At one point during the night I awoke; with eyes feeling dry, I reached for the drops, lined them up, and proceeded to put one drop on each eyelid before getting each one in my eye. It's no wonder that some of my patients go through their glaucoma drops in just 2 or 3 weeks instead of the full 6 weeks that they should last.
Read MoreI 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.
Read MoreMuch 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.
Read MoreI 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?
Read Morerobschertzer #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.
Read MoreCollection of glaucoma patient consultations from a day at the office.
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.
