Transconjuctival suturing scleral flap for hypotony s/p Trabeculectomy

​This 50 y.o. patient underwent a trabeculectomy with mitomycin-C then developed progressive hypotony maculopathy as well as a cataract. After concluding the cataract portion of the surgery, I placed a suture through the conjunctiva and its underlying scleral flap supratemporally. This video shows this portion of the surgery.

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New iOS 4 accessibility options great for Baby Boomers

New iOS 4 accessibility options great for Baby Boomers

The accessibility options now available on iOS 4 for the iPhone helps people read their screen more easily. Probably more important than the higher resolution on the new iPhone 4 device are the accessibility options in the upgraded OS that can be used on prior iPhone/iPod touch models.

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Is the Glaukos iStent the next big thing in Glaucoma Surgery?

There’s a new device available to help in the surgical management of patients with glaucoma: the Glaukos iStent. After implanting a pair of these in each of three patients, here are my initial thoughts along with links to some recent publications. I have also included a video of the second patient in whom I used these implants and several recent references on the device. The iStent was approved in Canada in April 2010 but still awaits FDA approval in the United States.

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Intraocular trimming of Ahmed glaucoma tube

Intraocular trimming of Ahmed glaucoma tube

This aphakic patient presented with elevated intra-ocular pressure many years after Ahmed Glaucoma Valve implantation performed by a colleague of mine. 

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BC Government's dangerous new health regulation will blind us

The BC Government’s change in regulation no longer requiring routine eye exams for glasses to come into effect on 1May2010 is so dangerous that I am posting this link to an extensive article about it for those who may only be visiting my Glaucoma/EMR blog and not my Optom/EyeMD blog.

Please read and help in any way that you can to let our government know the importance of routine eye examinations in preventing permanent visual loss.

Glaucoma Consults: distinguishing physiologic from abnormal cupping & which end-stage eye to operate on first

Glaucoma Consults: distinguishing physiologic from abnormal cupping & which end-stage eye to operate on first

Four recent glaucoma patients discussed in this article.​  ADDENDUM 08Oct2012: With the migration to the latest version of the Squarespace blogging platform, this is one of many of my articles that has been ruined as the images can no longer be clicked on to enlarge. It would take many more months to manually re-encode these articles so they are now here for historial purposes but not terribly useful with just thumbnails of the images. Future case presentations however will look really good with the updated feature set.​

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