Future developments in ophthalmology

Mobile Diagnostic and Communication Tools:

  • Eye Netra, a low-cost app Designed to replace auto refractor.
  • Massachusetts Eye and Ear developed a simple technique of fundus (retinal) photography using an I phone and an inexpensive app.
  • A surgeon wearing Google Glass performed the world’s first surgery.
  • Virtual reality augmentation tool-Future surgical training tool.

Robotics

  • Femtosecond laser surgery
  • Robotics may soon be used in vitreoretinal surgery

Genomics

  • Lead to earlier and better treatment of eye-related ailments like diabetic retinopathy and retinitis pigmentosa.

Retinal Prosthetics:

  • FDA approved the use of Argus II, a bionic eye and The Atlas IMS – the first fully implantable, wirelessly controlled retinal prosthetic.

Allow the patients with retinitis pigmentosa and age related macular degeneration to see in black white.

Regenerative Medicine

  • Transplant of a biosynthetic cornea occurred in 2010. It helps restore sight in the vast number of people who are currently waiting for a donated human cornea for transplantation.

Nanotechnology

  • Researchers at the University of Dayton Research Institute recently created “fuzzy fiber” carbon nanotubes.
  • Fuzzy Fibers are biocompatible and can help prevent the build-up of firbroblasts.
  • It has a role in the treatment of Glaucoma and Macular degeneration.

Stem Cell Advances

  • Innovative stem cell treatment – It has developed had corrected the eyesight of an individual with vision 20/400 vision to 20/40.
  • Has a role in the treatment of Stargardt’s macular dystrophy.

Refractive Surgery and IOLs – Future Trends.

Accommodating IOL Channel-

  • Patients after lens implantation will be able to achieve the vision of 20 to 40 year old emmetropic patient.
  • Lens implants will be accommodating biconvex, 9 mm in diameter, customized and repeatedly adjustable in power, toricity and higher – order aberration, and insertable through a 1 – to 2 –mm incision.
  • Multiple laser delivery systems and surgical interventions will be controlled through computer software and robotics.
  • By 2100 genetic engineering will eliminate emetropia.
  • Genetic testing of pregnant women and infants followed by gene modifying treatments that prevent the development of ametropias.

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