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Current Opinion in Ophthalmology

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https://read.qxmd.com/read/30562239/influence-of-new-treatment-modalities-on-adherence-in-glaucoma
#1
Frances Meier-Gibbons, Michael S Berlin, Marc Töteberg-Harms
PURPOSE OF REVIEW: It is well known that glaucoma patients are not adherent to their therapeutic regimens. The issue of nonadherence is multifactorial and includes inadequate communication between doctors and patients, resulting in significant costs associated with enhanced disease progression. Therapeutic regimens are risk factors which often influences adherence rates. Thus, alternative treatment modalities, especially those risk factors that do not rely on patients' cooperation, may enable improvements in long-term outcomes of glaucoma in patient...
December 17, 2018: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30562241/relationship-of-lifestyle-exercise-and-nutrition-with-glaucoma
#2
Claudio I Perez, Kuldev Singh, Shan Lin
PURPOSE OF REVIEW: Although reducing the intraocular pressure (IOP) through medications, laser or surgery remains the primary means of glaucoma treatment, there is increasing evidence during the last decade that environmentally modifiable factors may help to prevent glaucoma or its progression through different mechanisms that may or may not involve lowering IOP. Additionally, patients are increasingly interested in maintaining a healthy lifestyle and taking an active role in the management of their disease...
December 12, 2018: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30562240/glaucoma-secondary-to-intraocular-tumors-mechanisms-and-management
#3
David A Camp, Prashant Yadav, Lauren A Dalvin, Carol L Shields
PURPOSE OF REVIEW: Glaucoma secondary to intraocular tumors is important to consider in eyes with a known tumor and those with unilateral or refractory glaucoma. The purpose of this review is to discuss the mechanisms and management of intraocular tumors with related secondary glaucoma. RECENT FINDINGS: Several intraocular tumors can lead to glaucoma, including iris melanoma, iris metastasis, iris lymphoma, trabecular meshwork melanoma, choroidal melanoma, choroidal metastasis, retinoblastoma, and medulloepithelioma...
December 12, 2018: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30676361/editorial-introduction
#4
(no author information available yet)
No abstract text is available yet for this article.
March 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30575619/current-opinion-in-ophthalmology-novel-glaucoma-devices-in-the-pipeline
#5
REVIEW
Sabita M Ittoop, Leonard K Seibold, Malik Y Kahook
PURPOSE OF REVIEW: Adherence to chronic use of topical intraocular pressure (IOP) lowering medications is a fundamental barrier to successful, long-term control in patients suffering from glaucoma. This has fueled innovation to create new vehicles for drug administration, new drug formulations with enhanced bioavailability, and minimally invasive glaucoma surgeries (MIGS) with improved risk-benefit profiles to enhance sustained IOP control. The present article is an overview of novel devices in the pipeline...
March 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30575618/optical-coherence-tomography-angiography-in-glaucoma
#6
REVIEW
Karine D Bojikian, Philip P Chen, Joanne C Wen
PURPOSE OF REVIEW: Optical coherence tomography angiography (OCTA) studies have demonstrated reduced microcirculation in the superficial optic nerve, peripapillary retina, and the macula of glaucoma patients. The scope of this review is to outline recent studies using OCTA in glaucoma and highlight how OCTA may help improve diagnosis and follow-up in glaucoma patients. RECENT FINDINGS: OCTA studies have provided evidence of vascular changes in the optic nerve head, peripapillary, and macula region in glaucoma in comparison to glaucoma suspects and normal eyes...
March 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30562244/new-developments-in-tube-shunt-surgery
#7
REVIEW
Jenny Chen, Steven J Gedde
PURPOSE OF REVIEW: This article reviews recent studies related to tube shunt surgery. RECENT FINDINGS: Medical claims data and surveys of glaucoma surgeons demonstrate that tube shunts are being selected with increasing frequency as an alternative to trabeculectomy. A 5-year pooled analysis of the Ahmed Baerveldt comparison study and Ahmed versus Baerveldt study found a higher rate of surgical success with the Baerveldt glaucoma implant compared with the Ahmed glaucoma valve, but Baerveldt implantation carried a higher risk of hypotony...
March 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30562243/myopic-optic-disc-changes-and-its-role-in-glaucoma
#8
REVIEW
Nicholas Y Q Tan, Chelvin C A Sng, Marcus Ang
PURPOSE OF REVIEW: Optic nerve head (ONH) changes such as tilt and torsion are associated with the progression of myopia, and may in turn predispose toward glaucoma. At the same time, these ONH deformations also make the structural assessment for glaucoma difficult. Here, we review the mechanisms and changes to the myopic optic disc, and the advances in structural imaging to better evaluate the ONH in myopia. RECENT FINDINGS: The distance, depth, and angle between the optic disc and the deepest point of the elongated eyeball may be related to the degree and direction of optic disc tilt and torsion...
March 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30562242/artificial-intelligence-in-glaucoma
#9
REVIEW
Chengjie Zheng, Thomas V Johnson, Aakriti Garg, Michael V Boland
PURPOSE OF REVIEW: The use of computers has become increasingly relevant to medical decision-making, and artificial intelligence methods have recently demonstrated significant advances in medicine. We therefore provide an overview of current artificial intelligence methods and their applications, to help the practicing ophthalmologist understand their potential impact on glaucoma care. RECENT FINDINGS: Techniques used in artificial intelligence can successfully analyze and categorize data from visual fields, optic nerve structure [e...
March 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30489361/early-postoperative-intraocular-pressure-elevation-following-cataract-surgery
#10
REVIEW
Andrzej Grzybowski, Piotr Kanclerz
PURPOSE OF REVIEW: The aim of this review was to assess the risk factors and course of postoperative intraocular pressure (IOP) increase in order to determine the optimal the treatment. RECENT FINDINGS: Early postoperative IOP elevation following cataract surgery is a frequent adverse event, and might represent 88% early postoperative complications. The risk factors for IOP elevation following phacoemulsification cataract surgery include residual viscoelastic material, resident performed surgery, glaucoma, pseudoexfoliation syndrome, axial length over 25 mm, tamsulosin intake, topical steroid application in steroid responders...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30489360/the-evolution-of-toxic-anterior-segment-syndrome
#11
REVIEW
Karny Shouchane-Blum, Assaf Dotan, Irit Bahar
PURPOSE OF REVIEW: Toxic anterior segment syndrome (TASS) is a surgical complication resulting from a noninfectious inflammatory reaction to substances used during intraocular ophthalmic surgery. Continuous reporting of new information concerning risk factors and possible causes is critical for preventing this condition. RECENT FINDINGS: The diagnosis of TASS is clinical and its main features are well known. However, new causes of TASS are emerging and being reported, as are new treatment options for managing the inflammation or its complications, and prevention guidelines are being updated...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30489359/cataract-grading-systems-a-review-of-past-and-present
#12
REVIEW
Helena E Gali, Ruti Sella, Natalie A Afshari
PURPOSE OF REVIEW: To provide a comprehensive summary of past cataract grading systems, how they have shaped current grading systems, and the developing technologies that are being used to assess and grade cataracts. RECENT FINDINGS: This summary of cataract grading systems examines the development and limitations that existed in past grading systems and how they have shaped the grading systems of present time. The Lens Opacities Classification System III (LOCS III) system is currently used both clinically and for research purposes...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30489358/preoperative-evaluation-for-cataract-surgery
#13
REVIEW
Craig W See, Mustafa Iftikhar, Fasika A Woreta
PURPOSE OF REVIEW: To provide a consolidated update regarding preoperative evaluation for cataract surgery. RECENT FINDINGS: Visual acuity alone is a poor gauge of cataract disability. Modalities such as wave front aberrometry, lens densitometry, and light-scatter assessments can quantify optical aspects of cataract and may prove clinically useful in surgical evaluation. Advances in biometry are driving improvements in refractive outcomes, which in turn have increased patient expectations...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30451729/editorial-improvements-in-cataract-surgery-planning-technique-and-outcomes
#14
EDITORIAL
Helena E Gali, Natalie A Afshari
No abstract text is available yet for this article.
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30394991/advances-in-capsulorhexis
#15
REVIEW
Wen Fan Hu, Sherleen H Chen
PURPOSE OF REVIEW: Continuous curvilinear manual capsulorhexis is currently the standard of cataract surgery. In the past several years, new technologies have been developed to improve the consistency and safety of capsulorhexis creation. This article reviews the most recent technologies in capsulotomy formation and their advantages and disadvantages. RECENT FINDINGS: Guidance devices, femtosecond laser capsulotomy and precision pulse capsulotomy improve the centration, circularity and precision of anterior capsulorhexis and capsulotomy...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30394990/biometry-in-cataract-surgery-a-review-of-the-current-literature
#16
REVIEW
Majid Moshirfar, Benjamin Buckner, Yasmyne C Ronquillo, Daniel Hofstedt
PURPOSE OF REVIEW: To review the literature in 2017 and 2018 pertaining to biometry for cataract surgery and report pertinent findings. RECENT FINDINGS: New devices using swept-source ocular coherence tomography can measure axial length in dense cataracts more frequently than common biometers. Computer-assisted registration may be superior to intraoperative aberrometry for toric intraocular lens (IOL) placement. Soft contact lenses may not require removal as long before biometry as previously thought...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30358619/the-role-of-perioperative-nonsteroidal-anti-inflammatory-drugs-use-in-cataract-surgery
#17
REVIEW
Ari Brandsdorfer, Sejal H Patel, Roy S Chuck
PURPOSE OF REVIEW: Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used and studied by cataract surgeons for varied benefits in the perioperative period, but optimal medication formulae and dosing have yet to be established. In this article, we perform a literature review of articles published between 1 January 2016 and 30 June 2018 concerning perioperative NSAID use for patients undergoing cataract surgery. RECENT FINDINGS: Literature review revealed five areas of recent study including preoperative NSAID use for iatrogenic inflammation, intraoperative NSAID use for pupillary mydriasis, postoperative NSAID use for prevention of cystoid macular edema (CME), for prevention of pain/inflammation, and for improvement in patient quality of life...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30335627/cataract-surgery-and-lens-implantation
#18
REVIEW
Siyuan Li, Ying Jie
PURPOSE OF REVIEW: This review aims to introduce recent updates in cataract surgery and lens implantation. RECENT FINDINGS: Compared to phacoemulsification, femtosecond laser-assisted cataract surgery (FLACS) may offer benefit for cataract patients with other complicated ocular diseases, such as corneal disease and vitreous abnormalities. Meanwhile, several types of novel intraocular lenses (IOLs) have been introduced to the market, and each of them has particular features in improving patients' visual acuity...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30334824/different-methods-of-chopping-in-cataract-surgery
#19
REVIEW
Soosan Jacob
PURPOSE OF REVIEW: To review the different methods of chopping in cataract surgery. RECENT FINDINGS: Chop techniques are of advantage in reducing the amount of phaco energy, endothelial damage as well as zonular stress to the eye. Various methods have been described including the classical horizontal and vertical chops as well as newer chop techniques for all grades of cataract. Femtochop using the femtosecond laser as well as the use of a microinterventional snare are more recent advances...
January 2019: Current Opinion in Ophthalmology
https://read.qxmd.com/read/30320615/nutritional-effect-on-age-related-cataract-formation-and-progression
#20
REVIEW
Ruti Sella, Natalie A Afshari
PURPOSE OF REVIEW: To provide a comprehensive summary of the latest evidence-based data on nutrients linked to the pathogenesis of cataract formation and progression. RECENT FINDINGS: This summary of peer-reviewed publications emphasizes the ongoing effort to modulate the cataractogenous process through nutrition, and points at an only weak evidence for the contribution of a specific nutrient to this process. Although observational studies successfully demonstrated a positive correlation between specific nutrients intake and age-related cataract, such evidence was usually lacking in following interventional studies...
January 2019: Current Opinion in Ophthalmology
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