Updates in Ophthalmology

Robert Knox, MD
 Cataract Surgery

Overview
Refraction: Myopia, Hyperopia, Astigmatism
Cataract types
Surgical procedure
Phaco system advances
 Glaucoma

Aqueous flow
Detection: applanation, fundoscopy, visual fields, nerve
fiber analysis, gonioscopy.
Normal trabecular flow
Treatment: Drops, SLT, surgery (Optanol shunt
implant)
 Macular Degeneration

Two forms
- Dry: vitamins
- Wet: laser, surgery, PDT...not
VEGF inhibitors: Avastin, Lucentis
 Refractive Surgery
Laser patterns for
- Myopia
- Hyperopia
- Astigmatism
Lasik:
- eye tracking
- microkeratome
- spot beam
- wavefront
 Refractive Surgery

New IOLs
- anterior ICL
- posterior ICL
- toric lenses (LRI, AK)
- presbyopic lenses
 Summary

Explosion of information
New meds/combinations
New procedures
New equipment