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Cataract Surgery and Lens Exchange

Almost every time we do cataract surgery, we implant artificial lenses. I am often asked, “can this lens be replaced if I don’t like it?” Dr. Hyeck-Soo Son and colleagues published a study in the April 2024 edition of the Ophthalmology journal about lens exchanges. They looked at a very large number of lens exchanges,…

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Incision Sizes

When we do cataract surgery, there are typically two or three small incisions that we make in the eyeball to access the cataract, which is inside the eyeball. The largest incision, often called the main incision, can be a variety of different sizes, usually around 2-3 millimeters wide. There are a lot of opinions on…

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Minocycline for macular degeneration

In the April 2024 edition of JAMA Ophthalmology, Dr. Tiarnan Keenan and colleagues published a paper that evaluated the use of minocycline for geographic atrophy. Minocycline is an antibiotic medication that is often also used for its anti-inflammatory properties. Geographic atrophy is a manifestation of severe dry macular degeneration. Inflammation is thought to be key…

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Success of Corneal Cross-Linking

In the April 2024 edition of the journal Cornea, Dr. Anne Marie Hagem and colleagues published a decrease in the rate of corneal transplants performed for keratoconus. Keratoconus is a disease in which the cornea changes shape, affecting the vision negatively. The “traditional” method of fixing poor vision from advanced keratoconus is a corneal transplant…

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Jelly in the Way

In the April 2024 edition of the Journal of Cataract and Refractive Surgery, Drs. Ryu Takabatake and Makiko Takahashi published an article that shows that abnormalities in the vitreous jelly of the eye significantly affects vision in eyes with presbyopia-correcting lens implants. Presbyopia-correcting lens implants placed after cataract surgery have somewhat sensitive optics, so it’s…

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Heartburn Eye

In the March 2024 edition of the Journal Cornea, Dr. Antonio Di Zazzo and colleagues published a study that demonstrated and increased prevalence of eye discomfort in patients with gastroesophageal reflux disease. In other words, people with reflux of stomach acid into their esophagus had more eye discomfort than those who didn’t. The authors suggest…

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Sustainability

Recently, there has been a focus on sustainability in the eye operating room. We do lots of surgeries per day, so it is very important to consider the waste that we produce. If we can create just a little less waste per surgery, it can really add up given the total number of surgeries. Reducing…

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Alzheimer’s and Glaucoma

In the March 2024 edition of the journal Ophthalmology, Dr. Casey Crump and colleagues published a study that found that patients with glaucoma were at increased risk for Alzheimer’s disease and other types of dementia. This means that patients with glaucoma may need specific monitoring for development of dementia, especially given that some dementia treatments…

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Diabetic Retinopathy Affects Your Life

In the March 2024 edition of JAMA Ophthalmology, Mohammad Zayed and colleagues published a review of 93 articles that showed that diabetic retinopathy negatively affects vision-related quality of life. More severe diabetic retinopathy is associated with worse quality of life. While it may seem obvious that having worse disease affecting one’s eyes decreases quality of…

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Enough Ophthalmologists?

In the February 2024 edition of the Journal Ophthalmology, Dr. Sean Berkowitz and colleagues published a study that showed that, by 2035, there will be quite a shortage of ophthalmologists. According to their work, “ophthalmology is projected to have the second worst rate of workforce adequacy (70%) of 38 medical and surgical specialties studied.” This…

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