Eye Consultants of Atlanta’s Post

“Interestingly, light intensity modulation with modern-day cataract surgery has not been postulated as a predisposing factor for CME formation since microscope modifications in the early 2000s, plausibly because there had been no alternative available for conducting a comparative study. 3D digital visualization systems have repeatedly demonstrated that it is possible for surgeons to perform cataract surgery safely and effectively using a fraction of the microscope light intensity traditionally used. Given that most surgeons are still routinely operating well above the maximum light exposure limit recommended by surgical microscope manufactures, any technological advances with a proven efficacy of positively impacting surgical outcomes warrant further examination.30 Therefore, it is our firm belief that surgeons should once again reconsider light to be analogous to a drug, and abide by the recommended dosing guidelines.” But : “All consecutive cases of cataract surgery were included with the exception of cases associated with any of the exclusionary criteria: (1) planned complex or combined surgery (eg, surgery requiring additional intraocular manipulation as a result of the use of pupil expansion devices, minimally invasive glaucoma surgery, etc.); (2) any preoperative evidence of corneal dystrophy; (3) other corneal pathologies (corneal scarring, etc.) limiting accuracy and penetrance of biometry measurements; (4) previous intraocular surgery requiring microscopic or endoscopic illumination, excluding intravitreal injections and laser procedures; (5) adjunctive use of intraoperative aberrometry because the use of intraoperative aberrometry requires extensive manipulation of microscope light intensity, as well as additional operative time (thereby excluding patients receiving toric and presbyopia-correcting intraocular lenses from this study, resulting in the exclusive use of monofocal aspheric single-piece intraocular lenses); and (6) preoperatively planned myopic refractive target. These additional elements would have introduced confounding variables with potential for impacting light intensity, light exposure time, and postoperative visual acuity analysis.”

Microthane®: the solution for complex procedures Microthane® implants are especially beneficial for more complex procedures, such as secondary cases and reconstructions. For patients who require post-mastectomy radiation therapy, the benefits of using Microthane® implants are even more pronounced. (3) SOURCES: (1). Pompei, S., et al., “Polyurethane Implants in 2-Stage Breast Reconstruction: 9-Year Clinical Experience”, Aesthetic Surgery Journal, Volume 37, Issue 2, 1 February 2017, Pages 171-176, doi.org/10.1093/asj/sjw183. (2). Pompei S, Evangelidou D, Arelli, F, Ferrante G. 2016. “The Modern Polyurethane-Coated Implant in Breast Augmentation: Long-Term Clinical Experience”. Aesthetic Surgery Journal 36(10):1124-1129. (3) Loreti A, Siri G, De Carli M, et al. Immediate Breast Reconstruction after mastectomy with polyurethane implants versus textured implants: A retrospective study with focus on capsular contracture. Breast. 2020;54:127-132. doi:10.1016/j.breast.2020.09.009

Endophthalmitis Incidence 50% Higher in Glaucoma vs. Cataract Surgeries Diagnosis also occurred several days later in the first group. “The median onset of endophthalmitis following traditional glaucoma surgeries was one to two weeks later than that following cataract or MIGS, suggesting that the wait time between sequential surgery on contralateral eyes should perhaps be slightly longer for traditional glaucoma surgeries unless immediate pressure lowering is needed,” the researchers explained in their Ophthalmology paper. Read more: https://lnkd.in/dsryUPh8 #glaucoma #cataract #cataractsurgery #eyecare #optometry

New issue of the Video Journal of #Cataract, #Refractive, and #Glaucoma Surgery out now! The second issue of 2023, entitled “A Smorgasbord of Delicious Cases,” covers 27 highlights from the ESCRS Congress in Milan. Watch the latest: https://vjcrgs.com/ #Ophthalmology

Are you unhappy with your breast reconstruction surgery results? There are both surgical and non-surgical options available for people who are unhappy with their breast reconstruction surgery. Speak to your surgeon. You may also want to seek a second opinion or talk to others with similar experiences. This article discusses options for people unhappy with their breast reconstruction surgery after a mastectomy and the possible risks of corrective surgery. #breastcancer #breastcancersurvivor #mastectomy #medicalnewstoday #AmericanSocietyofPlasticSurgery #ASPS #Breastcancer.org #breastreconstruction #brave #bravecoalition #bravecoalitionfoundation https://ow.ly/LrTX50PPMvG

The fourth issue of the 2023 Video Journal of Cataract, Refractive, & Glaucoma Surgery is out now and appropriately titled SHOCKING CASES! Watch the latest issue: https://vjcrgs.com/ #Ophthalmology #Ophthalmologist #EyeSurgery #EyeSurgeon #Cataract #Glaucoma #Refractive

Scleral lenses are one form of management for advanced corneal conditions, but many times patients will consult with the practitioner on whether they should pursue a surgical option to improve their vision. In addition, corneal specialists can work with optometrists to determine the best course of action for patients. This course will discuss considerations of when to refer patients for surgery (corneal transplant, cataract surgery, refractive surgery) in lieu or in addition to scleral lenses and important factors when proceeding with scleral lens fitting after corneal or cataract surgery. This course will also touch on the important relationship between ophthalmology and optometry in scleral lens management for corneal conditions and ocular surface disease. 🔗 Register now: https://lnkd.in/dAf2jC9a

Kudos to our #craniofacial team for this new paper, showing the benefits of high-tech virtual surgical planning (VSP) for #craniosynostosis surgery. VSP may improve intraoperative efficiency and safety for complex craniosynostosis surgery. Just published in the journal Plastic and Reconstructive Surgery Review https://lnkd.in/edfZSKVk

ICYMI: Cornea Update: An Unexpected Incidence of Ocular Surface Neoplasia on Pterygium Surgery. A Retrospective Clinical and Histopathological Report: Purpose: To report the unexpected finding of ocular surface neoplasia (OSSN) on conjunctival tissue removed during pterygium surgery and subjected to histopathology analysis. Methods: This is an observational, descriptive retrospective study in which all the samples removed during surgery between 1997 and 2020 with a clinical diagnosis of pterygium were sent for histopathology analysis in which an unexpected OSSN was found. Results: There were 461 cases with a preoperative diagnosis of pterygium, with a mean age of 30.14 ± 10.6 years. In this group, there was an unexpected finding of OSSN in 69 cases (14.96%) of the surgical samples, with a mean age of 46 ± 8.2 years (31.86 ± 12.13). Conclusions: The unexpected coincidence of pterygium and OSSN is frequent, although varies depending on the geographical location. We recommend performing a histopathology analysis on every pterygium removed. http://dlvr.it/T21r29 #Cornea #MostPopularArticles #Ophthalmology

Recent findings by Paolo Montemurro, MD present a new perspective: selecting nanotexture for breast implants could increase the risk of displacement in the years following surgery, without showing superiority in addressing other significant complications. In this study, POLYTECH’s microtextured surface MESMO® has shown to significantly reduce the risk of bottoming out. Access the study here: https://lnkd.in/e-vMEDN7 Source: Paolo Montemurro, Comparison of Polytech MESMO and Motiva Ergonomix Breast Implants With a Focus on Displacement Issues: A Single Surgeon's Experience in 329 Patients, Aesthetic Surgery Journal, 2024;, sjae071, https://lnkd.in/euKnyU5U