After learning about a modification of the Ahmed Glaucoma Valve implantation for glaucoma that avoids the use of donor material in favour of creating a scleral tunnel, I gave it a try.
Read MoreIt is far easier to use a 10-0 mersiline double-ended suture to pull back a tube tip than to perform a major re-operation that would have involved opening the prior surgery site, cutting away extensive scar tissue, lifted up the donor sclera flap, reposition the tube entry site, then closed things up again.
Read MoreThis aphakic patient presented with elevated intra-ocular pressure many years after Ahmed Glaucoma Valve implantation performed by a colleague of mine.
Read MoreA recap of this past week's tweets of 9 glaucoma surgeries and 4 cataract surgeries in my glaucoma patients. This article contains additional information not found in the original 140 character postings. Please add your comments so that we can extend these teachable moments over time.
Read MoreThis video shows my surgical technique for implanting the Ahmed FP7 Glaucoma Valve. I use this device when traditional glaucoma surgery such as a trabeculectomy or Optonol ExPress mini-shunt has already failed or is likely to fail to achieve adequate pressure reduction. I have noted some of the rationale for why I do certain steps the way that I do but could easily go on for many paragraphs about each step.
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.
