Driving - a privilege not a right, no matter how long you've been driving

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Driving - a privilege not a right, no matter how long you've been driving

I have followed this 46 yo female for the past 8 years with Retinitis Pigmentosa and Chronic Angle Closure Glaucoma. Her visual acuity is 6/7.5 in her right eye and 6/120 in her left eye. She has undergone laser iridotomies in both eyes in 2003, trabeculectomy in the left in 2004 then cataract extraction in 2005 for the inevitable posterior subscapsular cataract associated with her RP and further exacerbated by glaucoma surgery. She currently takes Lumigan qHS and Pilocarpine 2% BID in her right eye and has pressures of 19 in the right and 7 in her left eye. Oh, and, I learned today that she still drives.

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What's the point of Continuing Medical Education anyway? Looking beyond content experts.

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What's the point of Continuing Medical Education anyway? Looking beyond content experts.

Much of last week was devoted to the annual and somewhat annoying task of reporting my Continuing Medical Education (CME) activity, referred to here in Canada as Continuing Professional Development (CPD). Between that and working on my year-end tax paperwork, it really has not been a fun week! Of course the purpose of this exercise is not just to file paperwork but rather to help us continue to develop as physicians. I had originally intended to write this article on how best to use technology to track these activities but this has evolved into a discussion on how to better ourselves as physicians through CPD activities.

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How would you cope with this Visual Field defect if it were you?

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How would you cope with this Visual Field defect if it were you?

I found this Visual Field quite interesting from a patient I have followed for the past decade with Juvenile Open Angle Glaucoma. This would be a case of 'can you tell what I'm thinking' when I pose the question how well do you think this patient functions on a daily basis?

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Glaucoma Surgery recent cases w/ follow-up: 1 day post-op surprise result, procedure specific consent, bleeding, and do you stop ASA?

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robschertzer #Glaucoma #surgery 64 yo WM pigmentary glaucoma stable s/p SLT; Phaco/IOL today no complications. Pre-op challenge w/ Axial Length by U/S.

It turns out that the pre-operative challenge with the axial length discrepancy was nothing compared with the first post-operative day surprise; this one hurt but was a learning experience.

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Glaucoma Consults: how would you manage these varied patients with strong Fam Hx, physiologic cupping, and OHT.

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Glaucoma Consults: how would you manage these varied patients with strong Fam Hx, physiologic cupping, and OHT.

​Collection of glaucoma patient consultations from a day at the office.

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Glaucoma horror story of the week 13 yo girl presenting with IOP = 50 and advanced damage; how can this happen?

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Glaucoma horror story of the week 13 yo girl presenting with IOP = 50 and advanced damage; how can this happen?

​This is the horror story glaucoma case of the week. It leaves us to wonder how long this has been going on? Could this have been prevented? What are the best treatment options? What is the prognosis?

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