RESUMO
PURPOSE OF REVIEW: To examine the current state of femtosecond laser-assisted cataract surgery (FLACS) with a focus on its incorporation into resident surgical education. RECENT FINDINGS: To date, there are no published data on FLACS in residency training programs. Teaching FLACS concurrently with manual cataract surgery can theoretically allow a trainee to become proficient in both domains and to navigate the complexities and complications of both procedures in a dedicated learning environment. SUMMARY: Early reports from completed projects at our institution suggest that incorporating FLACS into residency education is successful and well tolerated. The procedure appears to have a similar safety profile and delivers similar refractive results compared with conventional phacoemulsification cataract surgery, even during the initial surgical learning curve. More research needs to be carried out on the safety profile and outcomes of resident performed FLACS and its ultimate role in trainee education.
Assuntos
Educação de Pós-Graduação em Medicina , Internato e Residência , Terapia a Laser/métodos , Oftalmologia/educação , Facoemulsificação/educação , Competência Clínica , Humanos , Curva de Aprendizado , Facoemulsificação/métodosRESUMO
PURPOSE OF REVIEW: To evaluate new surgical treatment of zonular instability during cataract surgery. RECENT FINDINGS: The increased risk of complications associated with zonular compromise during cataract surgery has led to development of the capsular tension ring. More recently, the modified capsular tension ring and capsular tension segment have been introduced, allowing improved capsular stability and intraocular lens centration by scleral-suture fixation. Capsule support hooks also have a role in capsular stabilization. SUMMARY: When faced with zonular instability, the increased availability and use of capsular support devices allow for improved safety and outcome in cataract surgery.
Assuntos
Extração de Catarata/métodos , Cápsula do Cristalino/cirurgia , Implante de Lente Intraocular/instrumentação , Subluxação do Cristalino/prevenção & controle , Lentes Intraoculares , Humanos , Subluxação do Cristalino/etiologia , Complicações Pós-Operatórias/prevenção & controle , Desenho de Prótese , Resultado do TratamentoRESUMO
Advances in cataract surgery techniques have presented surgeons with new options for ocular anesthesia. As cataract removal has become faster, safer, and less traumatic, the need for akinesia and anesthesia has declined significantly. General anesthesia or retrobulbar block have largely been replaced with other safer and equally effective means of local anesthesia. These newer and less invasive methods have reduced the potential for catastrophic surgical complications, increased the efficiency of cataract surgery, and hastened the process of visual rehabilitation. Today there are numerous modes of anesthesia from which a surgeon can choose. This article reviews the current choices for ocular anesthesia, compares their efficacies, and provides a framework, helping to select the most appropriate type of anesthesia for each patient.