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Across the Pond | Jul/Aug 2016

Across the Pond


Cataract Surgery in an Eye With Intrastromal Corneal Ring Segments

By Arthur B. Cummings, MB ChB, FCS(SA), MMed(Ophth), FRCS(Edin); Eric D. Donnenfeld, MD; Paul J. Dougherty, MD; Bradley D. Fouraker, MD; and Audrey R. Talley Rostov, MD

What approach to cataract surgery would you take in the presence of well-positioned intrastromal corneal ring segments (ICRSs), oriented at 90º, in the eyes of a 64-year-old woman? Surgeons responding to this case presentation share tactics including proceeding with standard cataract surgery with the ICRSs in place, removing the ICRSs and waiting to perform cataract surgery until topography measurements are stable, and combining device removal and cataract surgery.



Ocular Allergy Testing: A Simple Solution to a Diagnostic Dilemma

By Marguerite McDonald, MD

Although allergic conjunctivitis is exceedingly common, the root causes of this condition in patients are frequently not identified. Dr. McDonald has found one remedy, which is incorporation of the Doctor’s Allergy Formula test. The test employs a panel that contains the 58 most common allergens endemic to the practitioner’s region. In total, 39 different regionalized panels are available.


Modalities for Managing Dry Eye Disease

By Whitney Hauser, OD

Unlike 10 years ago, when physicians knew little about the complex origins of dry eye disease (DED) and had limited diagnostic options to detect it, today it is well known that diagnostics are the key to accurately identifying the root cause or causes of a patient’s DED. According to Dr. Hauser, essential parts of an ocular surface evaluation include patient history and a complete DED evaluation, including tear osmolarity, meibography, tear breakup time, and aqueous volume. Diagnostic testing can help to organize and narrow the differential diagnoses.


DED Experts Pick Top Devices and Discuss the Future

By Whitney Hauser, OD; Leslie E. O’Dell, OD; Richard B. Mangan, OD; and Scott G. Hauswirth, OD

When asked to select the three most important devices for their DED practices, surgeons’ answers included lissamine green, meibography, the BlephEx device (BlephEx), the Karpecki Debrider (Bruder), transilluminators, slit-lamp and anterior segment photography, compounded or formulated products, and PRK spatulas. n