This study used a short quality of vision (QoV) questionnaire (19 items) to assess patient-reported outcomes based on presence of visual disturbances and lifestyle activities, choice of IOL, and spectacle independence. Complete spectacle independence was achieved by 96% of patients with only 1 patient (1/27) reporting the use of spectacles for far distance. In all, […]
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The vast majority of surgeon globally believe that the Femtosecond Laser-Assisted Cataract Surgery (FLACS) is the best way to remove a cataract. I fully agree. FLACS has a long track record of decreasing complication risks and there is data to show the recovery time is faster, particularly in advanced cataract cases. But there are many
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This is a great article below which goes through best practices to diagnose Diabetes. SLC JAMA Diagnostic Test Interpretation September 12, 2019 Point-of-Care Hemoglobin A1c Matthew J. O’Brien, MD, MSc1,2,3; David B. Sacks, MB, ChB4 Author Affiliations Article Information JAMA. Published online September 12, 2019. doi:10.1001/jama.2019.14063 Summary: Hemoglobin A comprises approximately 97% of total hemoglobin and undergoes glycation with the nonenzymatic attachment of a
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What is the best way to place an IOL if there is no capsular support? This is a great question. There are many published techniques. The issue with most is the centration of the IOL and the time it takes to place the IOL. My favorite technique is becoming a modified version of the below
For the record: Rinastiti M, et al. Int J Oral Maxillofac Surg. 2006; 35:247-251. Jin CZ, et al. Tissue Eng. 2007; 13:693-702. Niknejad H, et al. Eur Cell Mater. 2008; 15:88-99. He H, et al. J Biol Chem. 2009; 284:20136-20146. Data on file, Bio-Tissue, Inc., 2012. http://www.iovs.org/content/46/11/4079.full.pdf. Sambursky R, O’Brien TP. MMP-9 and the perioperative management of LASIK surgery. Curr Opin
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I met my first patient who has used Albumin drops for dry eyes. He came in because he believes a recent new surge of styes and chalazia were caused by his use of albumin drops. He had used a compounding pharmacy in Michigan. Initially, he asked if they could send him autologous serum but in
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Many of our patients have asked about MiBo. I know many patients in the US have had MiBo. No one has done a study to compare MiBo to Lipiflow so we really do not know which one is better long term to save meibomian glands. Lipiflow has many more studies to show its effectiveness. I
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This is a great review article on all the published methods to make PRP. The key point is the following– – At present, there is no all-encompassing and universally accepted system to allow classification of platelet-rich plasma (PRP) and other autologous blood preparations. Activated PRP seems to be the best. SLC Classification systems for platelet-rich
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Cord Blood Serum (CBS), also reported as Cord blood (CB) or Umbilical Cord Blood (UCB), has been used for the last 10 years as an accepted source of hematopoietic stem cells for the treatment of malignant and non-malignant hematological and immunological diseases (Ref 1-3). Cord Blood Serum is thus a life-saving treatment option for certain cancer patients that has
A recent study presented an association between Chronic Blepharitis and H. Pylori, a bacteria that is associated with gastric/stomach ulcers. It seems to be that oxidative stress is a unifying cause for the spreading & thriving of malicious H. Pylori gut bacteria and chronic blepharitis. Oxidative stress and inflammation lead to the following which is
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