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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.

Management of the Subluxated Crystalline Lens (2013)

 
By: Richard S. Hoffman, MD

The surgical management of ectopia lentis is one of the more challenging situations an anterior segment surgeon may encounter. Ectopia lentis encompasses any displacement or malposition of the crystalline lens irrespective of the cause or association. Lens subluxation may occur from congenital... more

Resident Surgical Experience with Lens and Corneal Refractive Surgery: Survey of the ASCRS Young Physicians and Residents Membership (2013)

 
By: Elizabeth Yeu, MD

Cataract and corneal refractive surgery are the most common ophthalmic surgical procedures performed in the United States and worldwide. These fields are rapidly evolving in terms of techniques, available technology, and patient expectations.Over the past 10 years, a multitude of new intraocular... more

Meibomian Gland Dysfunction (2011)

 
By: Terry Kim, MD

Over the last several decades, we have developed a greater understanding of the tear film and ocular surface disease and a higher level of appreciation of the tear film’s impact on all aspects of ocular health, be it surgical outcomes or day-to-day visual performance. We owe in large part this... more

Prevention, Diagnosis, and Management of Acute Postoperative Bacterial Endophthalmitis (2011)

 
By: Mark Packer, MD

In the absence of conclusive evidence, ophthalmic surgeons face considerable uncertainty about the best way to prevent postsurgical infections. In this review, we have attempted to summarize current knowledge of infection prophylaxis, diagnosis, and treatment to provide a foundation for future... more

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

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