Ca ta ra c t Surg e ry a s a n I OP L o we ring Pro c e dure Ma - - PDF document

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Ca ta ra c t Surg e ry a s a n I OP L o we ring Pro c e dure Ma - - PDF document

Feb 28, 2023 169 likes •267 views

Ca ta ra c t Surg e ry a s a n I OP L o we ring Pro c e dure Ma lik Y. K a ho o k, MD T he Sla te r F a mily E ndo we d Cha ir in Ophtha lmo lo g y Pro fe sso r o f Ophtha lmo lo g y Vic e Cha ir, Clinic a l a nd T ra nsla tio na l Re

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Ca ta ra c t Surg e ry a s a n I OP L

  • we ring Pro c e dure

Ma lik Y. K a ho o k, MD

T he Sla te r F a mily E ndo we d Cha ir in Ophtha lmo lo g y Pro fe sso r o f Ophtha lmo lo g y Vic e Cha ir, Clinic a l a nd T ra nsla tio na l Re se a rc h Unive rsity o f Co lo ra do Sc ho o l o f Me dic ine Auro ra , CO

F inanc ial Disc lo sure

I have the fo llo wing financ ial inte re sts o r re latio nships to disc lo se :

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Patient Case:

62 year o ld male with 12 year histo ry o f POAG treated bilaterally with latano pro st and do rzo lamide I OP is 18/ 16 & Go al I OP is 16/ 16. Visual field defic it stable o ver last 3-4 years Visually signific ant c atarac t bilaterally with angles no w

  • pen to pT

M H e admits that he fo rgets to use do rzo lamide a few times per week despite repeated educ atio nal sessio ns What is yo ur next step?

T he Sc ie nc e o f I OP L

  • we ring Afte r CE
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He a lthy T M

  • The Science of IOP Lowering After CE
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T he Sc ie nc e o f I OP L

  • we ring Afte r CE

E CM re mo de ling and c hange in angle c o nfiguratio n are bo th re le vant to the me c hanism o f I OP lo we ring. Studie s are unde rway with advanc e d imaging as we ll as pro te in sampling to be tte r unde rstand the pro c e sse s invo lve d.

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SLIDE 5
  • Chronic angle closure
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Reduction in Intraocular Pressure After Cataract Extraction: the Ocular Hypertension Treatment Study

Mansberger et al Ophthalmology . 2012 September ; 119(9): 1826–1831

  • Reduction in Intraocular Pressure After Cataract

Extraction: the Ocular Hypertension Treatment Study

Mansberger et al Ophthalmology . 2012 September ; 119(9): 1826–1831

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SLIDE 7

I t se e ms that CE wo uld be an awful c o ntro l gro up whe n studying the effic ac y o f glauc o ma pro c e dure s!

L e a rning fro m MI GS T ria ls

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SLIDE 8

Patie nt Case :

  • 62 ye ar o ld male with 12 ye ar histo ry o f POAG tre ate d

bilate rally with latano pro st and do rzo lamide

  • I

OP is 18/ 16 & Go al I OP is 16/ 16.

  • Visual fie ld de fic it stable o ve r last 3-4 ye ars
  • Visually signific ant c atarac t bilate rally with angle s no w o pe n to

pT M

  • He admits that he fo rge ts to use do rzo lamide a fe w time s pe r

we e k de spite re pe ate d e duc atio nal se ssio ns

  • What is yo ur ne xt ste p?
  • CE

alo ne de c re ase I OP to 14mmHg in bo th e ye s o ff all me ds

What is my Prac tic e Pattern?

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SLIDE 9

What do e s E BM T e ac h Us?

  • T

ha nk Yo u