EyeNet - American Academy of Ophthalmology

As technology evolves, cataract surgery outcomes also continue to improve. Can astigmatic patients now achieve emmetropia? A growing number of high-tech systems on the market may help put this brass ring within reach.

Ophthalmic Pearls

Diagnosis and Treatment of CNV in Myopic Macular Degeneration

By Matthew E. Raecker, MD, Dong-Wouk Park, MD, and Andreas K. Lauer, MD
Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH

Management of choroidal neovascularization in the highly myopic patient presents particular challenges. An update on diagnosis and treatment. Web Extra: A discussion of intravitreal injections of anti-VEGF agents.

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Clinical Update

Rethinking Amblyopia Management

By Gabrielle Weiner, Contributing Writer
Interviewing Eileen E. Birch, PhD, MPH, Sean P. Donahue, MD, PhD, and Robert F. Hess, PhD

Currently, treatment for amblyopia is based on the following assumptions: Amblyopia is a primary disorder of monocular vision; patching is the right approach; and it responds to therapy only in children, the younger the better. But recent research has upended these assumptions. Web Extra: A discussion of screening and more.

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Growing Role of Patient Satisfaction Poses Challenges

By Lori Baker-Schena, MBA, EdD, Contributing Writer
Interviewing Robert M. Kinast, MD, Paul P. Lee, MD, JD, and William L. Rich III, MD

Patient satisfaction seems to be making its way to center stage, whether it involves hospital surveys or online patient reviews. Moreover, patient satisfaction has become a key quality indicator closely tied to Medicare reimbursement rates. These developments are creating new challenges for ophthalmologists.

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Morning Rounds

The Case of the Patient With Frozen Eyes

By Duncan Berry, MD, Pradeep Mettu, MD, and M. Tariq Bhatti, MD
Edited by Steven J. Gedde, MD

After getting out of bed one morning, the 78-year-old was overcome by dizziness. By the time she reached the kitchen, she was feeling nauseous.

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Blink

Eight-and-a-Half Syndrome

By Jessica Shantha, MD, and Jill Wells, MD, and photographed by Debora Jordan, Emory University, Atlanta

A 58-year-old African-American woman presented with blurry vision and foreign body sensation in the left eye. She had been recently hospitalized with a hemorrhagic pontine stroke secondary to uncontrolled hypertension.

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Journal Highlights

Ophthalmology

Lens-sparing vitrectomy for ROP. ■ Choice of local anesthetic for vitreoretinal surgery. ■ HIV neuroretinal disorder in AIDS patients. ■ Baseline demographics of pioneering POAG genetics study.

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American Journal of Ophthalmology

Morphologic and functional changes in chronic CCC. ■ Outcomes after secondary IOL implantation in children. ■ Association between statin use and uveitis. ■ Outcomes after femtosecond laser cataract surgery.

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JAMA Ophthalmology

Factors predictive of corneal graft survival. ■ Teleophthalmology and neovascular age-related macular degeneration. ■ Predictors of referral-warranted ROP in a telemedicine approach.

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Roundup of Other Journals

Dry eye treatment: Simple, safe, and inexpensive. ■ Femtosecond and phacoemulsification: Ranking intraoperative complications. ■ Genetics of IOP. ■ Biobank research and public acceptance.

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News in Review

CXL Eyes Stable After 10 Years

Ophthalmologists have reported long-lasting effectiveness of corneal collagen cross-linking in halting progression of keratoconus.

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Cataract Wound Leaks: Sealant vs. Sutures

A study of 500 eyes at 24 sites has found that a hydrogel sealant (ReSure) was significantly better than sutures in stopping leakage following clear corneal incision cataract surgery.

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Meta-analysis Confirms Diabetes-Glaucoma Link

Ophthalmologists have found that diabetes, duration of diabetes, and fasting glucose levels were associated with a significantly higher risk of primary open-angle glaucoma and that diabetes and fasting glucose levels were associated with slightly increased levels of IOP.

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Early HAART Tx May Spare Youth From Ocular Disease

A recent study has found that those who receive highly active antiretroviral therapy and survive into adolescence may avoid the ocular diseases typically found in adults with chronic HIV.

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Academy Notebook

News, Tips, Resources

What's Happening: Ophthalmic Medical Assisting in eBook format. ■ EyeWiki contest winners. ■ Ask the Ethicist: The impaired colleague. ■ D.C. Report: New Congress, new priorities—an overview of 2015 health care initiatives. ■ And more.

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Practice Perfect

Perform a Security Risk Analysis: Top FAQs and Tips for Success

By Leslie Burling-Phillips, Contributing Writer
Interviewing Kyle Chang, Charles Jarvis, Julia Lee, JD, OCS, and Ronald Sterling, CPA, MBA

Pinpoint any security loopholes and then address those vulnerabilities. Web Extra: A list of helpful tools, tipsheets, guidebooks, and more.

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Savvy Coder

ICD-10 Codes for the Cataract Family

By Sue Vicchrilli, COT, OCS, Academy Director of Coding and Reimbursement, Jenny Edgar, CPC, CPCO, OCS, Academy Coding Specialist, and Rajiv Rathod, MD, MBA

This quick reference will help you prepare for October’s transition to ICD-10. Web Extra: Converting frequently used ICD-9 codes.

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Opinion

Maintenance of Certification: Are We Halfway There Yet?

Richard P. Mills, MD, MPH, Chief Medical Editor, on an MOC verdict.

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Letters

Thoughts From Your Colleagues

Avulsion of the optic nerve. ■ Empathy among us.

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High-Tech Toric IOL Axis Alignment