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Editorial introductions
Editor(s): Lee, Jimmy K.; Mian, Shahzad I.
doi : 10.1097/ICU.0000000000000776
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p v
Postrefractive infectious keratitis: prevention, diagnosis, management, and prognosis
Viriya, Elizabetha; Mah, Francisb
doi : 10.1097/ICU.0000000000000775
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 309-314
Improve outcomes from an elective procedure by preventing a rare but sight-threatening complication.
Neurotrophic keratopathy and refractive surgery
Kristan, Joseph; Kang, Joann J.
doi : 10.1097/ICU.0000000000000769
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 315-318
Corneal nerve function is an important consideration for the refractive surgeon. In patients without a history of neuropathy, refractive surgery can lead to destruction of corneal nerves and may predispose to keratopathy. The purpose of this review is to provide an update on the effect of refractive surgery on corneal nerve function and the potential for an increased risk of neurotrophic keratopathy development.
Pharmacological strategies for treating presbyopia
Orman, Betinaa; Benozzi, Giovannaa,b
doi : 10.1097/ICU.0000000000000770
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 319-323
Presbyopia is the normal progressive loss of accommodation, which leads to the inability to focus clearly on objects located at different distances. Some of the accepted methods for treating this condition are glasses, contact lenses, and surgery. Pharmacological treatments are a new and promising noninvasive option for dealing with presbyopia. The aim of this review is to provide an update on some recent advances in this field.
What's trending: a review of social media in ophthalmology
Men, Maurandaa; Fung, Simon S.M.b; Tsui, Edmundb
doi : 10.1097/ICU.0000000000000772
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 324-330
With social media use continuing to increase in popularity, ophthalmologists use social media daily for interactions with patients, colleagues, and the academic community.
Advances in corneal graft rejection
Yin, Jia
doi : 10.1097/ICU.0000000000000767
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 331-337
Immune rejection after corneal transplantation is a major risk for graft failure. We aim to summarize recent advances in the understanding and management of graft rejection.
Updated safety precautions and guidance on eye banking procedures during the coronavirus disease 2019 pandemic
Armenti, Stephen T.; Ballouz, Dena; Mian, Shahzad I.
doi : 10.1097/ICU.0000000000000773
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 338-342
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious coronavirus causing the COVID-19 pandemic. Although airborne spread through infectious respiratory droplets is the primary source of transmission, recent literature has suggested the ocular surface may be able to harbor viral particles. Here, we aim to discuss how SARS-CoV-2 affects the ocular surface and updated guidance on how SARS-CoV-2 transmission should be considered in the setting of eye banking and corneal transplantation procedures.
Update on corneal collagen crosslinking for ectasia
Pasha, Hamza; Palazzolo, Laura; Prakash, Gaurav; Jhanji, Vishal
doi : 10.1097/ICU.0000000000000765
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 343-347
Corneal collagen crosslinking (CXL) is a minimally invasive treatment that can stabilize corneal ectatic disorders including keratoconus, pellucid marginal degeneration, or postrefractive surgery ectasia. The benefits of CXL have been well documented. New research is focused on modifying current treatment protocols with the goals of maximizing corneal stability while also shortening overall procedure time.
Alternative therapies for dry eye disease
Mittal, Rhiyaa,b; Patel, Sneha,b; Galor, Anata,b,c
doi : 10.1097/ICU.0000000000000768
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 348-361
Dry eye disease (DED) is a multifactorial disease affecting approximately 5–50% of individuals in various populations. Contributors to DED include, but are not limited to, lacrimal gland hypofunction, meibomian gland dysfunction (MGD), ocular surface inflammation, and corneal nerve dysfunction. Current DED treatments target some facets of the disease, such as ocular surface inflammation, but not all individuals experience adequate symptom relief. As such, this review focuses on alternative and adjunct approaches that are being explored to target underlying contributors to DED.
The management of neurotrophic keratitis
Jabbour, Samira; Ashton, Christophera; Balal, Shafia; Kaye, Abigaila; Ahmad, Sajjada,b
doi : 10.1097/ICU.0000000000000766
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 362-368
The management of neurotrophic keratitis (NK) has evolved in the last decade. The present article reviews updated management guidelines of this entity, as well as future innovations in the field.
The role of imaging technologies for ocular surface tumors
Venkateswaran, Nandinia; Sripawadkul, Wathaneeb; Karp, Carol L.b
doi : 10.1097/ICU.0000000000000771
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 369-378
This review will discuss the utility of high-resolution anterior segment optical coherence tomography (HR-OCT), in-vivo confocal microscopy (IVCM) and ultrasound biomicroscopy (UBM) in characterizing and diagnosing various ocular surface tumors, namely ocular surface squamous neoplasia (OSSN), conjunctival lymphoma and conjunctival melanoma. The strengths and limitations of each imaging modality will be discussed along with the characteristics findings of each lesion on each imaging platform.
The role of environment in the pathogenesis of keratoconus
de Azevedo Magalh?es, Ot?vioa; Gonçalves, Mauro Cabralb; Gatinel, Damienc
doi : 10.1097/ICU.0000000000000764
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 379-384
This study was conducted to demonstrate the importance of the environment in keratoconus (KC) genesis.
Challenges in management of the Boston Keratoprosthesis Type 1
Koo, Ellen H.a; Hannush, Sadeer B.b
doi : 10.1097/ICU.0000000000000774
Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 385-388
The Boston Keratoprosthesis Type 1 was pioneered by Claes Dohlman several decades ago. Since its inception, the device has undergone multiple revisions to address challenges associated with retroprosthetic membrane formation, retention, extrusion, stromal melt and endophthalmitis. Although visual outcomes and retention rates have improved, challenges, especially glaucoma, remain.
