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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.

Corneal crosslinking: Current protocols and clinical approach

Members of the ASCRS Cornea Clinical Committee performed a review of the current literature on the corneal crosslinking (CXL) procedure for treating ectasia.  The members explored the data on the techniques currently in use and under investigation, including their advantages, safety profiles,... more

An algorithm for thepreoperative diagnosis and treatment ofocular surface disorders

By: Chris E. Starr MD

Any ocular surface disease (OSD), but most commonly, dry-eyedisease (DED), can reduce visual quality and quantity and... more

Phacoemulsification of posterior polar cataracts

By: Gary J.L. Foster, MD

Posterior polar cataracts present a unique challenge for the cataract surgeon. This review describes the steps a surgeon can take to overcome these challenges for the successful phacoemulsification of the posterior polar cataract. Proper preoperative examination and diagnostics will allow... more

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)


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


Educational Resources