This patient had undergone a trabeculectomy with mitomycin (MMC) in both eyes more than 4 years ago and has recently been suffering from recurrent bleb leaks and infections. As can often happen, especially with the older approach of the day of limbal-based surgery (conjunctival incision in the fornix) with the MMC applied over a more localized area, the bleb enlarged and thinned over the years.
Read MoreThis 50 y.o. patient underwent a trabeculectomy with mitomycin-C then developed progressive hypotony maculopathy as well as a cataract. After concluding the cataract portion of the surgery, I placed a suture through the conjunctiva and its underlying scleral flap supratemporally. This video shows this portion of the surgery.
Read MoreThe accessibility options now available on iOS 4 for the iPhone helps people read their screen more easily. Probably more important than the higher resolution on the new iPhone 4 device are the accessibility options in the upgraded OS that can be used on prior iPhone/iPod touch models.
Read MoreI have copied my comments and made some corrections to what I posted on 29May2010 at CanadianEMR.ca iPad Where is the Value about how I have been using the iPad so far. I have taken the liberty of adding some helpful links to the apps that I referred to in my comments that I made at CanadianEMR. I thought it might be of interest to readers of my blog so am also posting it here. Please check http://canadianemr.ca too as they always have great articles in this field.
Read MoreThere’s a new device available to help in the surgical management of patients with glaucoma: the Glaukos iStent. After implanting a pair of these in each of three patients, here are my initial thoughts along with links to some recent publications. I have also included a video of the second patient in whom I used these implants and several recent references on the device. The iStent was approved in Canada in April 2010 but still awaits FDA approval in the United States.
Read MoreThis aphakic patient presented with elevated intra-ocular pressure many years after Ahmed Glaucoma Valve implantation performed by a colleague of mine.
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.
