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.
New innovations are entering the glaucoma space on a regular basis, but how do physicians discern whether (and when) to adopt them and what is that process like? Two physicians shared their considerations and experiences with bringing new techniques and technologies into practice.
Tube shunts still have important applications for glaucoma patients today and are often used for more severe disease. When categorizing tubes shunts, there are valved or non-valved options. Three physicians discussed the available non-valved tube implants, particularly how a newer option compares to older.
Nathan Radcliffe, MD
Glaucoma Editor
EyeWorld Glaucoma Editor Nathan Radcliffe, MD, previews the articles in the Glaucoma section of the issue, specifically highlighting some of the advances and changes coming to the field.
While modern angle surgery has been a boon for patients and physicians wishing to avoid or delay more invasive glaucoma procedures and/or reduce the number of topical medications, cyclodialysis cleft, while rare, is still a complication that can occur.
In some glaucoma practices, selective laser trabeculoplasty (SLT) has become a mainstay option at various stages of disease and treatment. However, some ophthalmologists say that despite its diverse utility, SLT adoption has been slow in other practices, and a more recent advancement in related technology could increase adoption.
With many expanding technologies in ophthalmology, it makes sense that teaching modalities in the field would expand as well. Anuradha Khanna, MD, created the OcuSim virtual reality training, designed to be used specifically with the Oculus headset, to help teach some of the anatomy and knowledge needed in ophthalmic training.
Nathan Radcliffe, MD
Glaucoma Editor
Nathan Radcliffe, MD, shared his thoughts on the management of glaucoma and previewed the articles in the section.
A tube shunt erosion or exposure is a complication that can occur oftentimes many years after surgery. Several experts discussed what to look for, why this complication occurs, and how to address it.
A patient may be at risk for a bleb leak after trabeculectomy, either in the early postop period or years after surgery. One surgeon shared considerations for this potential complication, how she monitors patients, and what to do if a bleb leak does occur.
Malignant glaucoma is a rare complication, but it’s still something surgeons need to be on the lookout for after surgery, especially in the early postoperative period.