Blog Archive

Guidelines in the Successful Treatment of Keratoconus with Intacs Intrastromal Rings Feb 14th, 2019

Keratoconus patients now have exciting treatment options available to halt disease progression as well as to improve corneal morphology and visual function. Corneal Collagen Crosslinking has an established international track record of halting the progression of the disease and the well-planned implantation of Intacs intrastromal rings can significantly improve visually...

A Change in the Corneal Transplant Paradigm Feb 14th, 2019

The advent of femtosecond (FS) laser technology has changed the landscape of modern corneal transplantation surgery. Laser corneal transplant surgery produces consistently excellent outcomes with numerous benefits for the patient, including a significantly shorter healing time, superior wound integrity, and lower levels of regular astigmatism. Manual penetrating keratoplasty (PK) surgery...

The Latest Advance in Custom LASIK iDesign 2.0 Nov 20th, 2018

Martin L. Fox, MD, FACS www.laserfox.com   The iDesign Suite 2.0 from Johnson and Johnson gained FDA approval in June of 2018 and is now available for use in patients requesting the latest advance in Custom LASIK. Dr Martin Fox, a national leader in custom LASIK, will be among the...

New Options for Halting the Progression of Keratoconus and Improving Vision Nov 20th, 2018

Martin L. Fox, MD, FACS www.laserfox.com Keratoconus is a disease of the cornea characterized by thinning and loss of structural integrity resulting in irregular astigmatism and poor vision. Up until very recently therapeutic options have been limited to a variety of contact lens options for those with mild disease and...

LASIK’s New Vision: Consumer Advisory Jun 13th, 2018

LASIK vision correction is an outpatient procedure that can offer lifelong positive changes. High-tech innovations and new surgical techniques have transformed the field, with new, safer, more accurate treatment options and far fewer complications.  “All LASIK is not the same. Outcomes can vary with the expertise of the surgeon and...

Laser Vision Correction in Patients with High Astigmatism May 22nd, 2018

A 40-year-old male presented to the Clarity clinic to seeking laser vision correction. Vision was correctable to 20/20 OU with -0.25-2.50×10 OD and plano-4.25×160 OS. He reported a vague history of amblyopia and patching therapy for the left eye in childhood. His medical history was non-contributory.External and slit lamp examinations...

Choosing from the Refractive Menu May 22nd, 2018

Choosing from the Refractive Menu: How to Best Counsel your Patient in Refractive Surgery Decision MakingThe science and art of modern refractive surgery continues to evolve with breath taking speed to the point that it now qualifies as a bona fide surgical subspecialty within the field of eye care. We...

Femto PK: A change in the corneal transplant paradigm May 22nd, 2018

The advent of femtosecond (FS) laser technology has changed the landscape of modern corneal transplantation surgery. Laser corneal transplant surgery produces consistently excellent outcomes with numerous benefits for the patient, including a significantly shorter healing time, superior wound integrity, and lower levels of regular astigmatism.Manual penetrating keratoplasty (PK) surgery is...

Laser Assisted Keratoplasty in Rapidly Progressive Keratoconus May 22nd, 2018

A 30 year old car salesman presented in August 2011 with history of a rapidly progressive ectactic dystrophy which was creating a significant impact on visual function and the ability to work. Patient was wearing a hybrid contact lens with reasonable comfort.Examination:Spectacle corrected visual acuity was 20/100 OD with -2.75-3.00...

Collagen Cross Linking in the Treatment of Keratoconus May 22nd, 2018

Collagen Cross Linking in the Treatment of KeratoconusA 21-year-old Hispanic male presented to the Clarity Refractive clinic in January 2013 referred by his family optometrist with newly diagnosed Keratoconus Attempts at finding an adequate spectacle correction or contact lens fit had been thus far unsuccessful. The patient felt frustrated with...

Prolonged Space Travel and Vision May 22nd, 2018

EYE PROBLEMS IDENTIFIED ASSOCIATED WITH PROLONGED SPACE TRAVELNASA-backed institute calls on ophthalmic companies for space research on effects of prolonged weightlessness on visionNASA has struggled to understand why astronauts returning from space missions are experiencing moderate to marked eye problems and changes in their vision. In an effort to prevent and...

Therapy to Regenerate Corneal Endothelium May 22nd, 2018

New Hope for the Treatment of Corneal Endothelial DiseaseThe cutting edge in corneal regenerative medicine The corneal endothelium is a population of cells required for the maintenance of corneal clarity. These cells lose all ability to regenerate after age 7 and therefore any disease process adversely affecting this cellular layer will...

Assessing the Quality Of Vision: Ocular Scatter as the New Metric May 22nd, 2018

The Role of Optical Light Scatter as a new metric in evaluating the optical system with the HD AnalyzerThe advent of modern refractive surgery has greatly enhanced our ability to better understand how our patients see the world in objective terms never before thought conceivable. Until very recently, the eye...

Topography Guided Custom Laser Vision Correction May 22nd, 2018

Topography Based Custom Laser Vision CorrectionFollowing the FDA approval of topography guided LASIK and PRK in September 2013, U.S. Refractive surgeons will now have access to a technology that has gained a rapidly growing international following as an alternative to wavefront guided treatments. Two topography driven systems have gained approval;...

Effective Treatment of Post LASIK Ectasia May 22nd, 2018

Selective INTACS implantation combined with corneal collagen cross linking allows for effective rehabilitation of uncorrected visual acuityGuide to the Successful Surgical Correction of Post LASIK EctasiaThe development of ectasia following laser vision correction continues to represents the most dreaded complication. Weakened post surgical corneal structural integrity can result in marked...

Nanowafer Technology Allows for Improved Ocular Drug Delivery May 22nd, 2018

Dissolving Film Could Replace Eye Drops for Ocular Drug DeliveryA dissolving film now under development could one day replace eye drops for the treatment of eye conditions.In a new study published in ACS Nano, a journal of the American Chemical Society, the “nanowafer” was found twice as effective in treating...

Treatments to Correct Reading Vision are at Hand May 22nd, 2018

A future with clear vision?Presbytes, there’s hope; inlays are almost in reach for US patients.BY MARTIN L. FOX, MDSince time immemorial men and women have struggled with the often-sudden onset of losing their ability to see closely. It was Aristotle who termed afflicted individuals as presbytes, coining for the ages...

Proprietary Cross Linked Hyaluronic Acid Shows Therapeutic Promise in Treating Eye Disease May 22nd, 2018

Jade has secured an exclusive worldwide license to BioTime, Inc.’s proprietary, thiolated, cross-linked version of the widely used and highly biocompatible hyaluronic acid (HA) polymer platform for delivery of any and all therapeutic molecules to, around, and in the human eye.As a drug delivery vehicle, this, cross-linked HA can be...

Proprietary Proteins to Modulate Eye Disease-From Eleven Biotherapeutics May 22nd, 2018

Eleven Biotherapeutics uses its proprietary technology platform to create first-of-a-kind protein therapeutics to address unmet needs for ophthalmic diseases.EBI-005: A novel IL-1 receptor antagonist and the first protein specifically designed for topical delivery to the eye for the treatment of ocular surface disease Dry Eye/Allergic Conjunctivitis Proteins are able to modulate inflammatory...

The KAMRA Corneal Inlay – A New Era in the Correction of Presbyopia May 22nd, 2018

The KAMRA INLAY IS FDA APPROVEDThe Birth of a New Era in Vision Correction and of New Responsibility for the Refractive SurgeonWith this weeks’ momentous approval of the KAMRA corneal inlay for the treatment of presbyopia Refractive surgeons will now turn the page on a new era in vision correction....

KAMRA Cornea Inlay in the Treatment of Near Vision–Candidates are Now Being Accepted for Consultatio May 22nd, 2018

Acufocus KAMRA Corneal Inlay is Now FDA ApprovedWith FDA approval of the revolutionary KAMRA inlay for the treatment of presbyopia the field of Refractive surgery ushers in the era of PresbyVision correction. For the first time patients will have the opportunity to have a safe technology that will allow for improvement of...

Kamra Corneal Inlay Achieves FDA Approval May 22nd, 2018

Technology Alert: FDA Approves the KAMRA InlayCorneal Inlays in the Correction of Reading VisionPerhaps the most significant omission in the technology of vision correction has been the surgical correction of reading vision. Problems with near vision are universal among individuals over the age of 45 years and this issue will continue...

The KAMRA Corneal Inlay: A Paradigm Change in the Treatment of Presbyopia May 22nd, 2018

For those of us devoted to the art and science of refractive surgery, the much-anticipated FDA approval of the KAMRA corneal inlay (AcuFocus, Irvine, Calif.) was greeted with much excitement. In my case, the word “glee” comes closer to describing the emotion I experienced. KAMRA is a one-of-a-kind technology in...

The KAMRA Corneal Inlay Re-Invents the Wheel in the Treatment of Presbyopia May 22nd, 2018

With the arrival of year’s end, I make it a practice to take stock of the events and developments in my practice over the preceding year. Without a doubt, the addition of KAMRA Corneal Inlay surgery stands for me as perhaps one of the most momentous developments in Refractive surgery in some...

The KAMRA Corneal Inlay- This Surgeon’s Initial Observations May 22nd, 2018

Having completed my initial series of pocket Kamra inlay cases, I now find myself well along on the presby surgery learning curve. One quickly learns the process of selecting candidates for surgery and managing post-operative courses and expectations. The KAMRA technology is an animal with many moving parts all of...

Bio Mimicry of Shark Skin Finds Ophthalmic Application-Sharklet Technologies May 22nd, 2018

Sharklet Technologies- Industry Mimics Nature to Reduce Infection RiskMedicine is always searching for methods designed to reduce the chance of infection. Hand washing and the use the use of hand sanitizers are all in widespread use today as are chemical sprays to sterilize work surfaces. But clearly such measures while...

The Myopia Epidemic May 22nd, 2018

Short sidedness appears to have reached epidemic proportions worldwide. This has been particularly evident in East Asia where today up to 90% of Chinese teenagers and adults are myopic and a remarkable 96.5% of 19 year-old males in Seoul Korea are myopic. New scientific studies are now shedding light on...

The KAMRA Corneal Inlay in the Wall Street Journal 3/29/16 May 22nd, 2018

The Ache: Reading glasses are one of the most hated inconveniences of growing older.The Claim: A new doughnut-shaped device from AcuFocus Inc., Irvine, Calif., can dramatically reduce reliance on reading glasses. It’s implanted in the outer layer of just one eye, which will then be used for reading.The Verdict: In...

Kamra vs. RAINDROP May 22nd, 2018

In a 19th century Hans Christian Andersen fable entitled the Princess and the Pea, the mother of a Prince who longs to marry a real Princess devises a test of a young woman who purports to be of royalty. A pea is placed under twenty mattresses upon which she sleeps to test...

Advances in Wave Scan Guided Custom LASIK May 22nd, 2018

The Next Generation-Wave Scan on SteroidsiDesign from AMO/Abbott advances custom Laser Vision CorrectionMartin L. Fox, MD, FACSRefractive surgeons have long appreciated wave scan technology and its role in the calculation, evaluation and understanding of the quality of vision of our patients. Its arrival was greeted with great anticipation in the...

Surgery to Change Eye Color May 22nd, 2018

Approximately 17% of the U.S. population has blue eyes, an attribute that many brown-eyed individuals envy. Now a thirty second laser procedure holds promise for those who would savor the opportunity to change their eye color.In actuality everyone has blue irises but the majority of us have this attribute masked...

Femtocataract Refractive Cataract Surgery May 22nd, 2018

Femtocataract Refractive Cataract Surgery – Lens Based Refractive Surgery as an Alternative to LASIK A 55-year-old female CEO presented for refractive surgical consultation at the Clarity Center with complaints of steadily declining uncorrected visual acuity with problems both at distance and near range. The patient had attempted soft contact lens...

A Prospective Topical Treatment of Presbyopia May 18th, 2018

Encore Vision Inc. Announces Successful Phase I–II Study As we all know, with age the crystalline lens stiffens and loses elasticity thereby losing accommodative focusing power resulting in presbyopia. All of the currently available remedies are compensatory rather than corrective. With EV06 clinical study from Encore Vision a new and novel biochemical approach may be at hand.It has been...