Optimizing resident education in cataract surgery.

Purpose Of Review: Evaluate recent literature focusing on improving or assessing resident education in cataract surgery.

Recent Findings: Recently published studies outline methods of evaluating residents' performance, educational progress, and evaluating a surgical curriculum. Authors found that the rate of complications in resident-performed cataract surgery falls by 50% after the first 40 cases and stays the same for the next 20 cases.

Glioma recurrence versus radiation necrosis? A pilot comparison of arterial spin-labeled, dynamic susceptibility contrast enhanced MRI, and FDG-PET imaging.

Rationale And Objectives: Distinguishing recurrent glial tumor from radiation necrosis can be challenging. The purpose of this pilot study was to preliminarily compare unenhanced arterial spin-labeled (ASL) imaging, dynamic susceptibility contrast-enhanced cerebral blood volume (DSCE-CBV) magnetic resonance imaging, and positron emission tomographic (PET) imaging in distinguishing predominant glioma recurrence or progression from predominant radiation necrosis in postoperative patients treated with proton-beam therapy.

Methods: Patients with grade II to IV glioma previously treated with surgery and proton-beam therapy were enrolled on the basis of new enhancing nodules or masses with primary differential diagnoses of predominant tumor recurrence or progression versus radiation necrosis.

Clinical pseudophakic cystoid macular edema. Risk factors for development and duration after treatment.

Purpose: To characterize the incidence, duration, and risk factors for and outcome of cystoid macular edema (CME) after cataract surgery and investigate the effects of treatment regimens on visual outcome and duration.

Setting: University-based comprehensive ophthalmology practice.

Methods: This study included 1659 consecutive cataract surgeries performed by residents between 2001 and 2006.

The characteristics and surgical outcomes of medial rectus recessions in Graves' ophthalmopathy.

Purpose: To evaluate the clinical characteristics and surgical outcomes of medial rectus (MR) recessions in patients with Graves' ophthalmopathy.

Patients And Methods: The clinical records of 32 patients with Graves' ophthalmopathy who underwent MR recessions with adjustable sutures for restrictive esotropia were reviewed. The clinical characteristics of patients, the size of the esodeviations, the limitations of ductions, the surgical doses, and observed responses to surgery were recorded and analyzed.

Using endoscopy to teach cataract surgery.

Current methods of teaching cataract surgery include lectures, wet-lab sessions, and participation in real surgery. We describe a new method using a microendoscopic cyclophotocoagulation device during phacoemulsification cataract extraction and posterior chamber intraocular lens (IOL) implantation in 4 eyes of 4 patients. Endoscopic visualization during surgery aided in construction of the corneal incision, location of the capsulorhexis edge, and estimation of the lens groove depth.

Predictors of visual outcome and choroidal neovascular membrane formation after traumatic choroidal rupture.

Objective: To determine predictors of choroidal neovascularization (CNV) and visual outcome after traumatic choroidal rupture.

Methods: A retrospective review of patients with traumatic choroidal rupture diagnosed in the Retina Service, Massachusetts Eye and Ear Infirmary, Boston, between January 1993 and August 2001 was performed. Parametric and nonparametric statistical methods were used to evaluate visual prognosis, CNV, and retinal detachment after traumatic choroidal rupture.