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The ASCRS Clinical Committees were created, in part, to serve as a source to disseminate important, timely information on topics relating to each of their subspecialties. The Clinical Committees (CCs) are extremely active within the organization, creating and delivering specialized symposia, conducting surveys, as well as identifying and developing resources for the membership. On this portion of our website, you will find white papers, position papers, and guidelines created by our CCs and Task Forces on a variety of topics.

Medical and surgical management of the small pupil during cataract surgery

 
By: Saba Al-Hashimi, MD

As cataract surgery continues to evolve, the intraoperative small pupil continues to pose challenges to even the most experienced cataract surgeon. Several steps can be taken preoperatively to decrease the chance of intraoperative miosis. Even so, the problem of miosis during cataract surgery... more

Phacoemulsification of the rock-hard dense nuclear cataract: Options and recommendations

 
By: Gary J.L. Foster, MD

We describe the essential steps in the successful phacoemulsification of the rock-hard, dense cataract. Appropriate and directed preoperative history, physical examination, and diagnostics allow the surgeon to select the best incision, anesthesia, and intended surgical technique for a given... more

Guidelines for the cleaning and sterilization of intraocular surgical instruments

 
By: David F. Chang, MD (Co-chair), Nick Mamalis, MD, (Co-chair)

These Guidelines for the Cleaning and Sterilization of Intraocular Surgical Instruments were written by the Ophthalmic Instrument Cleaning and Sterilization (OICS) Task Force, comprised of representatives of the American Society of Cataract and Refractive Surgery, the American Academy of... more

Perioperative assessment for refractive cataract surgery

 
By: Kendall Donaldson, MD, MS

As cataract surgery has evolved into lens-based refractive surgery, expectations for refractive outcomes continue to increase. During the past decade, advancements in technology have provided new ways to measure the cornea in preparation for cataract surgery. The increasing ability to accurately... more

Intraocular Use of Epinephrine to Maintain Mydriasis during Cataract Surgery

 
By: Richard S. Hoffman, MD

A recent alteration in the formulation of epinephrine from one of the more common sources of preservative-free epinephrine has contributed to a shortage or impending shortage of this product for ophthalmologists. In January 2017, PAR Pharmaceutical updated and began shipping the new formulation... more

Surgical techniques and adjuvants for the management of primary and recurrent pterygia

 
By: John A. Hovanesian, MD

The removal and rate of recurrence of pterygium have been discussed for years. The disorder is highly associated with environmental factors, and recurrence rates can be unacceptably high and cannot be successfully predicted. New techniques and graft preparations and postoperative management... more

Clinical Alert: Ocular Complications of Cosmetic Anterior Chamber Iris Implants (2016)

 
By: ASCRS, ESCRS, APACRS, and ALACCSA-R

Unregulated cosmetic iris implants being inserted outside the United States and European Union are causing severe ocular complications in many patients. Unlike functional artificial iris devices, which are designed to be placed in the capsular bag or ciliary sulcus of pseudophakic eyes (i.e.,... more

Cataract surgery and nonsteroidal antiinflammatory drugs (2016)

 
By: Richard S. Hoffman, MD

Nonsteroidal antiinflammatory drugs (NSAIDs) have become an important adjunctive tool for surgeons performing routine and complicated cataract surgery. These medications have been found to reduce pain, prevent intraoperative miosis, modulate postoperative inflammation, and reduce the incidence... more

Report for Antibiotic Eyedrop Regimen for Cataract Surgical Patients Survey (2016)

 
By: Douglas J. Rhee, MD

2016 Survey of ASCRS members helps to define how ophthalmologists are using antibiotics prophylactically for cataract surgical patients.

Clinical Alert: HORV Association with Intraocular Vancomycin (2016)

 
By: Multiple Authors

FAIRFAX, VIRGINIA–(July 20, 2016) Following the first published series of hemorrhagic occlusive retinal vasculitis (HORV)1,2, the American Society of Cataract and Refractive Surgery (ASCRS) and the American Society of Retina Specialists (ASRS) formed a joint task force to further... more

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