The influence of surgically induced astigmatism and posterior corneal astigmatism on toric IOL outcomes by Dr Mike Mesham
There is an increasing expectation amongst patients to have reduced spectacle dependence after cataract surgery. Toric IOLs have proved to be a reliable way of managing pre-existing astigmatism. Accurate lens selection is essential to achieve good outcomes. There are many toric calculators available for lens selection and most of these allow surgeons to input their personal surgically induced astigmatism (SIA) which is factored into the lens calculation. Recently there has been increased attention to astigmatism arising from the posterior corneal surface and new toric calculators give the option to enter either an estimated or measured factor to compensate for posterior corneal astigmatism (PCA).
The pitfalls of private practice by Dr Brett Karlson
Ignoring the unsustainable fee-for-service business model for now, the private sector in South Africa actually works. At least for those who can afford it, it does. It works for the patients, and presently it works for health care professionals as well. There is no doubt that not enough cognisance is given to this fact. Doctors and nurses are workers too, and an unhappy work force is an unproductive and inefficient one.
Managing the watering eye by Dr Brian van Onselen
The patient with epiphora can present a challenge in terms of diagnosis and management.
A puzzling case of acute infantile proptosis Dr Z Alashhab ,Dr M Lenake, and Prof C Tinley
Although rare, acute proptosis in an infant is a cause for immediate concern. If severe, the condition may have significant consequences, such as visual loss, deformity and potential death. Thus, great importance should be placed on timeous diagnosis and management.
Attempts allowed: 2
70% pass rate