Ten Key Points to Optimize Surgical Correction of Astigmatism

Febbraro, Jean-Luc; Koch, Douglas D.; Khan, Hamza N.

doi:10.1007/978-3-319-56565-1_3

Cited by 2 publications

(3 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results do not demonstrate a substantial change in the number of keratoplasties residents performed as primary surgeon compared with a previous study of surgical case logs from 2009 to 2015 by Chadha et al In that study, the authors found that the annual yearly average number of keratoplasties performed as primary surgeon ranged from 2.1 to 2.5 over the 6-year period. 2 Analysis of ACGME resident surgical case logs on cornea procedures after 2015 showed that this average remained relatively stable at 2.5 until 2019. In our study, residents similarly performed an average of 2.4 keratoplasties as primary surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…Since 2005, there has been a dramatic increase in the number of endothelial keratoplasties (EKs) performed by cornea surgeons nationally, 1 with EK surpassing penetrating keratoplasty (PK) in popularity due to advantages in visual outcomes and postoperative recovery. 2,3 There has been a similar trend of an increasing volume of surgeries performed using lamellar techniques-such as Descemet's stripping endothelial keratoplasty (DSEK), Descemet's membrane endothelial keratoplasty (DMEK), and deep anterior lamellar keratoplasty (DALK)-with a corresponding decrease in the number of PKs performed. [4][5][6] The Accreditation Council for Graduate Medical Education (ACGME) sets a minimum number of procedures that ophthalmology residents in the United States must perform.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States

Tsou

Eller

Fliotsos

et al. 2022

Journal of Academic Ophthalmology

View full text Add to dashboard Cite

Purpose To describe the cornea and keratorefractive surgeries experience of U.S. ophthalmology residents. Methods Deidentified case logs of residents graduating in 2018 were collected from ophthalmology residency program directors in the United States. Using Current Procedure Terminology codes, case logs were reviewed in the categories of cornea and keratorefractive surgeries. Accreditation Council for Graduate Medical Education national graduating resident surgical case logs on cornea procedures published from 2010 to 2020 were also analyzed. Results Case logs were received for 152/488 (31.1%) residents from 36/115 (31.3%) ophthalmology residency programs. The most common procedures logged by residents as primary surgeons were pterygium removal (4.3 ± 4.2) and keratorefractive surgeries (3.6 ± 6.2). Residents logged an average of 2.4 keratoplasties as primary surgeon, performing an average of 1.4 penetrating keratoplasties (PKs) and 0.8 endothelial keratoplasties (EKs). As assistants, the most common procedures logged were keratorefractive surgeries (6.1 ± 4.9), EKs (3.8 ± 3.3), and PKs (3.5 ± 2.3). Medium or large residency class size was associated with higher cornea procedural volumes (odds ratio: 8.9; 95% confidence interval: 1.1–75.6; p < 0.05). Conclusion The most common cornea surgeries performed by residents include keratoplasty, keratorefractive, and pterygium procedures. Larger program size was associated with greater relative cornea surgery volume. More specific guidelines for logging of procedures could provide a more accurate assessment of resident exposure to critical techniques such as suturing as well as reflect trends in current practice such as the overall increase in EKs.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States

Tsou

Eller

Fliotsos

et al. 2022

Journal of Academic Ophthalmology

View full text Add to dashboard Cite

show abstract

“…There is no clear indication on how long after the corneal transplant the astigmatism should be corrected. However, in most patients, six-month post-keratoplasty is considered an acceptable time for selective suture removal (SSR) [71,72]. Indeed, given the avascularity of the corneal stroma, early suture removal may lead to graft wound dehiscence [72], while delaying it for too long may decrease its impact on the astigmatism [71].…”

Section: Management Of Post-keratoplasty Astigmatism: Sutures Manipul...mentioning

confidence: 99%

Managing Post-Keratoplasty Astigmatism: High-Tech vs. Low-Tech Imaging Techniques for Guiding Suture Manipulation

Borgia

Romano

et al. 2023

JCM

View full text Add to dashboard Cite

Astigmatism is a visually significant condition that can develop after keratoplasty. The management of post-keratoplasty astigmatism can be performed both when transplant sutures are in place and when they have been removed. Fundamental for astigmatism management is its identification and characterization in terms of type, amount, and direction. Commonly, post-keratoplasty astigmatism is evaluated through corneal tomography or topo-aberrometry; however, many other techniques can be used in case these instruments are not readily available. Here, we describe several low-tech and high-tech techniques used for post-keratoplasty astigmatism detection in order to quickly understand if it contributes to low vision quality and to determine its characteristics. The management of post-keratoplasty astigmatism through suture manipulation is also described.

show abstract

Ten Key Points to Optimize Surgical Correction of Astigmatism

Cited by 2 publications

References 44 publications

Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States

Exposure of Ophthalmology Residents to Cornea and Keratorefractive Surgeries in the United States

Managing Post-Keratoplasty Astigmatism: High-Tech vs. Low-Tech Imaging Techniques for Guiding Suture Manipulation

Contact Info

Product

Resources

About