In this episode, Tom Samuelson and I discuss trabecular bypass procedures including the currently available & two future models of the iStent, and the Ivantis Hydrus Microstent. There is a tendency for doctors to prescribe third and fourth glaucoma medications even though it is well known that there is such a diminishing return after two medications. These ab-interno devices can serve as a glaucoma-lite procedure, the next step after two medications for those reluctant to proceed with a potentially more effective but more risky trabeculectomy. The use of multiple iStents, next generation devices, or targeting delivery to visualized collector ducts should lead to improvements in ab-interno trabecular bypass procedures in the years ahead.
It was a classroom of over 30 students attending a course on learning the Kaleidoscope - the Ophthalmology module within Epic's EMR system. Three of us are Ophthalmologists; everyone else is involved in IT at their respective hospitals - trainers and data analysts. The day started by running through a typical patient exam to benefit the majority in the room who never examined patients with eye problems. Biggest surprise? ....
Whether in private practice or a hospital setting, nobody wants to be throwing money away on ancillary testing devices and staff salaries so we usually try to make sure we use our resources to their fullest. With the cost of equipment such as perimeters to perform visual field testing or Ocular Coherence Tomographers for nerve fibre layer scans in the $25-125K range, and technicians to perform the tests drawing salaries of $20-$40 per hour, you can understand why those making the purchasing and hiring decisions would not want to see any idle time. But, does maximizing utilization of resources lead to an improved patient experience in glaucoma care? You need an abundance of resources to have smooth patient flow which leads to a positive patient experience and improved staff morale.
It's brand new! Mophie, the makers of external battery packs for iPhones and a few other devices, has created a Juice Pack for the current best phone ever, the HTC One. I pre-ordered it and this is the unboxing. There is a serious flaw making at least the one I received unusable but Mophie will replace it.