TAG Episode 24 - 30Aug2015: Suman Thapa Delivery of Glaucoma Care in Nepal(AAC Enhanced)

TAG Episode 24 - 30Aug2015: Suman Thapa Delivery of Glaucoma Care in Nepal(AAC Enhanced)

In this episode, I talk with Suman Thapa about delivering glaucoma care in Nepal. This conversation took place long before the two massive earthquakes in 2015. I am happy to see that Suman is back at work caring for patients.

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TAG Episode 23 - 3Nov2014: ab-interno trabecular bypass surgery (AAC Enhanced)

TAG Episode 23 - 3Nov2014: ab-interno trabecular bypass surgery (AAC Enhanced)

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.

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TAG Episode 22 - 6Feb2014: HiFU Therapy (AAC Enhanced)

TAG Episode 22 - 6Feb2014: HiFU Therapy (AAC Enhanced)

In this episode, I talk with Florent Aptel, a glaucoma specialist in Grenoble, France, about his work in developing a modern day hi frequency ultrasound as a treatment for glaucoma in its early stages. Their group has developed a device that selectively focuses the energy on the ciliary body without collateral damage that offers hope as a future treatment modality.

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TAG Episode 21 - 26Feb2013: Laser Iridotomy (AAC Enhanced)

TAG Episode 21 - 26Feb2013: Laser Iridotomy (AAC Enhanced)

​In this episode, Dr Blumenthal and I discuss the not so obvious technique of peripheral laser iridotomy, emphasizing the shift away from the 12 o'clock position to a temporal location for most patients. We discuss the rationale for this shift, that includes the dramatic reduction in photopsias, as well as some tips and tricks in performing this technique.

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TAG Episode 20 - 3Jan2013: Excimer Laser Trabeculostomy (AAC enhanced)

TAG Episode 20 - 3Jan2013: Excimer Laser Trabeculostomy (AAC enhanced)

In this episode, Dr Berlin and I discuss the elusive quest to have the Excimer Laser Trabeculostomy (ELT) that he pioneered gain traction after 30 years of development. (This is the AAC enhanced version with chapter markers and images optimized for iOS devices and computers; see mp3 version for most other devices.)

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TAG Episode 19 - Bleb Needling: Slit Lamp Revision (AAC Enhanced)

In this episode, Dr Solish and I discuss the art of “needling” a filtering bleb, or as he likes to call it, a Slit Lamp Revision (SLR), to resuscitate its function. Beginning with the history of when he first thought of the idea as a resident and it was shot down and how this evolved to using antimetabolites in conjunction with the needling in order to discourage fibroblasts from forming more scar tissue from the procedure. You might be surprised to learn what types of blebs are more likely to improve with Slit Lamp Revision!Read More