• By James M. Rynerson, MD
    This Current Insight proposes that blepharitis and dry eye disease are actually one simple disease process caused by biofilm.
    Current Insight
    This Current Insight outlines current evidence supporting surgical management strategies for trachomatous trichiasis.
    Current Insight
    By
    This article discusses several ocular surface disorders that a comprehensive ophthalmologist can treat with surgical procedures performed in the office or minor surgery setting.
    Current Insight
    By
    New research shows dry eye is a complex disease process, prompting calls to redefine this disease.
    Current Insight
    By Frederick (Rick) W. Fraunfelder, MD, MBA
    Conjunctivochalasis and lymphangiectasia are similar-appearing conjunctival conditions that can be successfully treated with liquid nitrogen cryotherapy. This therapy probably works for both conditions by tacking down the conjunctiva to the underlying globe through a cryogen…
    Current Insight
    By Stephen G. Slade, MD, FACS
    Stephen G. Slade, MD, is among the first to perform femtosecond laser cataract surgery in the United States. Three companies are currently developing these lasers: LenSx Laser (Aliso Viejo, Calif.), LensAR (Winter Park, Fla.) and Optimedica (Santa Clara, Calif.). But at this…
    Current Insight
    By Warren E. Hill, MD
    Without an accurate method of predicting IOL power calculations in post-keratorefractive eyes, a tsunami is threatening to wash over ophthalmology in the near future, says ONE Cataract Editor Warren Hill,MD. Refractive surgeons need to throw out the standard practice of dest…
    Current Insight
    By Joseph J.K. Ma, MD, FRCSC
    Click here for a one-page print-friendly version. It is useful to remember that a relatively small misalignment in toric lens placement can result in significant loss of astigmatic refractive effect. This relationship is sinusoidal (R=2Csinθ), where R = resulting cyli…
    Current Insight
    By Dennis P. Han, MD
    The Endophthalmitis Vitrectomy Study (EVS) has strongly influenced the management of acute postoperative endophthalmitis since the release of its findings in 1995.1 The EVS confirmed the visual benefit of pars plana vitrectomy in patients presenting with visual acuity of lig…
    Current Insight
    By SriniVas R. Sadda, MD; Alexander C. Walsh, MD
    Following its original description by Huang and workers in 1991, optical coherence tomography (OCT) has steadily evolved into an integral element in the diagnosis and management of patients with posterior segment disease.1-4 OCT presented 2 significant advances over existing…
    Current Insight
    By Michael E. Zegans, MD; Khalid F. Tabbara, MD
    Introduction Ocular toxoplasmosis is caused by the parasite Toxoplasma gondii. The organism may lead to acute or chronic infection in humans. Humans may acquire the disease by ingestion of the cyst of the parasite in undercooked beef, lamb, pork, or chicken. Other modes of t…
    Current Insight
    By Arthur J. Sit, MD
    Variations in intraocular pressure (IOP) have long been known, but the 24-hour pattern of IOP measured in the normal physiologic positions (upright during waking hours and supine during sleeping hours) has been described only in the last decade. Circadian IOP is highest duri…
    Current Insight
    By Shimon Rumelt, MD
    Management of Posterior Synechiae Causing Small PupilSmall pupil may be encountered with posterior adhesions (synechiae) between the iris and the crystalline lens. As isolated pathology, it is usually a result of long-term use of miotics, pseudoexfoliative syndrome, or neuro…
    Current Insight
    By Anjali M. Bhorade, MD
    The Primary Open-Angle Glaucoma Preferred Practice Pattern (2005) from the American Academy of Ophthalmology recommends the use of a monocular therapeutic trial to determine intraocular pressure (IOP) response to topical hypotensive medications. In a monocular trial, clinici…
    Current Insight
    By I. Howard Fine, MD; Richard S. Hoffman, MD; Mark Packer, MD, FACS
    Accommodating IOLs may very well transform the practice of cataract and refractive lens surgery. This is because accommodative IOLs can potentially provide unaided near visual acuity without the optical aberrations and image degradation that may accompany multifocal IOL impl…
    Current Insight
    By Amit R. Chokshi, MD
    With the popularity of refractive surgery rising since the 1990s, more patients who have previously undergone refractive surgery are developing visually significant cataracts. The number of patients in this group will only continue to rise as more refractive surgery patients…
    Current Insight