Ep 19 Talking About Glaucoma - Bleb Needling: Slit Lamp Revision Al Solish (mp3)

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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! (See the enhanced version of this podcast for chapter markers and images.)

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Ep 18 Talking About Glaucoma - The Eye HandBook app Ro Krishna (mp3 version)

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In this episode, Dr Krishna and I discuss the Eye HandBook app that he and partner Dr Ken Lord developed. This app, available for both iOS and Android devices, has been a huge success. How can you disagree when the price is FREE and it is loaded with useful information for eye care professionals? At the time of this recording in March 2011 the Android version had yet to be released but it has since been released…see links in the show notes for downloading the iPhone or Android versions.

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Ep 17 Talking About Glaucoma - 10Aug2011: Ologen augmented Glaucoma Surgery with Steve Sarkisian (mp3)

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In this episode, Dr Sarkisian and I discuass his use of Ologen branded collagen matrix in attempts to improve the success of glaucoma surgery. This novel modification has yet to gain widespread support and would still be considered experimental at the time of this recording.

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Ep 16 Talking About Glaucoma - 26Jul2011 VF progression risk fx with Gus DeMoraes (mp3)

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In this episode, Dr De Moraes and I discuss risk factors for visual field progression in patients already diagnosed with and being treated for glaucoma. Dr De Moraes’ group found that patients with established glaucoma were more likely to progress when peak IOP was 18 mm Hg (millimeters of mercury) or higher. Other risk factors included thinning of the cornea, presence of disc hemorrhage in the retina of the eye, and atrophy in part of the eye.

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Ep 15 Talking About Glaucoma - 28Mar2011: Corneal hysteresis & response to PG analogs with Josh Ehrlich (mp3)

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In this episode, Dr Ehrlich and I discuss baseline corneal hysteresis and its relationship with the amount of IOP reduction in prostaglandin treatment. Josh Ehrlich is a fourth year medical student at the Weill Cornell Medical College in New York City. He begins his Ophthalmology residency July 2012 at the Wills Eye Institute.

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Ep 14 Talking About Glaucoma - 21Feb2011: New glaucoma devices with Dale Heuer (mp3)

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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.

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