Trabeculectomy/Shunt Combined Surgery

Trabeculectomy/Shunt Combined Surgery

Chat Highlights – February 6, 2013
Guest Speaker – Dr.  Anand Mantravadi
Lorraine Miller, Editor, Chat Topic Researcher

Moderator: Hello, Dr. Anand Mantravadi.  Welcome to the chat.  Tonight’s topic is “Trabeculectomy/Shunt Combined Surgery.”

P: How long has a trabeculectomy with the option of an EX-PRESS shunt been performed? What are the results for this type of combination surgery compared to a traditional trabeculectomy?

Dr. Mantravadi: Using an EX-PRESS shunt during the procedure is a modified trabeculectomy.  A large scale prospective randomized ...

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Controlling Eye Pressure after a Trabeculectomy

Controlling Eye Pressure after a Trabeculectomy

Chat Highlights – January 16, 2013
Guest Speaker – Dr.  Anand Mantravadi
Lorraine Miller, Editor, Chat Topic Researcher

 

Moderator:  Good evening!  Dr. Anand Mantravadi is with us tonight to discuss, “Controlling Eye Pressure after a Trabeculectomy.”

P: After a trabeculectomy, what percentage of patients requires manipulation of the eye to reach their target pressure?

Dr. Mantravadi:  Every patient’s postoperative plan of care is individualized. Many patients will need suture lysis to further open the drain, and some may ...

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Lens Replacement Surgery for Angle Closure

Lens Replacement Surgery for Angle Closure

Chat Highlights – January 2, 2013
Guest Speaker – Dr.  Michael Pro
Lorraine Miller, Editor, Chat Topic Researcher

 

Moderator:   Good evening and Happy New Year!  Tonight we will be discussing “Lens Replacement Surgery for Angle Closure.”  We would like to welcome Dr. Michael Pro, our medical expert.

P:   Would you please define angle closure glaucoma for those attending this evening?

Dr. Pro:   Angle closure glaucoma is defined by the presence of a narrow anterior chamber angle. The angle ...

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Glaucoma Following Cataract Surgery

Glaucoma Following Cataract Surgery

Chat Highlights – December 19, 2012
Guest Speaker – Dr.  Anand Mantravadi
Lorraine Miller, Editor, Chat Topic Researcher

 

Moderator:  Good evening.  Tonight’s chat is entitled, “Glaucoma Following Cataract Surgery.”  Dr. Anand Mantravadi is our medical expert this evening.

P:  What is a secondary glaucoma and why can it occur after cataract surgery?

Dr. Mantravadi:  Secondary glaucoma is any form of glaucoma that is “secondary” to a known or identifiable cause.  This can happen early after cataract surgery due to a ...

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Preservatives in Eye Drops

Preservatives in Eye Drops

Chat Highlights – December 5, 2012
Guest Speaker – Dr.  Michael Pro
Lorraine Miller, Editor, Chat Topic Researcher

 

Moderator:  Good evening. The topic for this evening’s chat is “Preservatives in Eye Drops.”  Dr. Michael Pro is joining us with his medical expertise.

P:  What are the different types of preservatives used in glaucoma medication?

Dr. Pro:  The most common preservative is benzalkonium chloride (BAK) which has been used for many years.

P:  Why is BAK so favored as a preservative for ...

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Glaucoma Surgical Decisions

Glaucoma Surgical Decisions
Chat Highlights – November 7, 2012
Guest Speaker – Dr.  Michael Pro
Lorraine Miller, Editor, Chat Topic Researcher

Moderator:  Good evening.  Tonight’s chat concerns “Glaucoma Surgical Decisions.”  Dr. Michael Pro is our guest speaker for this evening.

P:   Some patients have surgery before any vision loss has occurred and while some continue on medication without surgery even though they have experienced vision loss prior to a diagnosis. Is vision a factor in the decision for surgery?

 Dr. Pro:  The goal ...

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Comparing Glaucoma Shunts

Comparing Glaucoma Shunts
Chat Highlights – October 17, 2012
Guest Speaker – Dr. Anand Mantravadi
Steven Beck, Editor
Lorraine Miller, Editor, Chat Topic Researcher

 

Moderator
Tonight’s topic is “Comparing Glaucoma Shunts.” Dr. Mantravadi, what is a glaucoma shunt?

 

Dr.  Mantravadi
A glaucoma shunt refers to a drainage device, typically made of silicone, attached to the eye which can shunt fluid from inside the eye to a space around the eye underneath the outer linings.


Why has there been ...

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Surgery Risks and Benefits

Surgery Risks and Benefits
Chat from June 20, 2012
Guest Speaker – Dr. Anand Mantravadi
Steven Beck, Editor
Lorraine Miller, Editor, Chat Topic Researcher

Moderator
Tonight’s topic is “Surgery Risks and Benefits.”  Doctor, if surgery is required on both eyes, how is the determination made as to which eye is operated first?

Dr. Anand Mantravadi
Great question!  In general, there are two approaches to this and the decision making can be complex.  If one eye from a glaucoma standpoint is ...

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Punctal Occlusion Chat Highlights

Punctal Occlusion Chat Highlights
Chat from May 2, 2012
Guest Speaker – Dr. Michael J. Pro
Steven Beck, Editor
Lorraine Miller, Editor, Chat Topic Researcher

Moderator
Tonight’s topic is “punctal occlusion.”

P
What is a puncta and punctual occlusion?

Dr. Pro
The puncta are the beginning of the drainage system for the tear film.  They are easily identified at the corner of the eye near the nose.  A puncta is a small opening, with one on the upper lid ...

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Blood Pressure and Glaucoma Chat Highlights

Blood Pressure and Glaucoma Chat Highlights
Chat from April 18, 2012
Guest Speaker – Dr. Anand Mantravadi
Steven Beck, Editor
Lorraine Miller, Editor, Chat Topic Researcher

 

Moderator
Tonight’s topic is “Blood Pressure and Glaucoma.” Doctor, does blood pressure (BP) really matter in respect to glaucoma or lack thereof?

Dr. Anand Mantravadi
Blood pressure is a vital sign. The relationship between BP and glaucoma is a complex one.

To paraphrase my answer to a similar question during a prior chat, ...

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