In this episode, Dr Dale Heuer and I discuss the latest glaucoma surgical techniques and devices in search of solid evidence for their safety and effecacy. Trabeculectomy is the operation that we love to hate so we are always looking for something better. In some countries, new devices just require proving safety without having to show efficacy whereas in other countries both must be proven.
Read MoreIn this episode, Dr Nicolela and I discuss the risk factors for the development of glaucoma. This includes talking about the difference between risk factors for developing disease vs those for disease to progress. Much of our current knowledge is based on information from clilnical trials and population studies over the past decade. Bear in mind that still intraocular pressure remains as the single most important modifiable risk factor, even in normal tension glaucoma patients.
Read MoreIn this episode, Mr Foster and I discuss angle closure glaucoma focusing on epidemiology, mechanism and treatment (iridotomy and cataract extraction.)
Read MoreIn this episode, Drs Schuman, Burgoyne and I discuss optic nerve and nerve fiber layer iimaging in glaucoma. To clarify the different modalities, the Confocal Scanning Laser Ophthalmoscope (CSLO) has been popularized as the Heidelberg Engineering device, current version being the HRT 3; the Scanning Laser Polarimeter is the GDx machine, and; the original Optical Coherence Tomography unit and its next 2 generations were popularized by Zeiss and use Time Domain scanning whereas the latest technology uses Spectral Domain technology to achieve much higher resolution with the Spectralis OCT made by Heidelberg Engineering.
Read MoreIn this episode, Dr Damji and I discuss the use of Selective Laser Trabeculoplasty (SLT) in treating patients with open angle glaucoma. The conversation includes a comparison of this to Argon Laser Trabeculoplasty (ALT), the step-wise approach to treating patients with glaucoma and where the SLT might fit it. We also cover the burning question of the repeatability of this treatment modality as well as its contraindications.
Read MoreIn this episode, Dr Hom and I discuss things to consider in purchasing a Visual Field machine for your practice. We look at the choice based on the scope of your practice, networking, and sharing your data with colleagues. (See AAC version for complete show notes.)
Read MoreI started this site in 2009 to write about Glaucoma, Health IT (EMR, EHR), Technology and to host my podcast series "Talking About Glaucoma." There is a shortcut to this blog to make it easier to find http://iguy.tv/blog.
I am a glaucoma sub-specialized Ophthalmologist and have a full time clinical practice at the Dartmouth-Hitchcock Clinic of the Geisel School of Medicine in Hanover, NH. I have a longtime interest in the use of technology to help in medical care as well as in Education. In addition, I was a very early adopter and developer of Electronic Medical Record systems who has lectured internationally on the topic of making the transition to EMRs in daily practice.
Copyright © 2009-2018, Robert M Schertzer, MD, MEd, FRCSC. All rights reserved.
