Austin Bohner, MD, and Craig Chaya, MD, present their preferred surgical bleb revision technique they call "excise and mobilize." The technique involves removing necrotic tissue and advancing healthy conjunctiva.
They say this approach preserves the flap filtration architecture and it is imperative to use a sharp instrument to facilitate the dissection plane. If inadequate conjunctiva remains for closure, shunt removal and patch grafting may be necessary. Continue watching here: https://bit.ly/3D9wF2d
This episode features two articles recently published in Glaucoma Today. First, Shannan Moore, BS, recaps her article—“Is There a Link Between Chronic Stress, Autonomic Dysregulation, and Glaucomatous Progression?”—which was written with Garrick Chak, MD, and makes the case that it may be worthwhile to incorporate questions about chronic emotional stressors into patient encounters.
Then, Mona Kaleem, MD, recaps her article—“Advances in Eye Drop Aids”—which was written with Delcora Huggins, BS, and reviews four available solutions to help overcome the challenges associated with eye drop administration. Listen on here: https://bit.ly/3OAddyb
Dr. Manjool Shah discusses a complicated case in which a patient implanted with a Xen Gel Stent experienced an IOP spike after 6 months. Dr. Shah describes his approach to the revision of the Xen and implantation of an Ahmed Glaucoma Valve. Watch: https://bit.ly/3CCinqB
In this episode, Dr. Nishani Amerasinghe reviews 5-year data behind Hydrus Microstent implantation, sharing insights into insertion techniques to help shorten the learning curve and improve visualization during the procedure. Watch here: https://bit.ly/495JW7Z
To set clear expectations for patients, surgeons rely on clinical trial data to support treatment decisions. In this article, Dr. Inder Paul Singh reviews the data behind the iDose TR and explains how it can help reduce a patient’s drop burden. Read here: https://bit.ly/4hTUCL9
Jason Xiao, BS, recaps “Improving the Affordability of Glaucoma Medications,” which was featured in the May/June issue of Glaucoma Today. The article explores strategies to address the financial barriers to glaucoma medication adherence and reviews an initiative by the University of Chicago Medicine to help reduce patients’ out-of-pocket pharmacy costs: https://bit.ly/3UCeGaz
I. Paul Singh, MD, shares a case of combination cataract surgery and iStent infinite (Glaukos) implantation. He explains how you can see the balanced salt solution leaving the anterior chamber into the episcleral veins as the eye is pressurized.
Instead of burping the wound, he pushes on the cornea and lets the fluid leave through the venous system.
He says this prevents hyphema and also confirms the stents are in good position, proving that there is significant outflow. Continue watching here: https://bit.ly/3NLVIKP
[MIGS Unplugged] In a new episode from EGS, Dr. Karl Mercieca discusses the use of viscodilation during his MIGS procedures. Watch here: https://bit.ly/3YyTh4A
[Glaucoma Case Files] Watch this case discussion as Dr. Shah explains his approach of gonioscopy-assisted transluminal trabeculotomy to treat a patient with juvenile open-angle glaucoma. https://bit.ly/4hkpbJt
[MIGS Unplugged] Watch as Dr. Deborah Ristvedt reviews her approach to premium IOL selection and how to determine the most effective MIGS procedure to manage glaucoma progression. See more: https://bit.ly/3WPkRZs
[Ophthalmology off the Grid] This month’s surgical ‘Horror Story’ comes to us from Dr. Sebastian Heersink, as he describes his experience performing cataract surgery on his father, MarnixHeersink, MD. Listen here: https://bit.ly/4eYOkrh
[Survey Says] I. Paul Singh, MD, is joined by guests Monica Ertel, MD, and Mark Gallardo, MD, to review a case from Dr. Singh’s practice. The guests share their perspective on a patient with slowly progressive disease and a history of failed trabeculectomy, and they offer their thoughts on IOP goals and potential treatments. Later, the panelists find out how their colleagues would approach the case based on results of a social media poll of GT’s audience: https://bit.ly/3ZO1qTH
