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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.

Microbial Keratitis Trends Following Refractive Surgery: Results of the ASCRS infectious keratitis survey and comparisons with prior ASCRS Surveys of Infectious Keratitis Following Keratorefractive Procedures (2011)

By: Renee Solomon, MD

Laser in situ keratomileusis (LASIK) and excimer laser surface ablation are commonly performed surgical procedures to correct refractive errors. Laser in situ keratomileusis offers many benefits over photorefractive keratectomy (PRK), including decreased time to visual rehabilitation, decreased... more

Sulcus Placement of Single-Piece Acrylic Intraocular Lenses (2009)

By: Nick Mamalis, MD

Single-piece acrylic (SPA) intraocular lenses (IOLs) have proven to be excellent posterior chamber IOLs (PC IOLs) for placement in the lens capsular bag. However, surgical complications such as posterior capsule tear or rupture may preclude placement of an IOL in the capsular bag. When capsular... more

Complications of Sulcus Placement of Single-Piece Acrylic Intraocular Lenses: Recommendations for Backup IOL Implantation Following Posterior Capsule Rupture (2009)

By: David F. Chang, MD

Single-piece acrylic (SPA) intraocular lenses (IOLs) currently account for approximately one half of the IOLs implanted concurrent with cataract surgery in the United States (Alcon, Inc.; data on file). Given the large annual volume of cataract surgery performed worldwide, a significant number... more

ASCRS White Paper: Clinical Review of Intraoperative Floppy-Iris Syndrome (2008)

By: David F. Chang, MD

Intraoperative floppy-iris syndrome (IFIS) was first described in 2005 by Chang and Campbell. In addition to a tendency for poor pupil dilation, the authors listed a triad of intraoperative signs that characterized classic IFIS: (1) billowing of a flaccid iris stroma, (2) a propensity for iris... more

Editorial: Intraoperative Floppy-Iris Syndrome Associated With Systemic Alpha Blocker (2008)

By: David F. Chang, MD

Since intraoperative floppy-iris syndrome (IFIS) was first described in 2005, its association with the systemic a1-adrenergic antagonist tamsulosin (Flomax) has become well established. The clinical manifestations of IFIS complicating cataract surgery are poor preoperative pupil dilation, iris... more

Prophylaxis of Postoperative Endophthalmitis after Cataract Surgery - Results of the 2007 ASCRS Member Survey (2007)

By: David F. Chang, MD

The preliminary findings of the European Society of Cataract & Refractive Surgeons (ESCRS) endophthalmitis study, announced in 2006, generated much controversy and confusion. The trial showed a several-fold decrease in the rate of infectious endophthalmitis with the use of intracameral... more

Acanthamoeba Keratitis Guidelines (2007)

By: Francis S. Mah, MD

Special Report: Acanthamoeba Keratitis

Keratitis can lead to severe visual disability and requires prompt diagnosis and treatment. Injury to the corneal surface and stroma allows invasion of normal flora as well as organisms harbored by foreign bodies. However, there are... more

Hydrophobic Acrylic Intraocular Lenses in Children (2007)

By: M. Edward Wilson Jr, MD

After Sir Harold Ridley’s invention of the intraocular lens (IOL) in 1949, Dr. Edward Epstein implanted an IOL in a 12-year-old aphakic child in 1952. However, implantation in pediatric eyes was slow to catch on as many early attempts at IOL implantation in children resulted in complications.... more

Recommended Practices for Cleaning and Sterilizing Intraocular Surgical Instruments (2007)

By: Walter C. Hellinger, MD

Statement from the Academy and ASCRS Regarding the Joint Commission's Clarification of its Position on Sterilization Practices: Recently, there has been concern and confusion about the interpretation of standards and survey process regarding sterilization in ophthalmic... more

What is the Association Between Clear Corneal Incisions and Postoperative Endophthalmitits (2006)

By: Louis D. Nichamin, MD

The relationship between unsutured clear corneal tunnel incisions and an increased incidence of infection after cataract surgery remains uncertain; however, there is a growing concern and body of evidence regarding a potential causal association. Although 2 large recent studies from the Bascom... more