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The Problem You are doing all you can do, surgically and medically, for your patients with vision impairment, but they continue to report difficulty with visual tasks or have to abandon activities they enjoy. The Solution Vision rehabilitation is the next step in the continuum of ophthalmic care...

Meet the Experts Janey Wiggs, MD, PhD Associate Director of the Ocular Genomics Institute at Mass. Eye and Ear Paul Austin Chandler Professor of Ophthalmology at Harvard Medical School Dr. Wiggs is a board-certified medical geneticist specializing in the genetics of glaucoma with particular interest...

Your patient is a 50-year-old woman, and this is her first consultation with you. She had LASIK in her 30s and now wears reading glasses for presbyopia. You learn that cataracts and glaucoma run in her family. She says, “I wish I didn’t need reading glasses. Are there any options for me?” Most...

Massachusetts Eye and Ear is the primary teaching hospital affiliate of Harvard Medical School and an international leader in ophthalmology. Members of the Cornea and Refractive Surgery Service have helped to pioneer many of the developments in laser vision correction by actively participating in...

Nonorganic Vision Loss (NVL) is established by the following: Demonstrating features of vision loss incompatible with organic disease Demonstrating that vision is better than reported A history that does not comport well with the natural history of pathophysiologic processes or dysfunction not...

In the past decade there have been many exciting advances in refractive cataract surgery. With the latest intraocular lens technology and a variety of lens options available, clinicians can customize treatment and maximize outcomes for each and every patient. In this issue of Eye Insights, part one...

With the expanded selection of presbyopia correcting IOLs, it is crucial to educate patients about potential risks and help manage their expectations. Some patients may still need to wear spectacles post operatively for certain conditions, such as reading fine print or night driving. Patients who...

Risk Factors In general, cataract surgery is extremely successful, and patients are satisfied with the outcome, especially if they have been counseled on what to expect. Occasionally, residual refractive error may require a secondary procedure (such as a laser vision correction enhancement) or...

Diagnosis As part of a thorough history, it’s important to ask about the use of medications associated with OIS, such as bisphosphonates taken for the treatment of osteoporosis. A comprehensive ophthalmic evaluation is performed. Pain can be an important symptom of OIS, particularly in myositis and...

Posterior uveitis, or choroiditis, refers to inflammation of the choroid. It can affect the retina and/or optic nerve and lead to permanent loss of vision. What causes posterior uveitis? Posterior uveitis can be infectious or non-infectious. Many non-infectious cases are idiopathic. Common non...