US OPHTHALMIC REVIEW – VOLUME 12 – ISSUE 1 – SPRING 2019

Welcome to the latest edition of US Ophthalmic Review, whose wide-ranging articles reflect the rapid pace of ophthalmologic research, as well as the scope of this field. Ophthalmology is unique in that practitioners are involved all aspects of patient care, from diagnosis to post-operative assessment and ongoing evaluation.   We begin with one of our popular […]

Dry eye disease (DED) is one of the most common conditions encountered by ophthalmologists, with up to 50% of patients reporting symptoms.1 For many decades, DED was thought to be a simple condition caused by reduction of the aqueous phase of the tear film, but it has been redefined as: “a multifactorial disease of the tears […]

Dry eye disease (DED) is the one of the leading causes of adult visits to ophthalmologists in the USA, with an estimated prevalence of 5–50% in adults over the age of 50 years.1 Studies have estimated over 16 million patients have been diagnosed with DED, even in patients as young as 18–34.1 As the “Baby Boom” population […]

Poor visualization is a common cause of failed retinal detachment surgery, both because of failure to identify and treat retinal breaks and because of residual vitreoretinal traction (see Figure 1). Cataract, especially cortical and posterior subcapsular cataract, limits crucial visualization of the peripheral retina.1,2 Combined phacoemulsification and vitrectomy are commonly performed outside the USA, but often yield […]

Lamellar procedures have their origins in the 1960s, when they were introduced by Barraquer in Columbia.1 In the 1990s, Pallikaris and Buratto introduced the concept of combining a lamellar procedure with surface ablation excimer lasers,2,3 giving rise to laser-assisted in situkeratomileusis (LASIK) surgery. Several iterations and techniques have been developed since then, and over the […]

In recent years, the field of clinical glaucoma research has been geared towards investigating surgical intervention. Recent trials have focused on examining the outcomes of conventional glaucoma surgery, including trabeculectomy and glaucoma drainage devices. They have additionally explored the novel uses of minimally invasive glaucoma devices. This review presents an update on recent landmark glaucoma […]

Visual field (VF) analysis of the central retina is being touted by some clinicians as an indispensible investigation in all glaucoma patients, irrespective of the stage of the disease.1 The functional tests to investigate glaucoma patients analyze the VFs to look for loss of sensitivity. In early cases of glaucoma and glaucoma suspects the programs […]

Diplopia from comitant ocular deviations is a relatively common clinical presentation. On examination, the presence of a ductional deficit is suggestive of neuromuscular or neurogenic etiology. Without this deficit, the cause is usually attributed to the breakdown of previously well-controlled phoria. In some cases, however, the binocular diplopia is due to a more complex and […]

A 34-year-old male presented to the clinic for a second opinion regarding ongoing symptoms of glare, ghosting, starbursts, haloes and reduced contrast sensitivity three years post-laser-assisted in situ keratomileusis (LASIK) surgery. These symptoms were exacerbated under low light conditions, particularly driving at night, and he found a reduction in their effect when shining his cell […]