Study Examines Semaglutide and Wet AMD Risk

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An international study examines the link between a popular weight loss medication and wet AMD risk; Heidelberg receives FDA clearance for a Spectralis software upgrade; and Bausch + Lomb launches its latest over-the-counter dry eye relief product in the US. Learn more about your ad choices. Visit megaphone.fm/adchoices

Cataract Surgery in Patients with Corneal Opacities

When the view through the cornea is poor, adjustments in illumination, capsular staining, and pupil expansion can help.

Boris Malyugin, MD, PhD

Cataract and Refractive Surgery Today

KEY TAKEAWAYS Corneal opacities can compromise visualization during cataract surgery, but microscope illumination adjustments and supplemental light can improve the surgical view Transcorneal, intracameral, or pars plana chandelier illumination can enhance lens visualization by using reflected retinal light when coaxial light is insufficient Capsular staining, posterior capsule–safe phaco technique, and pupil expansion with a Malyugin Ring 2.0 or iris hooks can further improve control In eyes with corneal opacities, visualization of the capsule and lens can be challenging. The degree of difficulty depends on the density and location of the opacity. When cataract surgery alone, rather than a combined corneal and cataract procedure, is planned, several techniques can improve visualization. OPTIMIZING VISUALIZATION The first technique to improve visualization is to adjust the intensity of the operating microscope light and the balance between the coaxial and paraxial illumination. The second is to add supplemental illumination. A light pipe borrowed from a vitreoretinal setup can be positioned on the cornea near the limbus for transcorneal illumination or introduced into the anterior chamber through a paracentesis incision for intracameral illumination. Pars plana chandelier illumination can be useful in these cases. This technique was first described by Oshima et al in 2007.1 The approach is illustrated in Figures 1 and 2. When the coaxial microscope light is turned off and the chandelier illuminator is turned on, light reflects off the retina and improves visualization of the lens structures.

Retinal Perfusion, Sensitivity, and Function in DR

Barton Blackorby, MD; Katherine Talcott, MD; and Hong-Uyen Hua, MD

Eyetube

Does retinal capillary non-perfusion reliably predict functional vision loss in DR? And does the answer change how retina specialists treat it? In this episode of New Retina Radio Journal Club with VBS, Barton Blackorby, MD; Katherine Talcott, MD; and Hong-Uyen Hua, MD, discuss a prospective longitudinal cohort study examining the association between retinal sensitivity and perfusion over 2 years in patients with DR.

Hemorrhagic Choroidals After Combined Phaco-Trabeculectomy

Frédéric Aissani, MD

Eyetube

Frederic Aissani, MD, shares a case in which an 83-year-old woman experienced a dense cataract and decreased visual acuity to light perception in her only seeing eye. He shares his approach and the outcomes of this case.

More than 3 Million Bottles of Eye Drops Recalled

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A major recall is announced for several store-brand OTC eye drops; the FDA extends dosing intervals for Eylea HD in patients with Wet AMD and DME; and Bausch + Lomb launches its second full range of vision IOL in Europe. Learn more about your ad choices. Visit megaphone.fm/adchoices

Interview with ASCRS Executive Director Steve Speares

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The Executive Director of The American Society of Cataract & Refractive Surgery (ASCRS) previews the upcoming annual meeting and discusses the most pressing issues facing ophthalmology.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Navigating a Winding Path

Make your journey your own and be prepared to handle what life may throw at you.

Cecelia Koetting, OD, FAAO, Dipl ABO

Modern Optometry

Every career in health care is full of unexpected turns, opportunities, challenges, and moments that test both skill and character. In this article, I share my journey through residency, practice transitions, and personal health challenges, including a cancer diagnosis during a pandemic. My hope is that these experiences offer lessons on resilience, adaptability, and empathy, both for your career and for the patients you serve. I started my career in optometry not as a doctor, but as a technician, gaining firsthand experience in the clinic while I applied to school. From early on, I knew I wanted to complete a residency, but with a GPA that wasn’t exactly stellar, I had to prove my drive and commitment. That determination carried me forward, and during my residency in Cincinnati I not only discovered how much I loved the work, but also met my husband. In a funny twist, he had been living in Memphis, where I went to optometry school, and although we shared many mutual friends, our paths hadn’t crossed until then. ON THE ROAD AGAIN After residency, we moved to Tucson, Arizona, where I was offered the opportunity to help open and run a brand-new medical center. It felt like a leap, but I said yes. Only 6 months later, the practice was acquired by private equity, and the plans for the center were put on hold.

The Fellow Eye: Episode 5

Justin C. Muste, MD; David Fell, MD; Omesh P. Gupta, MD; and Shane Griffin, MD, MCR

Eyetube

Co-hosts Justin C. Muste, MD, and David Fell, MD, are joined by Omesh P. Gupta, MD, retina specialist at Wills Eye Hospital, and Shane Griffin, MD, MCR, vitreoretinal surgery fellow at the University of California San Diego Shiley Eye Institute, to discuss scleral-fixating secondary IOLs. They share pearls for implantation success, advanced techniques, and tricks for handling complicated cases.

Bayer Acquires Perfuse in $2.45 Billion Deal

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Bayer expands ophthalmology pipeline with acquisiton of Perfuse Therapeutics; Viridian announces new phase 3 data for its investigational subcutaneous injection for chronic thyroid eye disease; and Steven Dell, MD discusses the impact of declining reimbursement could on ophthalmic practices. Learn more about your ad choices. Visit megaphone.fm/adchoices

Evolving Practice Patterns and Dosing Strategies in Geographic Atrophy

Geeta Lalwani, MD; Murtaza Adam, MD; and Carl Danzig, MD

Eyetube

How have 3 years of real-world experience with complement inhibition changed when and how retina specialists treat GA? In episode 2 of the GA in Practice miniseries on New Retina Radio, moderator Geeta Lalwani, MD, and panelists Murtaza Adam, MD, and Carl Danzig, MD, examine how referral patterns, safety data, and extension study findings have shifted their approach to early treatment. The group then works through a hypothetical case of an active 73-year-old patient with extrafoveal GA and intermediate AMD in the fellow eye, exploring how lesion characteristics, CNV risk counseling, and months-long travel schedules factor into the treatment decision.