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 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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