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March 2018
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Cataract Complications

This month’s feature presents highlights of the AAO 2017 Cataract Spotlight session. From posterior capsular rents and traumatic iris defects to a retained cortex, the 2017 symposium covered much ground. Read fresh commentary from the experts.

Extra Content

Monitored Anesthesia Care in Cataract Surgery

Anthem BlueCross BlueShield recently announced guidance to deny coverage for monitored anesthesia care for cataract surgery.

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Ophthalmic Pearls

Iridocyclectomy: Surgical Technique

Written By: Arun D. Singh, MD, Jorge J. Echegaray, MD, and Jaqueline Davanzo, BSN
Edited By: Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH

A step-by-step guide to this excisional technique for iris tumors and their simulating conditions. Web Extra: A video of the various steps of this procedure, from making the conjunctival and scleral flaps to closing the wound.

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Clinical Update

Retinal TIAs: A Medical Emergency

Written By: Gabrielle Weiner, Contributing Writer, interviewing Valérie Biousse, MD, Prem S. Subramanian, MD, PhD, and Jonathan D. Trobe, MD

Retinal TIAs are not benign. How to recognize them, and when to refer to a stroke center. Web Extra: Additional discussion on evolving perspectives.

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To Treat—or Not to Treat—Vitreous Floaters

Written By: Annie Stuart, Contributing Writer, interviewing Jerry Sebag, MD, Chirag P. Shah, MD, MPH, and Gaurav K. Shah, MD

Experts discuss the common problem of floaters. When, if ever, should patients receive treatment?

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Blink

Can You Guess March's Mystery Condition?

Make your diagnosis in the comments, and get the answer to last month’s mystery.

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Journal Highlights

Binocular Video Game for Amblyopia, Ophthalmologists' Perception of EHRs, and More

Our editors summarize the most exciting studies from Ophthalmology, Ophthalmology Retina, American Journal of Ophthalmology, JAMA Ophthalmology, and other journals.

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News in Review

Novel Protocol for CNV: “Treat-Extend-Stop”

A variation on intravitreal therapy can preserve the visual acuity of patients with wet AMD even if their CNV recurs. Web Extra: Additional images.

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Preterm Births Associated With Corneal Aberrations

Extreme prematurity itself is associated with increased higher-order aberrations of the cornea.

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Corneal Hysteresis: New Risk Factor for Glaucoma

Corneal hysteresis should be considered a new risk factor for developing the disease.

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Compound Can Seal Scleral Injuries—Reversibly

Reversible sealant for scleral injuries.

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Academy Notebook

News, Tips, Resources

Advocate for ophthalmology’s future at Mid-Year Forum 2018. D.C. Report: Delay for multistate modifier –25 cut. And more.

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Practice Perfect

MIPS: The IRIS Registry Makes Quality Reporting Relevant to Your Subspecialty

Written By: Rebecca Hancock, Director, IRIS Registry, and Flora Lum, MD, Vice President of the Academy Quality and Data Science Division

You can report these quality measures without an EHR system.

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Savvy Coder

The Code-a-Palooza Challenge, Part 2: Cataract, Cornea, and Retina

Written By: Sue Vicchrilli, COT, OCS, Director of Coding and Reimbursement, and Jenny Edgar, CPC, CPCO, OCS, Academy Coding Specialist

Can you answer these cataract, cornea, and retina questions?

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Opinion

Blurring the Lines: Are You an Insurance Company?

Ruth D. Williams, MD, Chief Medical Editor, on financial risk shifting to ophthalmology practices.

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Current Perspective

The Eye Care Tipping Point

David W. Parke II, MD, CEO, on riding the wave of radical change in the health care markets.

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Letters

Thoughts From Your Colleagues

Toxic colleagues: Taking it a step further.

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