Transconjuctival suturing scleral flap for hypotony s/p Trabeculectomy

​This 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.

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New iOS 4 accessibility options great for Baby Boomers

New iOS 4 accessibility options great for Baby Boomers

The 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.

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Value of the iPad in medical care?

Value of the iPad in medical care?

I 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.

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Is the Glaukos iStent the next big thing in Glaucoma Surgery?

There’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.

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Intraocular trimming of Ahmed glaucoma tube

Intraocular trimming of Ahmed glaucoma tube

This aphakic patient presented with elevated intra-ocular pressure many years after Ahmed Glaucoma Valve implantation performed by a colleague of mine. 

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BC Government's dangerous new health regulation will blind us

The BC Government’s change in regulation no longer requiring routine eye exams for glasses to come into effect on 1May2010 is so dangerous that I am posting this link to an extensive article about it for those who may only be visiting my Glaucoma/EMR blog and not my Optom/EyeMD blog.

Please read and help in any way that you can to let our government know the importance of routine eye examinations in preventing permanent visual loss.