Articles related to EYE SURGERY

Chalazia are very typical eyelid lesions that most optometrists often treat. There are several treatment choices, with incision and curettage being a great in-office surgical option that often produces the best outcomes with the most patient satisfaction. The chalazion incision and curettage surgery is particularly satisfying to carry out since patients respond well to it and typically see a noticeable improvement in the appearance of their eyelid from preoperative to postoperative times. A piece of advice for an optometrist who is just beginning to undertake in-office treatments is to complete a number of other procedures first to gain experience performing them on simpler removals before beginning chalazion incision and curettage.

After cataract surgery, a fragment of the lens is thought to stay in the eye in 0.3% to 1.1% of cases. Following cataract surgery, the retained cortex and nucleus respond differently: While the nucleus triggers a potent, destructive inflammatory response, the cortex only induces low-grade inflammation. Increased postoperative drops are administered more frequently, and if necessary, IOP-lowering medications are added.

The most difficult aspect of epiretinal membrane (ERM) peeling may be the timing — early removal allows the membrane to reappear, whereas later surgery may impair restored visual acuity. An analysis published in BMC Ophthalmology evaluates clinical outcomes for patients with diffractive multifocal intraocular lenses (MIOLs) and compares how changing levels of ERM affect recovery.

This technique for placing an IOL without capsular support has a steep learning curve, but once mastered, it should take only 15 to 20 minutes to complete. The most difficult aspects of this technique are measuring for needle insertion sites and lacing the trailing haptic into the needle lumen. Lacing the trailing haptic is probably the most difficult intraocular maneuver. This is a difficult task, but with the right approach and equipment, unnecessary complications can be avoided.

This physician’s surgical video demonstrating the management of a symptomatic dislocated posterior chamber intraocular lens (IOL) with a Siepser slipknot suture technique is an oldie but a goodie, as many eye care specialists have commented.