Introduction by Tony Realini, MD, MPH, section editorThis issue of Glaucoma Today features a new regular column, the “Clinician Scientist’s Corner.” The glaucoma community
is rich with physicians who are…
Author: Glaucoma Today
High-Frequency UBM
High-frequency ultrasound biomicroscopy
(UBM) is a noninvasive diagnostic tool for in
vivo imaging of the anterior segment.1 In
ultrasonic imaging, a transducer emits a short
acoustic pulse that generates echoes as it propagates
through vario…
Hushed No More
In September 1983, the chairman of the Department
of Ophthalmology at Emory University School of
Medicine in Atlanta, Dwight Cavanagh, MD, performed
a corneal transplant on the
wrong eye of a patient (Sargus
Houston), eventually leaving him b…
Trabeculectomy Following Failed Primary Tube Shunt for the Management of POAG
CASE PRESENTATIONA 37-year-old white man with a 3-year history of gradually
worsening blurry vision was referred to the
Glaucoma Service at the Medical College of Georgia in
Augusta by an outside ophthalmologist after i…
Trabeculectomy Revision as a Treatment for Failed Trabeculectomy
At first glance, the treatment of glaucoma seems
simple: reduce the IOP. Since the introduction
of evidence-based medicine to glaucoma, several
prospective, randomized trials have shown
that lowering the IOP effectively decreases the progressi…
CHIEF MEDICAL EDITOR’S PAGE: Rick’s Fountain of Youth
On one or two occasions, Rick
Lewis has leaned over and
whispered to me, “They think
I’m younger than I am.” I suspect
that miscalculation has occurred
before and will again for a variety of reasons,
including his healthy sense of humo…
Endocycloplasty
Multiple mechanisms can contribute to angle
closure, including pupillary block, plateau
iris syndrome, phacomorphia, and uveal
effusion syndrome. Management often
includes laser peripheral iridotomy (LPI) as first-line treatment
for an angle …
Anterior Segment Optical Coherence Tomography
Although optic nerve damage and a progressive
loss of the visual field are the final common
pathways of the glaucomas, the configuration of
the anterior segment is one of the most important
things the clinician must assess. A determination of
…
New Progression Software for the Visual Field and Optic Disc
Two important factors in the clinical management
of glaucoma patients are determining
that progression is occurring and calculating
the rate of glaucomatous progression. The
functional (visual fields) and structural (optic disc and
retinal ne…
EMRs for the Glaucoma Doctor
If you feel skeptical about implementing an electronic
medical record (EMR) system in your practice, you are
not alone. A great majority of ophthalmologists share
your concerns about the potential for an EMR system
to help their practice in an…
The Multifocal Pattern Visual Evoked Potential
The objective assessment of visual function remainsa primary goal in glaucoma research dueto the limitations of subjective tests. To date, themultifocal pattern visual evoked potential(mfVEP) is the only electrophysiological test capable oftopogra…
Selling Your Ophthalmic Practice in an Uncertain World
If you are a senior ophthalmologist considering retirement
in the next few years, you need to know a few
key things about selling your practice. In our 40 years
of advising physicians, including large numbers of
ophthalmologists, we at The Hea…
Technologies for Analyzing the Optic Disc, RNFL, and Macula
Optical CoherenceTomographyLindsey S. Folio, BSc; Gadi Wollstein, MD; andJoel S. Schuman, MDGlaucoma can be characterized as a slowly progressingoptic neuropathy that damages the retinalganglion cells (RGCs) and…
5 Questions with Richard A. Lewis, MD
What are the most important issues facing the subspecialty
of glaucoma today?First, we have to attract talented people to our specialty.
Second, we have to get past the conventional, century-old
approach to filtering su…