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.

Dry Eye Diagnostics for Beginners

It is possible to start simply and expand offerings later.

Kenneth Beckman, MD, FACS

Cataract and Refractive Surgery Today

Dry eye disease (DED) is one of the conditions eye care professionals encounter most often. Although millions of patients have been diagnosed with DED, far more remain undiagnosed. With many new treatments and diagnostic tools available, it can be difficult for a clinician to know where and how to start when launching a dry eye clinic. This article provides some guidance. WHY DIAGNOSE DED? Not so many years ago, clinicians generally viewed DED as a nuisance experienced by a minority of patients, and treatment options were limited. Managing the condition involved significant chair time, and patients often remained dissatisfied. Thanks to a growing body of research, attitudes about DED as well as options for its diagnosis and treatment have changed. The Prospective Health Assessment in Cataract Surgery Patients’ Ocular Surface (PHACO) study evaluated individuals scheduled for cataract surgery. The study found that, although only approximately 20% of the patients had been previously diagnosed with DED, 77% of the 136 enrolled patients had corneal staining, and 50% had central corneal staining.

Capturing Geographic Atrophy with Multimodal Imaging

Noninvasive technologies are redefining how we diagnose and monitor atrophic AMD.

Eric H. Souied, MD; Oudy Semoun, MD; and Vittorio Capuano, MD

Retina Today

AT A GLANCE Color fundus photography is often not sufficient for the diagnosis and monitoring of geographic atrophy (GA), and other imaging modalities are needed. OCT and fundus autofluorescence are the standard imaging modalities for the diagnosis of GA. Invasive techniques (ie, fluorescein angiography and ICG angiography) should be reserved for specific cases in which the diagnosis is unclear. OCT angiography may be useful to detect nonexudative macular neovascularization associated with GA. Diagnosis of geographic atrophy (GA) relies on multimodal imaging, including color fundus photography, fundus autofluorescence (FAF) imaging, and structural OCT.1 Diagnosis can be difficult and, at times, may require more invasive tests such as fluorescein angiography (FA) and ICG angiography (ICGA). More recently, OCT angiography (OCTA) has become a useful tool to capture associated choroidal neovascularization as part of mixed GA and wet AMD.2 Here, we discuss noninvasive imaging techniques that can help clinicians establish a definitive diagnosis of GA and follow patients appropriately.