Ophthalmology

Glaucoma

Questions discussed in this category

In primary angle closure suspects without cataracts, how do you approach the discussion about LPIs given relatively low risk of an acute angle closure attack?

1 Answer available

What is the most appropriate next step for a patient experiencing prolonged hypotony following Ahmed glaucoma valve implantation and unsuccessful medical management?

2 Answers available

Who is your ideal candidate for a XEN over other filtering procedures such as trabs or tubes?

1 Answer available

What has been your experience with the travoprost intracameral implant (iDose)?

1 Answer available

How do you approach tube shunt placement in very high myopes with thin sclera?

1 Answer available

What has been your experience both intra-op and post-op with different non-valved implants (Baerveldt vs. Clearpath)?

2 Answers available

How does a history of malignant glaucoma in one eye influence your surgical approach to the fellow eye, particularly regarding prophylactic/intra-operative measures (i.e., iridotomy, IZH)?

1 Answer available

How do you decide between performing an ECP versus a MIGS procedure in a patient undergoing cataract surgery?

2 Answers available

For patients with neovascular glaucoma and uncontrolled IOP, do you ever consider a glaucoma drainage device (GDD) combined with ECP as opposed to just a standalone GDD?

1 Answer available

In patients with glaucoma who are not ideal candidates for goniotomy, angle stenting, tubes, or trabeculectomy, does the use of AlloFlo provide safe and predictable IOP control compared to other surgical options?

2 Answers available

How has your use of SLT changed given the 6-year results of the LiGHT trial?

Gazzard et al., PMID 36122660

3 Answers available

How would you approach choosing a MIGS procedure for a patient with mild glaucoma with progressively worsening PAS undergoing cataract surgery?

1 Answer available

What is your perspective on using AI with OCTA to assess optic nerve blood flow in glaucoma management?

1 Answer available

What is your approach to managing failed trabeculectomies with scarring but controlled IOP?

1 Answer available

How do you decide where to place the LPI for angle-closure glaucoma?

10 Answers available

Do you incorporate diurnal or nocturnal IOP measurements in your management of progression despite seemingly adequate daytime control?

1 Answer available

What intra-op and post-op strategies maximize the longevity of a functional bleb in younger patients?

2 Answers available

What has been your experience with Durysta (bimatoprost implant) for glaucoma management?

2 Answers available

How do you monitor glaucoma progression in highly myopic patients with unreliable visual fields and atypical RNFL scans?

1 Answer available

What are the clinical indications for performing a second laser peripheral iridotomy (LPI) instead of proceeding directly with cataract surgery?

3 Answers available

Which MIGS procedure do you believe provides the most sustainable IOP reduction when performed alongside cataract surgery?

4 Answers available

What is your approach to using multifocal or extended depth of focus IOLs in patients with preperimetric glaucoma?

8 Answers available

What’s your threshold for initiating treatment in patients with optic nerve cupping but normal IOP, normal visual fields, and borderline OCT findings?

2 Answers available

How do you adjust your glaucoma management strategy for pregnant patients who require IOP lowering?

1 Answer available

What is your preferred approach to managing a patient with tube exposure?

2 Answers available

In patients with preexisting vitreous prolapse undergoing glaucoma drainage implant surgery, what is the optimal surgical timing for performing an anterior vitrectomy to minimize complications and ensure successful tube placement?

1 Answer available

What factors guide the decision to proceed with trabeculectomy in a patient with advanced glaucoma who retains good central vision?

1 Answer available

How do you decide to use MIGS versus traditional surgical options like trabeculectomy or tube shunt placement in the management of glaucoma?

2 Answers available

Under what circumstances would CPC be considered the primary intervention for severe glaucoma with preserved central vision?

2 Answers available

How do you decide between escalating treatment with additional IOP-lowering medications versus surgical options for patients with normal tension glaucoma and progressive visual field loss despite well-controlled IOP?

1 Answer available

When would you consider using selective laser trabeculoplasty (SLT) for managing uveitic glaucoma?

3 Answers available

How do you manage cystoid macular edema (CME) in patients with steroid-induced intraocular hypertension that is resistant to topical treatments?

1 Answer available

What screening recommendations do you provide for patients with a Nevus of Ota with ocular involvement?

2 Answers available

Papers discussed in this category

Ophthalmology, 2022 Sep 17

Laser in Glaucoma and Ocular Hypertension (LiGHT) Trial: Six-Year Results of Primary Selective Laser Trabeculoplasty versus Eye Drops for the Treatment of Glaucoma and Ocular Hypertension.

Lancet (London, England), 2016-10-01

Effectiveness of early lens extraction for the treatment of primary angle-closure glaucoma (EAGLE): a randomised controlled trial.

Lancet (London, England), 2019 Mar 14

Laser peripheral iridotomy for the prevention of angle closure: a single-centre, randomised controlled trial.

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