News

09/16/2008

The goal of cataract surgery in the year 2005 is not only to improve visual acuity, but also to provide excellent uncorrected visual acuity

The spherical component of this can be achieved with accurate IOL power calculations, but the astigmatic component must be managed with toric IOLs or intraoperative limbal relaxing incisions (LRIs).

09/16/2008

ACCUTOME’S RUBENSTEIN LRI KNIFE, developed by Jonathan Rubenstein, MD, has a low-profile, winged footplate that allows the blade to glide across the corneal epithelium, giving the user extreme control of the blade, the company says. The diamond knife’s blade is permanently preset to either 600, 550 or 500 µm. Accutome also offers a Shorti handle, for use with slit-lamp operation, which is popular among practitioners who do next-day astigmatism correction. For more information, go to accutome.com.

09/16/2008

Now that the results of cataract surgery can look so much like the results of refractive surgery, it may be time to separate them -- in your mind and in the minds of your patients, that is.

Consider this: One of the most common times patients sue cataract surgeons is when an error in IOL power calculation results in an increased dependence on glasses. So, as more patients come to assume that all cataract surgery routinely eliminates the need for glasses, you may be at increasing risk for malpractice claims.

09/16/2008

Like many cataract surgeons, I occasionally use limbal relaxing incisions during surgery to minimize a patient's astigmatism. I've used several different knives for this purpose while performing more than 1,000 cataract surgeries each year in my own surgery center and several different hospitals located in central Pennsylvania. In recent years, however, I've been using Accutome's LRI knife almost exclusively.