Anti-VEGF injections for proliferative diabetic retinopathy

Retinal specialists knew that this would be on the cards at some point, but managing proliferative diabetic retinopathy (PDR) with regular intravitreal injections is not standard practice in the UK. This is perhaps due to cost, service pressures, or the fear of non-attendance or service-initiated re-schedulings causing re-proliferation at the retina and subsequent complications such… Read More

Outcomes of laser-assisted vs manual cataract surgery

Laser-assisted cataract surgery has emerged as an alternative to traditional (manual) cataract surgery in recent years, but several studies have failed to provide evidence of major advantages of the technology, while others have demonstrated that laser-assisted cataract surgery may actually increase complication rates. This recent, large, single-centre study examined visual and refractive outcomes on around… Read More

New anti-VEGF agent for macular degeneration shows promise

Phase 2 studies of brolucizumab show similar efficacy to aflibercept (Eylea) for wet age-related macular degeneration (AMD) and the drug is now advancing to Phase 3 trials. Wet AMD is becoming more prevalent and the higher the number of treatment options, the better. What is interesting is that the brolucizumab group in the study may… Read More

The risks of not using iodine during intravitreal injections

Intravitreal injections are frequently administered to patients with wet macular degeneration, retinal vein occlusion or diabetic eye disease. During the injection procedure, povidone-iodine drops are used to disinfect the ocular surface, which reduces the risk of post-injection infection in the eye (endophthalmitis – which is very rare but can cause significant visual loss if it… Read More

Scharioth Macula Lens – magnifier in the eye

The Scharioth Macula Lens (SML) is a magnifying add-on lens implant, designed for eyes which have already had cataract surgery and which also have macular disease such as macular degeneration. It aims to improve reading vision and near visual function significantly, by enabling reading of small print at short distances of around 15cm. The inventor… Read More

Laser-assisted cataract surgery – visual outcomes

In recent years femtosecond lasers have been used in a small number of centers to assist in cataract surgery, with theoretical benefits including more precise creation of corneal incisions and the anterior capsulotomy. However the majority of surgeons have failed to see this translate into any meaningful visual benefit for the patient, and indeed the… Read More

Epimacular brachytherapy (X-rays) for wet macular degeneration

This novel treatment was designed for wet macular degeneration, and involves vitrectomy surgery combined with a device which shines radiation on the macula, in order to try to reduce the frequency of injections required. However after 12 months of treatment, it was not found to be effective, and in fact visual outcomes were worse when… Read More