Tips for aging eye month contamination dangers during surgery Laser correction of astigmatism Try a femto laser in your OR

How Older Women Live it Up with Cataract Surgery

They live longer. Led by Anne L. Coleman, a professor of ophthalmology at the University of California, the study of 74,044 women aged 65 and older who had undergone cataract surgery had a lowered risk of dying prematurely. In fact, women with cataract surgery had a 60 percent lower risk of death among the 41,735 women who had their cataracts removed

The analysis concluded that this cohort had a lower risk of death from any cause and from certain specific causes.

Until now, nobody has examined this relationship between cataract surgery and cause-specific rates of death. The researchers drew data from the Women’s Health Initiative (WHI), which contains health data that are “not available in other large databases of cataract patients in the [U.S.]”

The WHI is a nationwide study of postmenopausal women in the United States aged between 50 and 79 years.
The full study is reported in the journal JAMA Ophthalmology

Use Eye Months for Patient Education and Practice Promotion

For ophthalmologists, the holidays continue all-year-long with every month designated as an eye holiday observance. Yes, you belong to a unique group of party animals. The Eye Months also give you a planned way to raise patient education and encourage screenings. Organizations and manufacturers put money and promotion behind these observances, so you can piggyback off existing publicity.

Tips for celebrating eye months

  • Post educational information, tips and images to your social media. These are topics you are intimately familiar with, but the average patient? Not so much.
  • Do free screening at retirement communities, schools, or PTAs
  • Prepare a 10-minute presentation on each of the topics, and have a staff member book you at the Kiwanis, Rotary, and fitness organizations in your area
  • Issue a press release a good 10 days before the Eye Month you’re promoting, and maybe you’ll get picked up as a source, too.

Planning activities for Eye Months is low-cost, good patient education, and credible promotion for you and your practice.

February Age-Related Macular Degeneration Month
March Workplace Eye Wellness Month
April Sports Eye Safety Month
May Healthy Vision Month
Jun Fireworks Eye Safety & Cataract Awareness Month
Jul UV Safety Month
Aug Child eye health / Safety
Sep Healthy Aging Month
Oct Halloween Safety Month
Nov Diabetic Eye Disease Awareness Month
Dec Safe toys and Celebrations Month

Source: AAO.org https://www.aao.org/newsroom/observances

Femtosecond laser incisions

Femtosecond laser incisions: More precise says study

Studies by Zaina Al-Mohtaseb, M.D., and her colleagues demonstrate that intrastromal and penetrating femtosecond laser incisions can be more precise. “They’re better centered and yield a higher percentage of patients with less than 0.5 D of manifest refractive astigmatism postoperatively when compared with their preoperative astigmatism,” says Al-Mohtaseb.

Al-Mohtaseb no longer performs manual AKs (Astigmatic Keratotomy), because of the unpredictable outcome and the patient’s sensation of a foreign body.

Femtosecond laser incisions lower the risk of infection and inflammation

She currently uses the femtosecond laser for both the penetrating and intrastromal incisions. Zaina Al-Mohtaseb, MD, said at OSN New York 2017.

Surgeon Bret Fisher, M.D., points out another plus for femtosecond laser incisions, “The LDV’s lower energy and small spot size potentially reduces inflammation and helps deliver excellent results.”

Study results so far

Intrastromal femtosecond incisions lower post-operative manifest refractive astigmatism with 72 percent of patients having less than 0.5 D postoperatively.

Penetrating Incisions: The study is in progress, but the group is seeing a higher percentage of patients with less than 0.5D compared with their preoperative measurement. The dataset, however, is still too small for comparative purposes.

For best results, Al-Mohtaseb recommends ruling out corneal pathology and irregular astigmatism on the topography to determine astigmatism before moving forward.

Source: Healio

I was able to do a sterile FLACS procedure due to the design and portability of the Ziemer Z8. The time savings were pretty remarkable.

Sheri Rowen, M.D.

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