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Dual hearing and vision impairment adds a layer of difficulty in achieving optimal vision-related outcomes, and people with lower socioeconomic status may be more likely to have undiagnosed AMD. … [Read more...] about Week in Review: Burden of Dual Hearing and Vision Impairment, Undiagnosed AMD in an Underserved Population

In a population-based study, the odds of age-related macular degeneration (AMD) progression were significantly increased in patients with incomplete retinal pigment epithelium and outer retinal atrophy or acquired vitelliform lesions. … [Read more...] about Certain Retinal Features on OCT May Predict Progression to Advanced AMD

My New York City practice has been a refractive-only practice for more than 25 years, offering the full range of FDA-approved vision correction surgery options, from lasers to IOLs.The rate-limiting factors for presbyopia-correcting IOLs, in my opinion, have long been dysphotopsias and enhancements. When I first started implanting presbyopia-correcting IOLs, the side effect … [Read more...] about Refractive IOL surgery: Closing in on a zero enhancement rate

Retained lens fragments are a frustrating complication that can challenge even the most meticulous cataract surgeon.While modern phacoemulsification has made the procedure remarkably efficient, the high-energy ultrasonic fragmentation of the nucleus inherently creates nuclear chips. These small pieces of nuclear material can migrate into the deep recesses of the anterior … [Read more...] about Intraoperative techniques minimize retained lens fragments

A 16-year-old white girl was referred to the retina clinic by her pediatric ophthalmologist for evaluation of a worsening unilateral central scotoma with colorful edges in the setting of new subretinal fluid seen on OCT.She denied eye pain, worsening photophobia, flashes or floaters. She also denied recent illness or systemic symptoms including fevers, rashes, mouth sores, hair … [Read more...] about 16-year-old girl referred for unilateral central vision changes