Dense Cataract in Pseudoexfoliation Syndrome

Marisa Schoen, MD

Eyetube

Marisa Schoen, MD, presents a case of dense cataract with pseudoexfoliation syndrome. The patient presented with an inferiorly subluxated mature brunescent cataract with significant phacodonesis. Dr. Shoen demonstrates her surgical approach to cataract extraction and IOL implantation with the use of a capsular tension ring and iris hook to stabilize the capsular bag during capsulorhexis.

Presbyopia-Correcting IOLs Versus Monofocal IOLs

Insights from a multicenter study comparing surgical workload and patient care.

Kendall E. Donaldson, MD, MS; Robert K. Maloney, MD, MA; John F. Doane, MD, FACS; and Robert J. Weinstock, MD

Cataract and Refractive Surgery Today

Cataract surgery has evolved rapidly, transitioning from simple removal of the cloudy lens to the provision of increased spectacle independence. The past decade is full of significant milestones, such as the introduction of femtosecond laser technology in 2011, enhanced astigmatism correction with laser arcuate incisions and toric IOLs, the introduction of extended depth of focus lenses in 2017, and the FDA approval of the Light Adjustable Lens (RxSight) in 2017. These and other developments have expanded surgical options to the benefit of both patients and surgeons and allowed greater customization of the procedure and its outcomes. IOL selection, however, has become increasingly complex. Surgeons must now take the patient’s personality, occupation, hobbies, aspirations, and daily visual requirements into account. The choice of IOL can profoundly affect the recipient’s life. Patient dissatisfaction may necessitate further intervention. For these reasons, considerable time must be devoted to patient education before surgery. Postoperatively, the ocular surface may require refinement, patients may need time for neural adaptation, and additional refractive procedures may be necessary to optimize results. The increasing complexity of IOL selection and an escalation in patients’ expectations led us to evaluate the workload presented by premium cataract surgery.

Adopting Remote Monitoring and AI: Lessons From Cardiology

Learning from colleagues in other medical specialties can guide ophthalmology’s smooth transition.

Judy E. Kim, MD, FARVO, FASRS, and Jagmeet P. Singh, MD, ScM, PhD, FHRS, FACC

Retina Today

AT A GLANCE The use of remote monitoring and AI is inevitable in the field of retina. However, concerns related to workflow, liability, and reimbursement hinder its adoption in day-to-day practice. Cardiology has found remote monitoring and AI to be fundamental to modern practice, benefitting both patients and providers. By learning about cardiology’s experience with adopting remote monitoring and AI in clinical practice, ophthalmologists can anticipate (and adjust for) the new era in medicine. The more ophthalmology embraces remote monitoring, the better it can meet the needs of patients and reduce treatment burden. As regulatory bodies move closer to approving home-based imaging platforms, such as home OCT and AI-based software, ophthalmologists must prepare for more data-driven care. To learn more about what this transition entails, ophthalmology can turn to other specialties with experience in widespread adoption of AI and remote monitoring. Although we practice in separate domains of medicine—retina (Dr. Kim) and cardiology (Dr. Singh)—we share a passion for improving patient care through technology.