Hurdles facing MIGS

Depending on what you define as a microinvasive glaucoma surgery (MIGS), you might think it first became available several decades ago with endocyclophotocoagulation (ECP), but many define the MIGS era beginning with the iStent (Glaukos), the first ab interno trabecular microbypass device approved by the FDA in 2012.

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Motivators behind the rise of physician-hospital joint venture ASCs

Today, there are nearly 6,000 Medicare-certified ambulatory surgery centers (ASCs) nationwide, outnumbering hospitals. The majority of these ASCs are physician-owned, but as ASC care systems evolve, there are more and more hospital and larger healthcare systems getting involved. In fact, both physician and hospital interest in ASCs is at an all-time high in 2020.

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Read more about the article Optic neuritis: When it is and when it isn’t
Severe optic disc swelling with heme, as shown in this picture, is highly atypical for optic neuritis and should raise concerns about an alternate diagnosis. Source: Gregory Van Stavern, MD

Optic neuritis: When it is and when it isn’t

Two experts share diagnostic pearls to follow and pitfalls to avoid to accurately diagnose this condition.

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Read more about the article Optic disc hemorrhage: Don’t miss the signal
Optic disc hemorrhage at the outer rim of the optic disc at 12:00 consistent with glaucomatous process Source: Donald Budenz, MD

Optic disc hemorrhage: Don’t miss the signal

Optic disc hemorrhage is a common clinical feature of glaucoma, indicating active disease with likely progression and visual field loss. Detection necessitates the utmost vigilance in patients diagnosed with glaucoma and in those who are glaucoma suspects.

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