Eyeworld

61 EW RESIDENTS total surgical time spent caring for both eyes. There was no statistical differ- ence between the 2 non-random- ized groups with regard to any of the preoperative baseline and demographic features, or any of the postoperative clinical outcomes and complications. There was a significant improvement in BSCVA in both groups after surgery, but no significant difference between the 2 groups. Temporary postoper- ative anisometropia, as defined as 3 D spherical equivalence or more difference between the 2 eyes, was noted in 29% (12/42) of the con- trol group and 0% of the same day bilateral group. It was not noted, however, if any of the patients with and economic factors of United States" postoperative anisometropia were symptomatic. There were no report- ed cases of endophthalmitis or toxic anterior segment syndrome in this study. No subject from either group had to have the second eye surgery canceled due to a complication to the first eye. One eye from the same-day bilateral group received an early YAG for posterior capsular opacification, and 1 eye from the control group had intraocular lens haptic repositioning 2 days postop- eratively. Surgeon time required to complete both cataract surgeries was not significantly different between the 2 groups. continued on page 62 In the news Recommendations published on keratoconus and ectatic diseases T he Global Delphi Panel of Keratoconus and Ectatic Diseases has published its recommendations on keratoconus and ectatic diseases in Cornea. The panel stated that despite extensive knowledge regarding the diagnosis and management of keratoconus and ectatic corneal diseases, many controversies still exist, and that led to the development of these guidelines. "Based on the literature and positive previous experience with dry eye, allergy, and infection prophylaxis, we chose a modified Delphi technique to achieve consensus regarding the most important topics in keratoconus and other corneal ectasias," the study authors said. Numerous agreements (defined as a 2/3 majority among subpanel members) were generated in definitions, methods of diagnosing, and management of keratoconus and other ectatic diseases. Nonsurgical and surgical treatments for these conditions, including the use of corneal crosslinking and corneal transplantations, were presented in a stepwise approach. A flowchart describing a logical management sequence for keratoconus was created. "This global consensus using a modified Delphi technique resulted in definitions, statements, and recommendations for the diagnosis and management of keratoconus and other ectatic diseases. It should help eyecare providers around the world to adopt best practices for these often visually debilitating conditions," study authors said. EW

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