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Refractive Surgery Outlook: 2014 Archives

Read the clinical news from the 2014 issues of Refractive Surgery Outlook.

Outlook Features

December | Lenticule Extraction: Refractive Surgery’s Next Step

Refractive lenticular extraction (ReLEx) procedures have advanced tremendously since being introduced a few years ago. With the advantage of leaving the anterior cornea nearly intact, lenticule extraction is demonstrating advantages over LASIK in terms of stability, predictability and safety, promising to change the future of refractive surgery. Read more »

November | A Closer Look at the Femto vs. Phaco Study

European researchers who analyzed records on more than 7,000 cataract surgeries concluded earlier this year that femtosecond laser-assisted cataract surgery does not outperform conventional cataract surgery, but the study was not comprehensive enough to put the matter to rest. Read more »

October | Wavefront vs. Topographic Ablation

Two technologies have emerged for performing customized refractive corneal ablations: topography and wavefront, each of which brings value to ablation planning. But do we need both? Read more »

September | Results Look Promising for Light Adjustable Lens

During the six years that the Light Adjustable Lens (LAL) has been available in Europe, this novel IOL has slowly accumulated a record for refractive predictability and stability and for safely bringing most eyes to within 0.25 to 0.5 D of emmetropia. Read more »

August | Patient Selection for Corneal Inlays

The ideal candidate for a presbyopia-correcting corneal inlay appears to be an adaptable, late-40s presbyopic emmetrope with a healthy tear film, but differences in optical designs among the inlays offer various features and benefits that make the patient selection process more complex. Read more »

July | Moving MIGS Into the Refractive Cataract Toolbox

Ophthalmic surgeons have begun exploring a new frontier for refractive cataract surgery: combining refractive cataract techniques with microinvasive glaucoma surgery (MIGS) to optimize refractive outcomes in patients with coexisting cataract and open-angle glaucoma (OAG). Read more »

June | Latest on Correcting Presbyopia with Scleral Surgery

Scleral surgery for presbyopia has never entered the mainstream, but advances in basic science, biophysiology and surgical technology hold the promise of more widespread adoption of this intriguing technology. Read more »

May | Softening the Presbyopia Lens with a Femtosecond Laser

The femtosecond laser is the latest device to be explored as a solution to the refractive problem that eventually afflicts every aging eye: presbyopia. Unlike previously explored methods, which commonly try to manipulate the visual system through pseudoaccommodation, this new approach to presbyopia is aimed re-enabling natural accommodation. Read more »

April | Femtosecond Lasers for Complex Cataract Surgeries

The great advantage of femtosecond lasers is their ability to provide cataract surgeons with consistent and predictable tissue dissection. It is this precision that makes femtosecond lasers so attractive in complex cataract surgery for Zoltan Z. Nagy, MD, professor of ophthalmology at Semmelweis University in Budapest, Hungary. Read more »

March | Femtosecond Laser-assisted Posterior Capsulotomy: The Solution to PCO Elimination?

Femtosecond laser-assisted posterior capsulotomy appears to offer the tantalizing possibility of eliminating posterior capsule opacification (PCO). While a posterior capsulotomy can be created manually, the procedure is technically difficult and may create greater risks for the patient than the PCO it seeks to prevent. Read more »

February | European Ophthalmologists See Promise in Trifocal IOLs

Ophthalmic surgeons and a growing body of peer-reviewed clinical research papers are reporting good clinical outcomes and high patient satisfaction with the two types of trifocal intraocular lenses commercially available to international ophthalmologists. Read more »

January | Femtosecond Laser Astigmatic Correction

Femtosecond laser-enabled intrastromal relaxing incisions are emerging as an important tool for correcting residual corneal astigmatism, which can compromise refractive outcomes following cataract surgery and lead to patient disappointment, particularly when a multifocal IOL has been implanted. Read more »

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