Quality of life and satisfaction among physicians after wavefront-optimized vs topography-guided laser vision correction.

Purpose: To assess satisfaction, quality of life, occupational impact, and clinical outcomes of physicians who have undergone laser vision correction (LVC) using either wavefront-optimized (WFO) or topography-guided (TG) excimer laser ablation profile with femtosecond laser flap creation.

Setting: Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Design: Retrospective survey study.

The Effect of Change in Intraocular Pressure on Choroidal Structure in Glaucomatous Eyes.

Purpose: Choroidal thickness increases linearly with intraocular pressure (IOP) lowering. We studied the relationship between the change in size of the choroidal vasculature and IOP lowering after glaucoma procedures.

Methods: Thirty eyes of twenty-nine patients were examined pre- and postoperatively for up to 6 months with standard clinical assessment, enhanced depth imaging spectral-domain optical coherence tomography (OCT), and axial length measurement.

Positive End-Expiratory Pressure as a Risk Factor for Severe Positive Vitreous Pressure During Combined Penetrating Keratoplasty and Cataract Extraction.

Purpose: To report the potential risk of severe positive vitreous pressure during combined penetrating keratoplasty, cataract extraction, and intraocular lens implantation (triple procedure), using positive end-expiratory pressure (PEEP) during general endotracheal anesthesia.

Methods: This is a case report of a 32-year-old man and a 48-year-old man who underwent penetrating keratoplasty, extracapsular lens extraction, and intraocular lens implantation during which severe positive posterior pressure was encountered during the open-sky lens extraction.

Results: In both cases, severe posterior vitreous pressure against an intact posterior capsule hindered intraocular lens implantation during the triple procedure.

Advances in Refractive Surgery: June 2014 to July 2015.

Purpose: The objective of this study was to review the advances in the field of refractive surgery as reported in the peer-reviewed literature during the previous year.

Design: A literature review.

Methods: In this review, we highlight the most pertinent articles in the field from June 2014 to the end of July 2015.

Treatment options for thyroid eye disease.

Patients with thyroid eye disease (TED) experience hypertrophy of their extraocular muscles and an increase in intraorbital fat volume leading to eyelid retraction, proptosis, double vision, and optic nerve compression. These orbital changes are thought to be due to a cross-reaction of thyroid stimulating hormone (TSH) with antigens in the orbit. Therefore, the key to treatment is achievement of a euthyroid state in patients with abnormal thyroid function.

Change in choroidal thickness and axial length with change in intraocular pressure after trabeculectomy.

Background/aims: We studied the change in choroidal thickness (CT) and axial length (AL) after intraocular (IOP) changes produced by trabeculectomy.

Methods: Twenty-one eyes of 20 patients were studied preoperatively, and then postoperatively at 1 week, 1, 3, and 6 months. Variables measured included IOP, AL, keratometry, refractive error, central corneal thickness, and average CT in the posterior 6 mm centred on the fovea using enhanced depth imaging spectral domain optical coherence tomography (OCT).