Browse articles on EyeWorld.org from the Glaucoma section. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.
While glaucoma specialists are likely familiar with MicroPulse Laser Therapy (Iridex) as a non-incisional, non-pharmaceutical glaucoma therapy, two physicians called it an “ace up your sleeve” and one that can be adopted by any surgeon who treats glaucoma patients.
Two physicians shared their reasons for and experiences with combining MIGS procedures.
When the term MIGS was first coined more than a decade ago, there were only a few options in the space. Since then, the MIGS space has grown significantly with many options addressing the same outflow pathway. As such, it might be time to start talking about MIGS in terms of procedural categories.
Innovation is changing the philosophy of glaucoma treatment from a drop-dependent approach to an interventional, procedure-based approach, according to Savak Teymoorian, MD. Where he’s found the philosophy shift toward acceptance of interventional glaucoma among patients has been with Durysta (bimatoprost intracameral implant, Allergan).
While some studies have found that femtosecond laser-assisted cataract surgery does not offer a significant benefit over traditional phaco, many surgeons still find it helpful in the setting of certain comorbidities. For Robert Noecker, MD, one of these is glaucoma.
Glaucoma Editor Nathan Radcliffe, MD, shares a preview of the articles in the section.
While there has been a revolution within the last decade in terms of glaucoma management—surgical and medical—one expert would argue that trabeculectomy is still the most basic of glaucoma management procedures.
Ensuring that the ocular surface is optimized is a key step before cataract surgery, but it is also important in the context of glaucoma. Two physicians discussed the importance of addressing the ocular surface and what to do prior to glaucoma surgery and combined cataract/glaucoma procedures.
IOP elevation following intravitreal injections can be divided into short-term and long-term elevations. Short-term elevations are common, and some studies have estimated that they affect greater than 90% of patients.
Glaucoma Section Editor Nathan Radcliffe, MD, writes about the “chaotic events” that often thwart glaucoma patient care, how he thinks can help his patients become “antifragile,” how they can “grow from unpredictability and chaos.”
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