Addressing clinical challenges with expert perspectives
Our Expert Pearls series brings together concise, experience-driven perspectives from leading ophthalmology experts, focusing on the clinical challenges you face every day. From surgical decision-making to managing complex cases, each article distils practical knowledge into clear, actionable takeaways that can be applied directly in practice.
Designed for busy clinicians, these short, focused articles cut through theory to highlight what truly matters at the point of care including what works, what to watch for, and how to optimise outcomes in real-world settings.
New insights are added regularly, covering a broad range of subspecialties and evolving clinical scenarios.
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CATARACT SURGERY
Cataract surgery in patients with high myopia
With the global rise in high myopia and its associated risk of vision-threatening complications, optimising cataract surgery in this population is becoming increasingly important.
In this Expert Pearl, Prof. Andrzej Grzybowski explores why cataract surgery in high myopia should be approached as more than a routine procedure. From complex biometry and IOL selection to retinal risk and patient expectations, he outlines the key considerations needed to optimise outcomes in this challenging patient population.
Expert pearls in cataract surgery after penetrating keratoplasty
Cataract surgery following penetrating keratoplasty (PKP) presents a unique set of challenges, requiring a careful balance between preserving graft integrity and achieving meaningful visual improvement.
In this expert pearl, Prof. Dr Suphi Taneri shares his practical approach to managing these complex cases, from preoperative assessment and biometry to surgical technique and postoperative care.
Traumatic cataract management
Traumatic cataracts are among the most challenging conditions in ophthalmic surgery. Unlike age-related cataracts, which tend to follow a predictable pattern, traumatic cataracts require a highly individualized, case-by-case approach — from initial assessment through to surgery and long-term follow-up.
In this expert Q&A, Dr Ferenc Kuhn, an ocular trauma specialist (having designed the BETT and the OTS systems) and Chairman of the International Society of Ocular Trauma, shares his insights into the assessment and management of traumatic cataracts and the principles that guide his surgical decision-making.
Selecting the optimal IOL
Intraocular lenses (IOLs) are central to restoring vision after cataract surgery, but selecting the right lens in complex eyes requires precision, experience and the correct tools.
In this Q&A, Professor Andrzej Grzybowski shares his expert practice pearls on achieving the best possible refractive outcomes in challenging cases.
Optimising cataract surgery in keratoconus
Cataract surgery in patients with keratoconus presents unique challenges, from achieving accurate IOL calculations to optimising visual quality in the presence of corneal irregularities.
In this Q&A, Dr Jorge Alio shares his practice pearls, offering key considerations, IOL selection strategies, and surgical techniques to help achieve the best possible outcomes in this complex patient group.
RETINA
Personalised treatment strategies for neovascular AMD
As next-generation anti-VEGF agents redefine what is possible in terms of disease control and durability in neovascular AMD, the focus is shifting toward truly personalised care, that prioritises retinal stability, interprets advanced imaging biomarkers with clinical nuance, and balances long-term outcomes against treatment burden.
In this expert pearl, Dr Alessandro Arrigo draws on personal experience to share practical insights into individualising anti-VEGF treatment in routine clinical practice.
Managing rapid progression in diabetic retinopathy: A global and developing perspective
Managing rapid progression in diabetic retinopathy (DR) requires early recognition and decisive action, as disease severity can escalate over months rather than years, significantly narrowing the window for effective intervention. Identifying high-risk patients and adapting management strategies accordingly is critical to preventing irreversible vision loss.
In this expert Q&A, Dr Marina Roizenblatt shares a global and developing-world perspective on rapidly progressing DR, drawing on her clinical experience in Brazil to explore how biological risk factors, health system limitations and pragmatic treatment approaches intersect in real-world practice.
