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Dry eye blepharitis syndrome: The simple role of biofilm in dry eye
MAR 09, 2018
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
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0
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183
Surgical management strategies for trachomatous trichiasis
FEB 05, 2018
By
Esmael Habtamu
,
Saul Rajak FRCOPHTH PHD
,
Matthew John Burton FRCOPHTH MA PHD
This Current Insight outlines current evidence supporting surgical management strategies for trachomatous trichiasis.
Current Insight
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0
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22
Donor corneoscleral rim fungal cultures in the era of endothelial keratoplasty
OCT 04, 2017
By
Michelle K Rhee MD
This Current Insight takes an in-depth look at the rising rates of postkeratoplasty fungal infections.
Current Insight
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0
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12
Corneal Crosslinking
APR 20, 2016
By
Wuqaas M Munir MD
This review describes the evolution of corneal cross-linking, and examines its future in the treatment of corneal disease.
Current Insight
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0
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52
Office procedures for ocular surface diseases
AUG 03, 2015
By
Christopher J Rapuano, MD
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
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0
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33
It’s Time to Redefine Dry Eye
JUN 16, 2015
By
Anat Galor MD
New research shows dry eye is a complex disease process, prompting calls to redefine this disease.
Current Insight
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0
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1
Extending the capability of IOLs: Extended depth of focus and extended range of vision IOLs
APR 21, 2015
By Cynthia Matossian, MD, FACS
Extended depth of focus IOLs, also known as extended range of vision IOLs, are a new type of intraocular lens that allows for an extended range of crisp vision with a high rate of spectacle independence.
Current Insight
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0
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92
New computer model helps elucidate accommodation
JUL 30, 2014
By Daniel B. Goldberg, MD, FACS
By building a computer-animated model, we can advance our understanding of the underlying mechanisms of accommodation and presbyopia.
Current Insight
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0
Views
27
Surgical pearls for combining iStent with cataract surgery
MAR 27, 2014
By Savak Teymoorian, MD, MBA
Dr. Savak Sev Teymoorian provides some surgical pearls to help improve success when combining iStent and cataract surgery.
Current Insight
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0
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5
Corneal inlays for the surgical correction of presbyopia
JAN 29, 2014
By George O. Waring IV, MD; Mona Sane, DNB, MRCOphth
Corneal inlays have emerged as a promising surgical option for the treatment of presbyopia that could significantly improve quality of life for many people.
Current Insight
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0
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5
Managing wound leak with sealant after cataract surgery
JAN 21, 2014
By John A. Hovanesian, MD, FACS
Alternative methods of wound closure are currently being investigated, such as the use of hydrogel wound sealant.
Current Insight
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0
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85
Superficial keratectomy for Salzmann’s nodular degeneration: techniques and pointers
OCT 18, 2013
By Terry Kim, MD; Jay J. Meyer, MD, MPH
Superficial keratectomy can be used to treat the vast majority of Salzmann’s nodules, with proper instrumentation, surgical technique and postoperative management reducing the risk of recurrence.
Current Insight
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0
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414
Mini-monovision: Reducing spectacle dependence after cataract surgery
AUG 26, 2013
By Cynthia Matossian, MD, FACS
Modified monovision or "mini-monovision," which requires a smaller interocular diopteric power difference between eyes than traditional monovision, appears to be a safe and effective treatment for presbyopia. With the use of aspheric monofocal equiconvex IOLs to achieve "ble…
Current Insight
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0
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660
ASCRS, FDA: An update on TASS
FEB 26, 2013
By Nick Mamalis, MD; Henry F. Edelhauser, PhD
Toxic anterior segment syndrome (TASS) is an acute, sterile inflammatory reaction following anterior segment surgery that occurs secondary to a toxic insult during surgery or the perioperative period. There are multiple potential causes of TASS, including problems with instr…
Current Insight
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0
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7
Material world: The growing variety of foldable IOL materials
OCT 05, 2012
By Liliana Werner, MD, PhD
Since a 2003 survey on practice styles and preferences of American Society of Cataract and Refractive Surgery (ASCRS) members found that hydrophobic acrylic had been the preferred optic material since 1998,1 the U.S. market has seen increased variability in the materials use…
Current Insight
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0
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77
Liquid nitrogen cryotherapy effective for conjunctivochalasis, lymphangiectasia
AUG 01, 2012
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
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0
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14
New SLT results may change treatment of coexisting cataract and glaucoma
JUL 23, 2012
By Lawrence Franklin Jindra, MD; Joe Donnelly
The field of cataract surgery has seen several paradigm shifts that have significantly and irrevocably altered and improved our surgical procedures and outcomes, such as the introduction of the intraocular lens (IOL) by Ridley,1 phacoemulsification by Kelman 2 and viscoelast…
Current Insight
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0
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51
New treatments for central retinal vein occlusion
OCT 04, 2011
By Rahul Khurana, MD
Central retinal vein occlusion (CRVO) is a sight-threatening condition with an annual incidence of 30,000 eyes in the United States,1 while macular edema (ME) is a frequent cause of vision loss in eyes with CRVO with limited therapeutic options.2 Until recently, there were n…
Current Insight
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0
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104
Femtosecond lasers: The next disruptive technology in cataract surgery
SEP 07, 2011
By Mark Packer, MD, FACS
Laser-assisted refractive cataract surgery using femtosecond lasers has become the most recent disruptive technology to reach the cataract surgeon. The femtosecond lasers currently being brought to market are indicated for anterior capsulotomy, lens fragmentation and partial…
Current Insight
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0
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3
First impressions performing refractive laser-assisted cataract surgery
AUG 15, 2011
By John Palmer Berdahl, MD
We have been lucky enough to be one of the first sites to perform refractive laser-assisted cataract surgery (ReLACS) with the LenSx laser at Vance Thompson Vision in Sioux Falls, S.D., where I practice. Straight out of the box, I found this to be an impressive technology th…
Current Insight
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0
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0
Recent advances in the treatment of pediatric glaucoma
JUL 08, 2011
By Shamil S. Patel, MD ; Carl F. Sloan, MD; Jess Thomas Whitson, MD, FACS
Recent medical and surgical therapeutic advances have improved our ability to manage pediatric glaucoma, a potentially blinding condition characterized by elevated IOP, optic nerve damage and visual field loss. However, challenges still remain in treating this heterogeneous…
Current Insight
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0
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16
New, Consolidated Accommodation Theory May Change Future of Surgical Presbyopia Correction
APR 12, 2011
By Daniel B. Goldberg, MD, FACS
It has become axiomatic that we still do not understand the mechanism of accommodation despite more than 200 years of scientific research and debate. However, the technological advances and research of the past decade have solved some of the mysteries surrounding accommodati…
Current Insight
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0
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4
Surgical Management of Pseudoexfoliation and Prevention of the Impending Epidemic of Pseudophakic Bag-Lens Subluxation
MAR 14, 2011
By Lisa B. Arbisser, MD
This article focuses on the consequences of zonular pathology in patients with pseudoexfoliation syndrome (PXF) and how this pathology influences cataract surgical technique and prognosis. PXF is an age-related condition associated with a LOXL1 genetic defect in which fibril…
Current Insight
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0
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61
Techniques for manual small-incision extracapsular cataract extraction
MAR 14, 2011
By Leela V. Raju, MD; Madhavi Ghanta, DNB; V.K. Raju, MD FRCS FACS
Manual small-incision extracapsular cataract extraction, or MSICS, has become an extremely efficient and financially feasible technique for cataract removal in situations in which phacoemulsification is problematic, as well as for treating patients in developing countries. N…
Current Insight
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0
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13
The glued IOL technique: Fixing a posterior chamber IOL when there’s no capsule
MAR 02, 2011
By Amar Agarwal, MSOphth, FRCS, FRCOphth
The glued IOL technique is a relatively new method for fixing a posterior chamber IOL in an eye without a capsule. It was first described by me and my colleagues in December 2007. The current article provides details about how the procedure is performed. Video demonstrating…
Current Insight
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0
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44
Retinal and Choroidal Manifestations of Toxoplasmosis
OCT 20, 2010
By Juan D. Arias, MD ; J. Fernando Arevalo, MD, FACS
Toxoplasma gondii is an ubiquitous, obligate intracellular protozoan and is considered to be the most common cause of infective retinitis in immunocompetent humans. The course of systemic disease in immunocompetent adults is usually asymptomatic and self-limiting. As soon as…
Current Insight
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0
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176
Optic disc involvement in Vogt-Koyanagi-Harada disease
OCT 15, 2010
By Kumiko Nakao, MD, PhD; Taiji Sakamoto, MD, PhD
Optic disc change is frequently associated with Vogt-Koyanagi-Harada disease (VKH) but not studied in great detail. While optic disc change may hamper the correct diagnosis of VKH, the presence of VKH may also hinder the diagnosis of optic disc disease. This article explores…
Current Insight
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0
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32
Posterior optic buttonholing: Rationale, surgical technique and pearls
OCT 14, 2010
By Rupert Menapace, MD
Posterior optic buttonholing (POBH) is a well-controlled and safe surgical procedure that provides a better alternative to standard in-the-bag placement of a sharp-edged intraocular lens (IOL). It has a steep learning curve, even in the hands of an experienced, well-informed…
Current Insight
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0
Views
37
Treatment options after failed nasolacrimal duct probing
SEP 22, 2010
By Justin H. Arbuckle, MD; Jeffrey D. Colburn, MD; Derek T. Sprunger, MD
There is no clear consensus on the optimal treatment of patients with nasolacrimal duct obstruction (NLDO) following failed nasolacrimal duct probing. Clinicians currently choose between repeat nasolacrimal duct probing, intubation of the nasolacrimal duct, balloon catheter…
Current Insight
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0
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77
The role of genetic AMD risk in IOL selection
AUG 18, 2010
By Steve A. Arshinoff, MD, FRCSC ; Brent Zanke, MD, FRCPC, PhD
The variety of intraocular lens (IOL) types has grown dramatically during the past decade, which has spurred much debate about appropriate IOL choices in various clinical situations. Aging populations in the developed world are growing, as is their demand for cataract surger…
Current Insight
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0
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13
Modified Capsular Tension Ring for Severe Zonular Damage
JUN 08, 2010
By Robert J Cionni, MD
Robert J. Cionni, MD, provides an overview and demonstration of how to use the Morcher capsular tension rings in patients with severe zonular damage.
Current Insight
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0
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27
Surgical Management of Duane Syndrome
APR 27, 2010
By Ronald G.W. Teed, MD
Duane retraction syndrome (DRS) is best thought of as a special type of ocular dysmotility caused by improper innervation, or dysinnervation, of one or more extraocular muscles. A classification scheme for DRS is established in the literature; however, variability of dysinne…
Current Insight
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0
Views
98
The Next Evolution in Cataract Surgery
APR 23, 2010
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
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0
Views
4
LASIK’s ethical dilemma
JAN 11, 2010
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
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0
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20
Immediately Sequential Bilateral Cataract Surgery: It’s time for a paradigm shift
NOV 16, 2009
By Steve A. Arshinoff, MD, FRCSC
Simultaneous bilateral cataract surgery (SBCS) is steadily growing in popularity worldwide. So much so that in September 2008, some of its practitioners formed the International Society of Bilateral Cataract Surgeons (iSBCS) to share information and promote safe procedures i…
Current Insight
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0
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8
SD-OCT: a quantum leap for anterior segment surgeons
NOV 09, 2009
By Steven G. Safran, MD
Many anterior segment surgeons are embracing the relatively new technology of spectral-domain optical coherence tomography (SD-OCT) and integrating it into their practices. SD-OCT is a painless, safe, fast, easy, reproducible and exact way to look at critical anatomy that co…
Current Insight
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0
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1
Clinical Evaluation of Pediatric Glaucoma Patients
AUG 26, 2009
By Huijuan Wu, MD, PhD; Teresa C. Chen, MD
A thorough, accurate clinical evaluation is essential for diagnosis, classification and treatment of pediatric glaucoma, which may be primary or secondary. Primary congenital glaucoma (PCG) occurs in about 1 in 10,000 births, representing 50 to 70 percent of congenital glauc…
Current Insight
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0
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29
Management of HLA-B27 acute anterior uveitis
AUG 07, 2009
By Denis Wakefield, MD
Acute anterior uveitis (AU) is the most frequent and prevalent form of uveitis, and about half of all patients with AU are HLA-B27-positive. HLA-B27 is the strongest genetic link to AU reported in most population studies. This article discusses the significant progress that…
Current Insight
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0
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268
Use of anti-VEGF agents for wound modulation after trabeculectomy
JUL 07, 2009
By Malik Y. Kahook, MD
Anti-vascular endothelial growth factor (anti-VEGF) agents have recently been introduced as potential modulators of the post-filtration surgery healing process. Newer anti-VEGF agents have become popular as intravitreal injections for choroidal and retinal neovascular diseas…
Current Insight
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0
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8
Prevention and management of Descemet’s stripping automated endothelial keratoplasty complications
MAY 18, 2009
By Sonia H. Yoo, MD; Victoria Chang, BS
Descemet's stripping automated endothelial keratoplasty (DSAEK) is becoming the treatment of choice for corneal endothelial failure due to its better preservation of the globe's integrity, typically faster visual rehabilitation and more predictable visual outcomes compared w…
Current Insight
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0
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40
Medical Management of Thyroid-associated Ophthalmopathy
MAY 18, 2009
By Catherine J. Hwang, MD; Raymond S. Douglas, MD, PhD
Graves disease is a multisystem autoimmune disease targeting the thyroid, orbit and skin. Clinically detectable thyroid-associated ophthalmopathy (TAO) occurs in approximately 10 to 45 percent of patients with Graves disease1 with manifestations ranging from mild ocular surf…
Current Insight
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0
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17
Visual rehabilitation strategies for homonymous hemianopia
APR 17, 2009
By Michael S. Lee, MD
Spontaneous improvement can occur after homonymous hemianopia,1 although most patients do not enjoy complete resolution. This article describes three suggested strategies for ophthalmologists to try with such patients: the use of spectacle-mounted prisms that shift images fr…
Current Insight
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0
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419
Principles and Pearls in Toric Marking and Alignment
MAR 26, 2009
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 cylinder o…
Current Insight
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0
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60
Perspectives on the Endophthalmitis Vitrectomy Study: Implementing its findings today
MAR 18, 2009
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…
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362
Troubleshooting CMS Issues
MAR 02, 2009
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Advances in Angle-supported Phakic Lens Implants
DEC 17, 2008
By Simon P. Holland, MD
Phakic lens implants (pIOLs) are increasingly being used to correct high refractive errors. Improved pIOL designs and outcomes may soon lead to their wider acceptance and use. These newer designs allow insertion through smaller incisions. Other advantages include minimal ast…
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11
Androgen Deficiency in Ocular Surface Disease
DEC 08, 2008
By Ayad A. Farjo, MD; Qais A. Farjo, MD
Current therapeutic modalities have been helpful in treating many patients with ocular surface disease and dysfunctional tear syndrome. But there remains a subset of patients who continue to have signs and symptoms in spite of aggressive lubricant and anti-inflammatory thera…
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24
The Evolving Role of Digital Technology in Evaluating Diabetic Retinopathy
DEC 04, 2008
By Helen K. Li, MD
Rapidly evolving computer technology is supplementing face-to-face patient examinations and expanding the reach of diabetic retinopathy evaluations. Diabetic retinopathy remains a leading cause of blindness, even though timely treatment has been proven to dramatically reduce…
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3
Ocular Involvement in Lyme Disease
NOV 05, 2008
By Robert S. Weinberg, MD
Ocular inflammation can occur in patients with documented Lyme disease and has been reported to involve any part of the eye. Uveitis is uncommon, but case reports and small series demonstrate a wide variety of presentations including iridocyclitis, vitritis, multifocal choro…
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451
The Ongoing Challenge of Intermittent Exotropia
NOV 04, 2008
By Brian G. Mohney, MD; Sarah R. Hatt, DBO
Intermittent exotropia is a common form of strabismus for which surgery is often performed when there appears to be evidence of poor control or loss of stereoacuity. But these indications are either poorly defined or have yet to be vigorously studied. This article discusses…
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