It is far easier to use a 10-0 mersiline double-ended suture to pull back a tube tip than to perform a major re-operation that would have involved opening the prior surgery site, cutting away extensive scar tissue, lifted up the donor sclera flap, reposition the tube entry site, then closed things up again.Read More
I was referred a patient as a glaucoma suspect due to high intraocular pressure readings when seen by his referring Optometrist. The eye pressures were fine on the day I saw the patient and I was ready to give him my standard explanation for ocular hypertension being a risk factor for glaucoma but that a high pressure reading does not = glaucoma. As he was about to leave, he pulled out a bottle of Tobradex that he had been prescribed to take whenever his eyes felt gritty! Let’s talk about this one.
This patient had undergone a trabeculectomy with mitomycin (MMC) in both eyes more than 4 years ago and has recently been suffering from recurrent bleb leaks and infections. As can often happen, especially with the older approach of the day of limbal-based surgery (conjunctival incision in the fornix) with the MMC applied over a more localized area, the bleb enlarged and thinned over the years.Read More
I started this site in 2009 to write about Glaucoma, Health IT (EMR, EHR), Technology and to host my podcast series "Talking About Glaucoma." There is a shortcut to this blog to make it easier to find http://iguy.tv/blog.
I am a glaucoma sub-specialized Ophthalmologist and have a full time clinical practice at the Dartmouth-Hitchcock Clinic of the Geisel School of Medicine in Hanover, NH. I have a longtime interest in the use of technology to help in medical care as well as in Education. In addition, I was a very early adopter and developer of Electronic Medical Record systems who has lectured internationally on the topic of making the transition to EMRs in daily practice.
Copyright © 2009-2018, Robert M Schertzer, MD, MEd, FRCSC. All rights reserved.