Eyeworld

EW Table of Contents 4 November 2011 Innovation in ophthalmology 34-47 Feature November 2011 N E W S & O P I N I O N Grassroots efforts are one reason why SGR may be headed toward repeal 3 Physicians continue to push for a permanent fix to Medicare's sustainable growth rate by Jena Passut Masters of innovation 34 The success stories of two major ophthalmic entrepreneurs by Faith A. Hayden Walking the FDA tightrope 37 Balancing and appreciating a strong safety record amid calls for new innovation by Maxine Lipner Pushing surgical device innovation through the system 40 Inventors share their experiences with product development by Vanessa Caceres Creating change 42 True innovation can address an unmet need, but rarely is it that simple by Michelle Dalton The software revolution in ophthalmology 45 EyeWorld looks at how innovations in software technology have changed the profession by Enette Ngoei Chief medical editor's corner of the world Congressional hearing on the impact of medical device regu- lation on jobs and patients 11 Testimony by Sean Ianchulev, M.D., M.P.H. Dr. Chang speaks with Dr. Ianchulev about the hearing 12 How and when to treat ectasia patients not always clear 25 Despite the massive effort to study ectasia, the rules for when and how to apply treatment remain mostly muddy by Jena Passut 22 30 28 24 C ATA R A C T Uncovering the mystery of negative dysphotopsia 28 What we know, what we don't know, and what we can do about it by Faith A. Hayden Tools and techniques Managing the posteriorly dislocated IOL 17 Dr. Chee describes a limbal approach to posteriorly dislocated IOLs by Soon-Phaik Chee, F.R.C.Ophth. C O R N E A Cornea editor's corner of the world Pterygium surgery trends and pearls 24 Traditional approach with modern modifications earns kudos by Vanessa Caceres WORLD VIEW 8 Innovation: The stories of discovery Reay Brown, M.D. 17 15 Complicated cataract cases Phacoemulsification in previously trabeculectomized eyes 22 Dr. Vasavada details steps for achieving successful outcomes in these complicated eyes by Abhay R. Vasavada, M.S., F.R.C.S., R E S I D E N T S Cataract tips from the teachers What is the best way to practice a continuous curvilinear capsulorhexis? 30 Three instructors share their experiences on how to perform and, more importantly, practice this essential part of phacoemulsification EyeWorld journal club Review of "Phacoemulsification cataract surgery in a large cohort of diabetes patients: Visual acuity outcomes and prognostic factors" 32 by Meenakashi Gupta, M.D., Jessica Rankin, M.D., Athanasios Papakostas, M.D., Justin Kanoff, M.D., Laurence Rand, M.D., and John Loewenstein, M.D. rePlay online content Anterior segment grand rounds A puzzle missing a few pieces 15 Dr. Safran highlights a difficult case in which a 65-year-old woman presents with the complaint of decreasing vision and glare presumably due to a progressive cataract and iris defect by Steven G. Safran, M.D.

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