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Current Opinion in Ophthalmology

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https://www.readbyqxmd.com/read/29319544/review-of-the-xen-gel-stent-and-innfocus-microshunt
#1
Wesley Green, John T Lind, Arsham Sheybani
PURPOSE OF REVIEW: Two new translimbal glaucoma devices (Xen Gel Stent and InnFocus MicroShunt) have been developed with the goal of optimizing the predictability and safety for subconjunctival glaucoma surgery. RECENT FINDINGS: The new subconjunctival glaucoma implants are manufactured from nonsilicone, biocompatible materials, which may reduce the postoperative inflammatory and fibrotic reactions that can lead to failure. Early data suggests a favorable safety profile with significant reductions in intraocular pressure (IOP)...
January 9, 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29278546/twenty-four-hour-intraocular-pressure-measurements-and-home-tonometry
#2
Frances Meier-Gibbons, Michael S Berlin, Marc Töteberg-Harms
PURPOSE OF REVIEW: IOP is the only treatable risk factor contributing to glaucoma and most management and treatment of glaucoma is based on IOP. However, current IOP measurements are limited to office hours and control of glaucoma in many patients would benefit from the ability to monitor IOP diurnally so as not to miss abnormal pressures, which occur outside of office hours Consequently, to improve patient care, the ability to enable accurate and minimally disruptive diurnal IOP monitoring would improve caring for these patients...
December 22, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29266021/glaucoma-and-quality-of-life-fall-and-driving-risk
#3
Cynthia L Montana, Anjali M Bhorade
PURPOSE OF REVIEW: Numerous population-based studies suggest that glaucoma is an independent risk factor for falling and motor vehicle collisions, particularly for older adults. These adverse events lead to increased healthcare expenditures and decreased quality of life. Current research priorities, therefore, include identifying factors that predispose glaucoma patients to falling and unsafe driving, and developing screening strategies and targeted rehabilitation. The purpose of this article is to review recent studies that address these priorities...
December 20, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29256897/complications-of-micro-invasive-glaucoma-surgery
#4
Eunmee Yook, Kateki Vinod, Joseph F Panarelli
PURPOSE OF REVIEW: Micro-invasive glaucoma surgery (MIGS) is gaining favor with both comprehensive ophthalmologists and glaucoma specialists due in part to its improved safety profile when compared to traditional incisional glaucoma surgery. Despite a micro-invasive approach and minimal induced tissue trauma, each MIGS procedure is associated with unique complications. The present article summarizes evidence from the 2016 to 2017 review period regarding the safety profiles of Schlemm's canal-based, suprachoroidal, and subconjunctival microstents...
December 18, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29256896/anticlotting-agents-and-the-surgical-management-of-glaucoma
#5
Yasemin Sozeri, Sarwat Salim
PURPOSE OF REVIEW: A large subset of patients with glaucoma uses anticlotting agents. No standardized guidelines currently exist for managing these agents in the specific perioperative setting of glaucoma surgery. The present review focuses on currently available anticlotting agents, their influence on hemorrhagic complications following glaucoma surgery, and management strategies for their use in the perioperative period RECENT FINDINGS: Anticlotting agents increase the risk of perioperative hemorrhagic complications following glaucoma surgery...
December 18, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29256895/recent-developments-in-visual-field-testing-for-glaucoma
#6
Zhichao Wu, Felipe A Medeiros
PURPOSE OF REVIEW: Visual field testing remains one of the most important tools for characterizing and monitoring vision loss in glaucoma. Despite its current mainstream use, new developments continue to emerge on its current use and potentially better methods for its testing and analysis. This review summarizes new developments in visual field testing and, in particular, standard automated perimetry. RECENT FINDINGS: Evidence-based guidance has recently been provided on the impact of testing frequency on the ability to detect visual field progression...
December 18, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29206654/descemet-membrane-endothelial-keratoplasty-and-glaucoma
#7
Marcus Ang, Chelvin C A Sng
PURPOSE OF REVIEW: The aim of this review is to describe the relationship between Descemet membrane endothelial keratoplasty (DMEK) and glaucoma. RECENT FINDINGS: Glaucoma after DMEK is a serious complication that may cause permanent visual loss, affect donor endothelial cells and graft survival. The mechanisms of raised intraocular pressure (IOP) after DMEK include reverse pupillary block in the early postoperative period, and steroid response in the late phase...
December 4, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29206653/ginkgo-biloba-and-its-potential-role-in-glaucoma
#8
Jessica Minjy Kang, Shan Lin
PURPOSE OF REVIEW: This study will review the research on the effect of ginkgo biloba extract (GBE) on patients with glaucoma. RECENT FINDINGS: GBE appears to increase ocular blood flow in those with glaucoma. However, data on visual field outcomes are inconclusive. SUMMARY: GBE has been shown to have antioxidant and vascular effects, making it potentially effective in treating glaucoma. Published data are limited but show an increase in ocular blood flow after GBE administration...
December 4, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29206652/suprachoroidal-shunts
#9
Kateki Vinod
PURPOSE OF REVIEW: This article reviews recent studies evaluating the efficacy and safety of ab externo and ab interno suprachoroidal shunts designed to augment uveoscleral outflow in patients with open angle glaucoma. RECENT FINDINGS: The Gold Shunt and STARflo are placed into the suprachoroidal space via an ab externo approach, while the CyPass Micro-Stent and iStent Supra are inserted ab interno through a clear corneal incision. A small randomized clinical trial suggested similar efficacy among two different models of the Gold Shunt and the Ahmed glaucoma valve...
December 4, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29194069/changing-patterns-in-treatment-of-angle-closure-glaucoma
#10
Maria L Napier, Augusto Azuara-Blanco
PURPOSE OF REVIEW: Angle closure glaucoma is a leading cause of blindness globally and trends of how best to treat this disease are evolving. The advent of anterior segment imaging aids our understanding of pathogenesis and allows more robust and objective measurement of treatment modalities. We will also review recent literature regarding the role of laser and surgical interventions for the treatment of primary angle closure disease. RECENT FINDINGS: Recent studies evaluating the efficacy of laser peripheral iridotomy (LPI) in primary angle closure suspects (PACs) show that while it is a safe intervention and initially anterior chamber angle widens following the laser treatment, the effect is lost with time...
November 30, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29140818/drop-instillation-and-glaucoma
#11
Scott A Davis, Betsy Sleath, Delesha M Carpenter, Susan J Blalock, Kelly W Muir, Donald L Budenz
PURPOSE OF REVIEW: To describe the current state of knowledge regarding glaucoma patients' eye drop technique, interventions attempting to improve eye drop technique, and methods for assessing eye drop technique. RECENT FINDINGS: In observational studies, between 18.2 and 80% of patients contaminate their eye drop bottle by touching their eye or face, 11.3-60.6% do not instill exactly one drop, and 6.8-37.3% miss the eye with the drop. Factors significantly associated with poorer technique include older age, lack of instruction on eye drop technique, female sex, arthritis, more severe visual field defect, lack of positive reinforcement to take eye drops, lower educational level, low self-efficacy, and being seen at a clinic rather than a private practice...
November 14, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29140817/new-developments-in-optical-coherence-tomography-imaging-for-glaucoma
#12
Jean-Claude Mwanza, Donald L Budenz
PURPOSE OF REVIEW: Since its introduction in ophthalmology, optical coherence tomography (OCT) has undergone significant advances in imaging protocols, algorithms, and addition of new parameters which have maximized its potential for diagnosing, evaluating the response to treatment, and assessing the progression of various ocular diseases, including glaucoma. This review provides an update on recent developments in OCT with respect to the management of glaucoma. RECENT FINDINGS: Most recent notable developments include the introduction of the minimum distance band, which is a three-dimensional optic nerve head parameter, and Swept-Source OCT with its single wide-field scanning capability...
November 14, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29135562/advances-in-cataract-surgery-in-patients-with-multiple-ocular-diagnoses
#13
Helena E Gali, Natalie A Afshari
No abstract text is available yet for this article.
November 10, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29084005/dysphotopsia-a-multifaceted-optic-phenomenon
#14
Jenny Hu, Ruti Sella, Natalie A Afshari
PURPOSE OF REVIEW: To summarize the literature on dysphotopsia, focusing on strategies for management and prevention. RECENT FINDINGS: Clinical studies and ray-tracing diagrams have improved our understanding of the risk factors for positive and negative dysphotopsiae. Well known management and prevention strategies such as piggyback IOL, reverse optic capture, Nd:YAG capsulotomy, and IOL exchange are reviewed, as well as newer strategies such as the infertemporal approach to IOL implantation, 'in-the-bag nasal optic truncation' and new IOL design implantation, and new IOL design...
October 27, 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29211695/minimally-invasive-brow-lifting-techniques-erratum
#15
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29210839/cataract-surgery-in-ocular-surface-diseases-clinical-challenges-and-outcomes
#16
REVIEW
Virender S Sangwan, Swati Gupta, Shilpa Das
PURPOSE OF REVIEW: Cataracts are a significant cause of blindness and visual impairment worldwide. With the recent advances in cataract surgery techniques, outcomes have improved significantly in uncomplicated cases. This article discusses the challenges and outcomes of cataract surgery in complex cases targeting eyes with ocular surface diseases like Stevens-Johnson syndrome, ocular cicatricial pemphigoid, Mooren's ulcer, vernal keratoconjunctivitis and limbal stem cell deficiency. RECENT FINDINGS: Ocular surface diseases are commonly associated with corneal scarring and vascularization, conjunctival inflammation, symblepharon and forniceal shortening...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29140816/the-role-of-small-incision-suture-less-cataract-surgery-in-the-developed-world
#17
REVIEW
Sanduk Ruit, Reeta Gurung, Shyam Vyas
PURPOSE OF REVIEW: Manual small incision cataract surgery (MSICS) has recently gone through much refinement and fine tuning. It is often taken as an alternate option for phacoemulsification, especially in developing country. This review will present some insight on its applications especially for developed nations. The role of MSCIS in tackling complex cataracts with stony hard nucleus is fairly established. The role of training residents with MSCIS has certain advantages though debatable...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29095716/intracameral-antibiotics-during-cataract-surgery-evidence-and-barriers
#18
REVIEW
Aravind Haripriya, David F Chang
PURPOSE OF REVIEW: There is continuing debate regarding the safety, efficacy, and necessity of intracameral antibiotics to prevent postoperative endophthalmitis. We summarize the most recent evidence-based publications that either support or caution against this practice. RECENT FINDINGS: Several additional large, international retrospective clinical studies found a significant reduction in endophthalmitis rates with intracameral antibiotic prophylaxis. Many surgeons are looking for alternatives to vancomycin for intracameral prophylaxis because of its association with the rare but sight-threatening complication of hemorrhagic occlusive retinal vasculitis...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29095715/management-of-cataract-in-uveitis-patients
#19
Mandi D Conway, Ethan Stern, David B Enfield, Gholam A Peyman
PURPOSE OF REVIEW: This review is timely because the outcomes of surgical invention in uveitic eyes with cataract can be optimized with adherence to strict anti-inflammatory principles. RECENT FINDINGS: All eyes should be free of any cell/ flare for a minimum of 3 months preoperatively. Another helpful maneuver is to place dexamethasone in the infusion fluid or triamcinolone intracamerally at the end of surgery. Recent reports about the choice of intraocular lens material or lens design are germane to the best surgical outcome...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/29084004/astigmatism-evaluation-prior-to-cataract-surgery
#20
REVIEW
Pankaj C Gupta, Jane T Caty
PURPOSE OF REVIEW: To evaluate and summarize literature from the past 18 months reporting advancements and issues in astigmatism assessment prior to cataract surgery. RECENT FINDINGS: New and updated toric calculators and regression formulas offer the opportunity for more accurate lens selection for our patients. Concurrently, improvements in topographic evaluation of corneal keratometry have allowed for a decrease in unplanned residual corneal astigmatism. Measuring posterior corneal astigmatism is especially valuable in eyes with keratoconus when planning to implant toric intraocular lens (IOL) and now allows access to this patient population...
January 2018: Current Opinion in Ophthalmology
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