• Buyer’s Guide for Femtosecond / Ultrashort Pulse Lasers

    Buyer’s Guide for Femtosecond / Ultrashort Pulse Lasers

    Femtosecond laser technology has revolutionized eye surgery. This technology has been widely and increasingly adopted by refractive and cataract surgeons, originally for the creation of the laser in-situ keratomileusis flap secondary to its improved safety and clinical outcomes. Other applications include astigmatic keratotomy, channel creation for intracorneal rings, femtosecond lenticule extraction, corneal inlays and intrastromal presbyopia correction. The latest is the use of femtosecond technology during cataract surgery and corneal transplantation. The success of this technology lies in the fact that it is precise and reproducible. Flap creation with femtosecond laser over that of a microkeratome is due to better contrast sensitivity, increased safety, faster uncorrected visual acuity recovery, less induced aberrations and less IOP variation. There is also a lower incidence of dry eyes post femtosecond LASIK. read more
  • Strategies for Success with Premium IOLs

    Strategies for Success with Premium IOLs

    Premium IOL technology has improved considerably over the past 2 decades. The current generation presbyopia-correcting and astigmatism-correcting lenses provide excellent visual results and have enabled the great majority of patients selecting these IOLs to reduce or eliminate their dependence on glasses. However, achieving successful outcomes with premium IOLs is dependent upon many factors. Here are some strategies for success with these lenses. read more
  • Five Pearls for Intraocular Lens Exchange

    Five Pearls for Intraocular Lens Exchange

    While an overwhelming majority of patients are satisfied with their presbyopia-correcting lenses, there are some who cannot tolerate the vision. As ophthalmologists we are great at screening out poor candidates for these technologies, but even the “ideal patient” may end up extremely dissatisfied. In those cases, exchange of the intraocular lens (IOL) may be the only option. There are many techniques to perform an exchange, but the basic tenets remain the same. read more
  • How Not Implanting Premium Lenses Has Built My Practice

    How Not Implanting Premium Lenses Has Built My Practice

    To begin, I should state that the title is a slight misnomer. I do believe that multifocal, accommodating, and toric lens technologies are all wonderful additions to what we can offer our patients. Furthermore, I do in fact implant these lenses in my patients. That said, there are several trends that have occurred that have lost long-time patients from established practices to my relatively new practice – most notably aggressive marketing tactics and overpromising technology. read more
  • Pearls for Cataract Surgery in Patients With Small Pupils

    Pearls for Cataract Surgery in Patients With Small Pupils

    Cataract surgery in patients with small pupils is a challenging situation because of the increased risk of complications (i.e., iris trauma, anterior capsular tear, posterior capsular rupture and vitreous loss). Here are suggestions for managing this condition to reduce the risk of these complications. read more