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As AI takes flight, can ophthalmology stay grounded?
Ready or not, an AI boom is upon us, affecting nearly every aspect of daily life. Millions of people are now using AI-based apps trained on billions of data points, generating trillions of dollars for investors. Meanwhile, AI is moving rapidly from research promise to clinical reality in ophthalmology...
Author: Sean Henahan
AI tools could hold the key for practices to survive and thrive.
Artificial intelligence (AI) is already transforming ophthalmology and will continue to do so in ways that have not been seen before. With that in mind, Kerry D Solomon MD not only encouraged his colleagues to incorporate AI-enabled products into their practices but to become involved in shaping the transformation...
Author: Cheryl Guttman Krader
Use as an educational tool accompanied by a broad range of benefits.
Simulation-based training represents a pedagogical shift in ophthalmic surgical education and is introducing a new era in which there can be improved patient safety and better surgical outcomes...
ESCRS-endorsed simulation curriculum in development to overcome existing disparities and cope with future burden.
Amid rising demand for cataract surgery services across Europe, worsening staffing shortages, and substantial intercountry differences in surgical exposure and trainees’ confidence, ESCRS is developing a pan-European formal training pathway...
First-in-human robotic procedures mark a milestone as rapid advances shape the future.
In October 2025, Uday Devgan MD performed the first robotic cataract surgery procedures in humans using the Polaris platform from Horizon Surgical Systems. While the success of those first cases establishing the feasibility of robotic cataract surgery represents a milestone event, it is equally or even more remarkable to consider...
EuroTimes caught up with Siyin Liu MBChB, MRes, PhD and asked him to reflect on AI three years after receiving the Henahan Prize for his essay on the topic.
…when will we get there?
Author: Timothy Norris
Adjustable IOL technology may help in finding postoperative surgical fine-tuning.
Adjustable IOL technology may offer a shift towards personalised medicine, especially in avoiding refractive surprise, according to H Burkhard Dick MD, PhD...
Author: Laura Gaspari
Four options exist, but is any one the best?
Leading refractive surgeons agree that when performing LASIK, excellent results can be achieved whether one chooses to use the now standard wavefront-optimised (WFO) technique or any of the customised options...
Choosing the right IOL strategy for each patient.
Presbyopia is a common life experience. What changes are patient needs and expectations when they ask for presbyopia correction...
Overcoming lack of literature with evidence.
Should a patient with comorbidities be considered for simultaneous vision intraocular lenses (SVIOLs)?
New research reopens the debate on pharmacological presbyopia treatment.
Presbyopia is a nearly universal age-related visual disorder, typically driven by progressive stiffening of the crystalline lens. According to Aadithreya Varman, this process results from biochemical changes, particularly cross-linking...
An expert surgeon offers an enthusiastic and optimistic look into the future.
The first in-human robot-assisted surgery was performed in 1985. Although nearly 40 years passed before the first in-human robotic cataract surgery was performed from start to finish, the success of that procedure and ongoing developments make Vance Thompson MD a believer...
Multicentre trial confirms safety and efficacy of the iris-fixated multifocal phakic IOL.
The Artiplus phakic IOL (Ophtec) yielded good refractive and visual acuity outcomes at the two-year mark in presbyopic patients, an international multicentre study suggests...
What is the state of the art of injectable accommodative IOLs?
The technology needed to build a true accommodative intraocular lens (IOL) is not yet ready, but there is reason to remain optimistic about seeing them in the not too distant future, according to Mayank Nanavaty MBBS, PhD...
Managing photic phenomena is key for lowering patient dissatisfaction.
With up to 20% of patients implanted with either partial range of focus enhanced IOLs or full range of focus smooth transition IOLs reporting some level of dissatisfaction with their postoperative results, good preoperative counselling is essential...
Evidence points to safe, effective outcomes despite minor adaptation hurdles.
Phakic IOLs are a safe and effective approach for myopia and presbyopia correction in patients with early and advanced disease stages, although some adaptation issues may occur...
Similar outcomes may carry different biological costs.
Few adjunctive treatments in refractive surgery have become as routine—and as rarely questioned—as mitomycin C (MMC). Yet with the evolution of refined single-step transepithelial photorefractive keratectomy (trans-PRK), an important question deserves renewed attention: should MMC still be used routinely in every case?
Author: Soheil Adib-Moghaddam MD
Aligning patient expectations with the best available options.
When examining a new patient with presbyopia, using objective tests to predict quality of vision and subjective tools to align expectations and tolerance are both essential. According to Erik L Mertens MD, FEBOS-CR, it is important to transfer all of this into a shortlist and to have a plan B ready.
Decision making recognises that not all VMT are alike.
Cataract surgery can be performed safely in eyes with vitreomacular traction (VMT), but not all eyes with VMT require vitrectomy...
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