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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.

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

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

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

ASCRS Releases Position Statement on Two Established Ophthalmic Practices (2015)

 
By: David F. Chang, MD

FAIRFAX, VIRGINIA–(August 15, 2015) The American Society of Cataract and Refractive Surgery (ASCRS) has released an official position statement opposing directives that restrict two well-established pre-surgical ophthalmic practices: the use of diluted povidone-iodine solution for topical... more

Cataract surgery in the small eye (2015)

 
By: Richard S. Hoffman, MD

One of the more challenging surgeries for the anterior segment surgeon is cataract extraction and intraocular lens (IOL) implantation in the small eye. This begs the question of what constitutes a “small eye.” The parameters for diagnosing a small eye include axial length (AL), corneal diameter... more

Antibiotic prophylaxis of postoperative endophthalmitis after cataract surgery: Results of the 2014 ASCRS member survey (2015)

 
By: David F. Chang, MD

In 2007, the Cataract Clinical Committee of the American Society of Cataract and Refractive Surgery (ASCRS) surveyed the ASCRS membership regarding antibiotic prophylaxis for postoperative endophthalmitis after cataract surgery. The prospective randomized endophthalmitis prophylaxis trial of the... more

Intracameral antibiotics: Safety, efficacy, and preparation (2014)

 
By: Rosa Braga-Mele, MD

Endophthalmitis is a potentially devastating complication of cataract surgery that occurs in 0.04% to 0.2% of cases. Historically, most options for chemoprophylaxis against bacterial endophthalmitis have been topical and subconjunctival antibiotics and povidone–iodine preparation and... more

Microincisions in cataract surgery (2014)

 
By: Steven Dewey, MD

Currently, cataract surgery is performed through the smallest incision of any surgery on a major organ system in the human body. In most procedures, the incision is merely a portal; however, it is wellrecognized that the design and construction of the corneal incision for cataract surgery is... more

Multifocal Intraocular Lenses: Relative Indications and Contraindications for Implantation (2014)

 
By: Rosa Braga-Mele, MD, FRCSC

Cataract surgery with an intraocular lens (IOL) has the potential to improve a patient's acuity and refine the refractive error to a given target. By design, monofocal IOLs are limited in range, typically achieving distance, intermediate, or near, but rarely encompassing all distances. The “... more

Femtosecond laser–assisted cataract surgery (2013)

 
By: Kendall E. Donaldson, MD, MS

Cataract surgery is the most commonly performed surgical procedure in the world, with an estimated 19 million operations performed annually, nearly 3 million of which are performed in the United States. The World Health Organization estimates this number will increase to 32 million by the year... more

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