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Optimizing Suboptimal Results Following Cataract Surgery: Refractive and Non-Refractive Management
This is a great book with contributions from well-known figures in the world of ophthalmology. It would be a beneficial read for any ophthalmology trainee or consultant as it covers something that is quite essential in ophthalmic surgery – giving...Ophthalmic viscoelastic devices: Useful insights for a novice cataract surgeon
4 February 2025
| Kaki Tsang, Qasim Mansoor
|
EYE - Cataract
Ophthalmic viscoelastic devices (OVDs) are essential in many different stages of cataract surgery. This article discusses the categories of OVDs and their respective properties, and highlights their uses in different scenarios faced in cataract surgery. Ophthalmic viscoelastic devices are gel-like...
How much money is wasted on tests prior to cataract surgery? And why?
For routine cataract surgery, numerous studies have found that preoperative testing does not contribute usefully to safety or surgical success. Despite such guidelines, tests ordered for patients prior to phacoemulsification in the US remains high. To quantify the associated costs,...Refractive surprise after cataract surgery caused by posterior capsular striae
3 June 2021
| Lorna Leandro, David Martiano
|
EYE - Cataract, EYE - Refractive, EYE - Imaging, EYE - General
Cataract removal with intraocular lens (IOL) implantation is one of the most frequently performed surgeries in current clinical practice [1,2]. New microsurgical techniques and refined IOL power calculations allow excellent refractive outcomes. Refractive surprise following cataract surgery is uncommon [1-3]...
Visual and refractive outcomes and complications in FLACS versus CPS cataract surgery
7 April 2021
| Jonathan Chan
|
EYE - Cataract, EYE - Refractive
|
clinical trial, intraocular pressure, lens and zonules, vision
This is a randomised, controlled study of 110 paired eyes from 55 patients that were randomised into either femtosecond laser-assisted cataract surgery (FLACS) or conventional phacoemulsification cataract surgery (CPS) groups. Visual, refractive outcomes, intraocular pressure (IOP) and complications were compared...
Are any precautions needed when performing cataract surgery in thrombocytopenic patients?
In this retrospective multi-centre study, charts for 196 eyes of 150 thrombocytopenic patients were reviewed. The mean preoperative platelet level was 73.0 ± 20.5 × 103/μL (median of 76.0 × 103/μL), with a range of 17 to 100 × 103/μL...
Comparison of outcomes of bilateral cataract surgery across different age groups
The authors present a retrospective records review of children who had bilateral cataract surgery between the ages of two and seven years of age over a 23-year period. Children with other ocular pathology and prior surgery were excluded. A minimum...
Outcomes of suture-less vs. sutured wound closure for paediatric cataract surgery
In this study the authors aimed to compare the incidence of postoperative complications between cases of suture-less and sutured wound closure in paediatric cataract surgery. This was a retrospective study of children aged <18 years and included 116 eyes of...
FSAK versus toric IOL implantation for correcting astigmatism in cataract patients
4 August 2025
| Jonathan Chan
|
EYE - Cataract
Nine studies of 590 patients were retrieved from the Ovid-Medline, EMBASE, Cochrane register of controlled trials and Scopus which compared femtosecond laser-assisted astigmatic keratotomy (FSAK) and toric IOL for astigmatism correction in cataract patients. The trial sequential analysis was used...
Changing the post cataract surgery review pathway – is patient safety compromised?
Cataract surgery continues to be the most commonly performed elective surgical procedure in the UK, with an annual rate of approximately 4150/100,000 people over the age of 65 accounting for a significant proportion of the surgical workload of most ophthalmologists...Third nerve palsy following cataract surgery with sub-Tenon’s anaesthesia
Figure 1: Photograph showing partial ptosis of the right eye two months after surgery (photo by R McLeod). An 83-year-old lady had routine right eye cataract surgery under uncomplicated sub-Tenon’s anaesthesia. She presented two weeks later, explaining that following the...
