Glaucoma Today 2012, Tel Aviv, 29-30Mar2012: Intro

Glaucoma Today 2012, Tel Aviv, 29-30Mar2012: Intro

​I had the honour of being one of the invited international faulty members to a conference in Israel last month. The local glaucoma specialists who had organized the 2 day symposium were Shlomo “Choka” Melamed from Tel Aviv, and Eytan Blumenthal, from Jerusalem.

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Glaucoma patients being blinded by failing BC healthcare system and Vancouver Coastal Health Authority

Glaucoma patients being blinded by failing BC healthcare system and Vancouver Coastal Health Authority

​I’ve been letting off warning cries for months but to no avail. Now I have to watch as my patients are going blind because I practice in a region where the public healthcare system is a failure. This is not a so-called developing nation but rather beautiful Vancouver, BC Canada. Despite an assurance of all glaucoma surgery being performed within 6 weeks, only half my patients are meeting this target as I watch others suffer permanent visual loss. Surgery is a money loser for the hospitals in a system that can save the most money by NOT treating patients instead of treating them.

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Canaloplasty glaucoma surgery

Canaloplasty glaucoma surgery

In this video, I present a Canaloplasty glaucoma surgical procedure that I performed in December 2011 at the University of British Columbia Eye Care Centre. This procedure has been described as being the glaucoma equivalent of angioplasty in cardiac surgery. Our standard glaucoma surgeries are more analogous to bypass surgery in that we bypass the obstructed trabecular meshwork.

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Canadian Medical System is a failure when it comes to glaucoma surgery

Canadian Medical System is a failure when it comes to glaucoma surgery

Well, I can no longer say that the Canadian Healthcare system, at least the version we have here in BC, is a success when it comes to caring for glaucoma patients. I sit now almost 12 hours after putting a patient on the within 8 hour emergency surgery list and fear he will be blind before I get to operate.

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Exploring Reddit for discussing glaucoma articles

Exploring Reddit for discussing glaucoma articles

Always looking for new ways of using technology in education, I recently created a sub-reddit for glaucoma articles. As not everyone is familiar with reddit.com, it is worth a brief explanation before you head over there to check out http://reddit.com/r/talkingaboutglaucoma to become actively involved in the learning experience.

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Suture to pull Ahmed Glaucoma Valve tube tip away from cornea

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.

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