosecond lasers. In interviews with Refractive Surgery Outlook recently, two of these ophthalmic trailblazers talked about what their initial explorations of this ophthalmic frontier have revealed so far. Read more »

April - May | Intracor Shown Effective for Limited Patient Pool

While Intracor offers a fast and minimally-invasive approach for treating presbyopia with the femtosecond laser, it is appropriate only for low hyperopes, who might lose up to two lines of best-corrected distance acuity in the treated eye, German researchers report. Read more »

March | Corneal Inlays Have Reached a Tipping Point

Seven years after the first corneal inlays won the European CE Mark, this presbyopia treatment appears to be coming of age. Read more »

February | FDA LASIK Investigation Bogged Down in Controversy, Uncertainty

Six years after U.S. regulators began taking a second look at post-LASIK visual quality, the American refractive surgery community still does not know how, or if, the reassessment will affect the FDA’s rules for excimer lasers. But the miasma that has surrounded this lengthy process lingers. Read more »

January | Another View of Corneal Crosslinking

Less enthusiasm and more skepticism is the prescription that German ophthalmologist Jorg Krumeich, MD, says ophthalmic surgeons worldwide should bring to the evaluation of riboflavin/UVA collagen cross-linking (CXL) as a treatment for keratoconus. Read more »

Outlook Journal Updates

December | Journal of Refractive Surgery

- CXL appears safe in children, adolescents
- Confocal microscopy illuminates differences among CXL protocols
- Review suggests CXL may be useful in nonectatic disorders
Read updates »

November | Journal of Refractive Surgery

- Assessing postoperative refractive surgery corneas
- CXL technology shows promise for infectious keratitis
- Rayner toric IOL appears effective for astigmatic correction
Read updates »

October | Journal of Refractive Surgery

- Hinge position has no effect on corneal sensation, dry eye after LASIK
- Sulcoflex piggyback IOL can correct residual pseudophakic error
- Lower tear cytokine levels may explain better outcomes with off-flap epi-LASIK
- Visual recovery occurs within hours after myopic thin-flap femtosecond LASIK
- Posterior elevation an effective parameter to monitor change after CXL
Read updates »

September | Journal of Refractive Surgery

- Case of improved vision following post-CXL infectious keratitis
- Most LASIK interface complications can resolve without vision loss
- New method for centering ablation profiles combines pupil, corneal vertex information
- Laser refractive cataract surgery yields better refractive outcomes compared to phaco
- LASIK micro-monovision shown effective in emmetropic presbyopes
Read updates »

August | Journal of Refractive Surgery

- Superior corneal steepening may not exclude patients from refractive surgery
- Excellent flap relift results within eight months of femtosecond LASIK
- Refractive lens exchange with multifocal IOL yields good results
Read updates »

July | Journal of Refractive Surgery

- Phakic IOLs appear a reasonable option for moderate myopes
- Five-year data shows Intacs stop keratoconus progression
- More support for thin-flap LASIK
- Review finds multifocal IOLs improve near, distance vision
- Slight residual spherical aberration appears to get best IOL results in ablated corneas
- Study evaluates effect of negative Q-factor on presbyopia treatment
- Cone location affects CXL success
Read updates »

June | Journal of Refractive Surgery

- Experimental study shows how an off-axis IOL affects optical quality
- Corneal wavefront-guided retreatment shows good long-term results
- Combined CXL/PRK yields good visual results in low-grade keratoconus
- Femtosecond LASIK significantly improves quality of life
Read updates »

April | Journal of Refractive Surgery

- CTRs improve multifocal IOL outcomes
- Experimental study shows vorinostat effective in preventing corneal haze
- Argon laser iridoplasty effective in re-centering multifocal IOLs
- AcrySof Cachet Phakic Intraocular Lens in Myopic Patients: Visual Performance, Wavefront Error, and Lens Position
- Pregnancy May Trigger Late Onset of Keratectasia After LASIK
- High-cylinder Acrylic Toric Intraocular Lenses: A Case Series of Eyes With Cataracts and Large Amounts of Corneal Astigmatism
- Intraocular Lens Tilt and Decentration Measured By Scheimpflug Camera Following Manual or Femtosecond Laser–created Continuous Circular Capsulotomy
- The History of LASIK
Read updates »

March | Journal of Refractive Surgery

- New corneal inlay yields promising results
- Intrastromal laser treatment for presbyopia shows good one-year results
- Biomechanical changes may cause IOP measurement errors after clear corneal phaco
- Basic fibroblast growth factor accelerates epithelial healing after PRK
- ORA can better detect keratoconus after CCT adjustment
Read updates »

February | Journal of Refractive Surgery

- Novel ablation technique appears effective in treating LASIK flap complications
- Prolate ablations may improve optical quality in myopic LASIK
- Wavefront centration on the corneal vertex appears superior to pupil centration
- Study compares refractive rotationally asymmetric multifocal IOL to ReStor IOL
- Animal study shows short-term cell death, inflammation after corneal inlay implantation
Read updates »

January | Journal of Refractive Surgery

- Ferrara ICRS may reduce scotopic contrast sensitivity under glare
- Punctal plugs may improve early post-LASEK wound healing and visual function
- New posterior chamber phakic IOL shows encouraging preliminary results
- LASIK less effective in treating high lenticular astigmatism
- Intacs followed by simultaneous PRK/CXL can improve vision in select keratoconus patients
- Letter to the editor: Pediatric refractive surgery study lacks essential data
 Read updates »

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