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Anyone who has read Malcolm Gladwell's book, The Tipping Point, is familiar with how a small change gains momentum to create a paradigm shift. Refractive surgeons in the United States [...]

New Orleans-The LADARVision excimer laser system (Autonomous Technologies) is proving to be a safe and effective treatment for low to moderate myopia and astigmatism, according to Marguerite B. McDonald, MD. [...]

The article focuses on the findings of a study which say that the results obtained with wavefront-optimized LASIK are similar to those achieved with wavefront-customized LASIK. The study reveals that the benefit of wavefront-customized ablation is due to the optimization of the peripheral ablation profile. Moreover, it indicates that wavefront-optimized approach also gives an option for patients who cannot undergo customized treatment for one of several reasons.

The article presents a guide in the selection of non-steroidal anti-inflammatory drugs (NSAID), compounds that inhibit cyclooxygenase (COX) enzymes for preventing ocular inflammation. Ophthalmic NSAID such as bromfenac, diclofenac and ketorolac have been examined for their inhibitory activity against COX-2. It is suggested that bromfenac has the highest relative potency. Although bromfenac is structurally similar to amfenac, the bromination of bromfenac renders it more active than amfenac.

Evaluates several microkeratome blades. Summit Krumeich Barraquer microkeratome; Innovatome blade; Oasis Precision Edge; Flap Maker blade; Hansatome blade.

Reports the results of a retrospective review by investigators at the Emory Vision Correction Center of sterile interlamellar culture-negative keratitis after LASIK for the correction of myopia. Description of the condition; How the review was conducted; Speculation on the occurrence of keratitis at the lamellar interface.

The article presents the views of doctor R. Doyle Stulting on the use of systematic approach in troubleshooting multifocal intraocular lens (IOL) implantation complaints. Stulting states that careful investigation with systematic approach helps identify underlying cause of visual acuity and quality complaints from patients. Moreover, Stulting notes the significance of careful preoperative evaluation to avoid problems in IOL implants.

Deals with the use of a non-contact LTK for hyperopic correction. Advantages of the technique; Overview of the trend in clinical practice among surgeons experienced with LTK; Description of the process.

Presents information on a study conducted by Doctor R. Doyle Stulting that revealed the possible effectiveness of laser thermal keratoplasty in treating mid-range hyperopia. Research methodology; Results and discussion; Other application once approved.

Debates on bilateral refractive surgery. Information on the surgical procedure; Complications of the surgery; Arguments raised on simultaneous and sequential surgery.

Reports on the results of an astigmatic correction study using the NIDEK EC-5000 laser, a scanning slit-beam laser. Treatment of compound myopic astigmatism; Use of a double-angle plot for vector analysis; Greater axis alignment error in low astigmatism compared in high astigmatism; Complications.