WAIKOLOA, Hawaii – Glaucoma specialists need to prepare for an impending “tsunami” driven by an aging population and increasing demand for care, a speaker told colleagues here. “In the tsunami hazard zone, you go inland, you go to high ground. But if you’re smart, you might want to take your surfboard and head for the beach and make something of the tsunami,” Cynthia Mattox, MD, said at Hawaiian eye. “The status quo is not an option.”
WAIKOLOA, Hawaii — Disease status, change over time, age, IOP and previous surgery are all considerations when choosing a MIGS approach to an individual case, according to Malik Y. Kahook, MD, who related the risk/benefit tradeoffs that he discusses with patients before making a choice of which device “to take off the shelf.”In a case of moderate disease with stable change in a young and healthy patient whose IOP goal is in the mid-teens and who has not had previous surgery, “This is where the iStent [Glaukos] is the workhorse in my practice,” Kahook said in a presentation at Hawaiian Eye. “For mild to moderate disease, where the main goal is decreasing medication, the iStent does a very good job.”
WAIKOLOA, Hawaii — Nicoletta Fynn-Thompson, MD, gave pearls for using tissue adhesives for the management of corneal perforation here at Hawaiian Eye 2016. “Tissue adhesives work very well. We use these for impending perforations and also frank perforations,” Fynn-Thompson said. “The size of the perforation is important. Generally larger sizes will not work well because you are not able to seal.”
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Increasing demand has created a groundswell of innovation, ranging from 3D surgical interfaces to remote technology that can place ophthalmologists half a world away from their patients. Medscape Ophthalmology