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Integrating research, reusable practices, and industry collaboration in ophthalmology.
Just look at your processes—the things you do inside the OR, or the clinic, the staff room—and think about how you could do it better.
Author: Laura Gaspari
YOFS study calculations demonstrate potential cost and environmental savings of reusables.
While some studies show lower carbon footprints for reusable instruments, the single-use variety may be more cost effective.
Charity Committee initiative trains surgeons in MSICS technique.
Author: Vasileios Petousis
Simple solutions can help increase sustainability in ophthalmology.
Innovators Den finalists pitch solutions to knotty ophthalmic problems.
With populations ageing worldwide, dislocated and subluxated IOLs are becoming more common, particularly in post-trauma cases or after complicated cataract surgeries.
Author: Howard Larkin
Real-world wins and challenges prompt ongoing development.
EUREQUO outcomes data suggested no benefit from using femtosecond (FS) lasers in cataract surgery. This appears to have changed practice.
Flapless procedure offers a safe and effective option, with advantages for select patients.
Keratorefractive lenticule extraction (KLEx) for correcting myopic astigmatism is a safe, effective, and precise procedure that provides outcomes comparable to those associated with LASIK and PRK...
Author: Cheryl Guttman Krader
Fewer clinic visits, lower emissions in cataract care.
Especially in cataract and refractive surgery, the environmental impact of ophthalmology is an ever-growing concern. According to Aisling Higham MSc, one of the driving changes that can alleviate the carbon footprint of health services can be found...
Despite their comprehensive nature, the preliminary ESCRS refractive surgery guidelines leave some questions unanswered.
The ESCRS Guidelines for Cataract and Refractive Surgery reflect the current consensus on the numerous advancements and innovations. However, newer or less common refractive procedures, as well as borderline cases, still fall into uncertain areas...
Author: Roibeard O’hEineachain
Swedish experience points to the efficacy of the one-piece acrylic hydrophilic bag-in-the-lens.
Congenital cataract is one of the leading causes of childhood blindness, and early intervention and treatment are crucial. Swedish research suggests this urgency should include a reappraisal of how doctors work with intraocular lenses...
Author: Andrew Sweeney
Information on retinopathy-related risks provides foundation for decisions on procedure timing and follow-up.
Nearly all adults with diabetes who live long enough will develop vision-impairing cataracts, but decisions on surgical timing must consider the procedure’s benefits and risks in this patient population...
The criteria for achieving the best outcomes for cataract patients after corneal surgery are remarkably diverse.
Surgeons will note a lack of research on performing cataract surgery after cornea surgery, especially regarding simultaneous vision intraocular lenses (SVL). According to Ruth Lapid-Gortzak MD, PhD, this research has contradictory results....
New and ongoing projects address key clinical issues and future needs.
In a few short years, the ESCRS has evolved from a regional organisation of cataract surgeons to a leading authority in international ophthalmology research, particularly projects involving the anterior segment...
Author: Sean Henahan
Swedish experience with cataract surgery registries serves as a successful model.
More than three decades of data from the Swedish National Cataract Registry suggest quality registries can provide important information on cataract surgery risk factors, especially for rare complications...
Progress depends on ethical collaboration and taking on challenges.
Ensuring ethical collaboration with industry, addressing regional, demographic, and environmental barriers, and developing guidelines for integrating new technologies are among the challenges ophthalmologists must address for continued progress...
Epithelial thickness mapping provides valuable insight for treatment and patient counselling.
Epithelial remodelling after LASIK can lead to refractive changes due to the lensing effect of the epithelial layer, but the pattern of remodelling is highly unpredictable...
Post-market product surveillance remains a never-ending challenge.
Complying with regulatory requirements is a big motivator for surgeons and clinics to participate in post-market surveillance of drugs and devices. But detecting adverse events in the real world...
Knowledge of risk factors directs patient management and informed consent.
The incidence of rhegmatogenous retinal detachment (RRD) is increasing globally, and cataract/refractive lens surgery is a known risk factor for this event...
Decision making requires consideration of numerous factors.
Multiple options exist for managing intraocular lens (IOL) luxation in a vitrectomised eye. With a surgical plan that considers the pros and cons of the various choices...
Considering the risks against the alternatives to refractive lens exchange.
An unacceptably high risk of retinal detachment (RD) that could result in blindness argues strongly against performing refractive lens exchange (RLE) for extreme refractive error in patients younger than 40 years, according to...
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