Visit https://TalkingAboutGlaucoma.com to find all my social feeds, subscribe to the newsletter, provide feedback and Register as a Guest if you want to be on a future episode. More information about Dr Mahnia Madan can be found at https://www.talkingaboutglaucoma.com/guests/mahnia-madan/ This episode has been sponsored by Sun Pharma Canada Inc., which did not provide any material or exercise editorial control over the content....
May 20, 2024•30 min•Ep. 40
In this episode, I talk with Abdullah “Abed” Sarhan, CEO and Co-founder of Retinal Logic, about the company's use of AR and VR technology for vision screening. Abbott shares his background in deep learning and healthcare, the development of the virtual reality prototype, the device's availability and Health Canada approval, and its differentiation from other companies' technologies. He also discusses the various test sizes and algorithms available, ongoing research, user experience, and the comp...
Apr 09, 2024•26 min•Ep. 39
[Please change your subscription to the mp3 feed instead of the AAC feed as I will be stopping this AAC feed in 2024…see https://TalkingAbout Glaucoma.com for all the links to subscribe.] In this episode, I go beyond the basics of Optical Coherence Tomography (OCT) with Dr Hady Saheb from McGill University. Our discussion includes Ganglion Cell Layer analysis, structure-function correlation, the floor effect, viewing-software vs printouts and explaining test results to patients. Visit https://Ta...
Oct 24, 2023
Intro: In this episode, I discuss Plateau Iris with Dr Shivani Kamat, Assistant Professor of Ophthalmology and Glaucoma Fellowship Program director at UT Southwestern. She also founded and co-chairs Women in Glaucoma. Today's discussion includes the difference between plateau iris configuration and syndrome, how to distinguish it from other glaucomas and treatment options. Outro: Talking About Glaucoma is a podcast of indeterminate frequency and duration...recently averaging 4 episodes per year....
Mar 24, 2023•18 min•Ep. 37
Intro: In this episode, I talk with Carla Siegfried, Jacquelyn E. and Allan E. Kolker, MD Distinguished Professor of Ophthalmology and Vice-Chair of Diversity, Equity, and Professionalism at Washington University School of Medicine, about the gold standard glaucoma surgical procedure: the trabeculectomy. We exchange detailed tips for success for each step of the surgery and post-operative care. It is clear from our discussion that we must continue to train others so that the trabeculectomy does ...
Jun 07, 2022•31 min•Ep. 36
TAG #35 GEDDE Steve - Glaucoma surgical trials: lessons learned Intro: There have been many trials proving surgical intervention does indeed reduce the risk of progressive glaucoma damage for our patients. These include Treatment vs No Treatment studies as well as studies that compare different types of treatment. In this episode, I talk with Steve Gedde, from the University of Miami's Bascom Palmer Eye Institute, about lessons learned from these clinical trials. We begin by discussing the impor...
Feb 22, 2022•30 min•Ep. 35
Intro: Welcome to Talking About Glaucoma episode #34 for May 7, 2021. Here’s another recording from the vaults that is getting to see the light of day. It is one of 3 episodes recorded in person back in late February 2020 just before Covid de-railed us all from business as usual. My apologies for the sound quality on this one; I was experimenting with a BOYA dual lapel mic, recording directly into my phone: big mistake! Future recordings from episode 37 onward will go back to my professional rec...
May 08, 2021•21 min•Ep. 34
Intro: Welcome to Talking About Glaucoma episode #33 for December 31, 2020. I bet you're glad this year is over! I'm still digging through the vaults to post episodes like this gem and have a few more that will go live soon. Email me at podcast@iguy.org if you would like to be on the show to discuss a topic in glaucoma or if you have questions that you would like to have answered on a future episode. Check out WestCoastGlaucoma on Instagram https://instagram.com/westcoastglaucoma for some short-...
Dec 31, 2020•14 min
Intro: My apologies for the >1 year gap since my last episode. It's been quite the year moving my work back to full time in Vancouver and providing patient care in our new normal of a pandemic. There are many more episodes that have been recorded; I'll keep trying to get them posted more often. Email me at podcast@iguy.org if you would like to be on the show. In this episode, I talk with Won Kim, a glaucoma colleague based at Walter Reed National Military Medical Center and Hospital in Bethes...
Sep 09, 2020•13 min•Ep. 32
The goal of the late Dave Epstein was to find a drug that treats the cause of glaucoma by improving trabecular meshwork outflow. After many years of research, Aerie Pharmaceuticals was formed and refined a Rho Kinase inhibitor called Netarsudil. In April 2018 this came to market as Rhopressa and March 2019, combined with latanoprost, as Roclatan. Today I’m talking with Rick Lewis, a glaucoma colleague based in Sacramento and Chief Medical Officer for Aerie Pharmaceuticals…and we’re Talking About...
Jun 07, 2019•12 min•Ep. 31
Intro: Welcome back to Talking About Glaucoma, a podcast of indeterminate length and frequency. I’m your host Robert Schertzer, a Glaucoma Specialist from Vancouver, BC Canada. To help produce future shows more frequently, I will no longer include artwork and chapter markings. Hopefully this will get me back on track to publishing new episodes each month this coming year. As always, contact me at podcast@iguy.org if you have a glaucoma topic that you would like to discuss with me on a future epi...
Nov 06, 2018•35 min•Ep. 30
In this episode, I’m talking with Ron Fellman from Glaucoma Associates of Texas about the Fellman Fluid Wave and its clinical implications in glaucoma surgery. Episode Chapters: Intro: Ron Fellman Glaucoma Associates of Texas Fluid Wave: what it isRelated strictly to conventional outflow Evidence of patency of this system When unroofing Schlemm’s canal a decade ago when viscocanalostomy was being popularized, injecting BSS you could see the outflow pathways At times there would be no flow into t...
Jan 29, 2018•20 min•Ep. 29
[This AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] I sat down with Chris Johnson at a recent American Glaucoma Society meeting to discuss some of my pet peeves about visual field testing and what lies on the horizon. Chris is Professor of Ophthalmology and Visual Sciences at the Univers...
Jul 19, 2017•16 min
[This AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] Tom Harbin, MD In this episode, Tom Harbin, from Eye Consultants of Atlanta, and I discuss ethical issues in the medical treatment of glaucoma. This includes generic vs brand name drugs, the need to shop around for the best price, and l...
Mar 02, 2017•16 min
[This AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] Tracy Wright, MD In this episode, I talk with Tracy Wright, now based at Kaiser Permanente in Washington DC. He was at the Bascom Palmer Eye Institute at the University of Miami when we recorded this conversation. The implications immed...
Jan 29, 2017•9 min
In this episode, I talk with Nelson Winkler (a medical student at the time) and Cheryl Khanna (Glaucoma attending) at The Mayo Clinic, who analyzed the outcomes of their team based model for Glaucoma care. This physician- led model began in 2008 and has Ophthalmologists working together with Optometrists to deliver glaucoma care. With specific definitions for progression of the disease, patients are referred back to Ophthalmology at critical points or every two years if stable. This model was bo...
Mar 01, 2016•14 min
[This AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] In this episode, I talk with Suman Thapa about delivering glaucoma care in Nepal. This conversation took place long before the two massive earthquakes in 2015. I am happy to see that Suman is back at work caring for patients. Dr Thapa's...
Aug 31, 2015•18 min
[This AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] In this episode, Tom Samuelson and I discuss trabecular bypass procedures including the currently available & two future models of the iStent, and the Ivantis Hydrus Microstent. With iStent being the only currently FDA approved ab-i...
Nov 03, 2014•16 min
After almost a full year off the air during which time I relocated from Vancouver, BC to Hanover, NH I am working on catching up with editing and posting episodes that I've recorded over the past two years but never had time to complete. My goal as always is to produce episodes on a regular basis and hope to get some support at my new academic institution. In this episode, I talk with Florent Aptel, a glaucoma specialist in Grenoble, France, about his work in developing a modern day hi frequency...
Feb 06, 2014•10 min
In this episode, Dr Blumenthal and I discuss the not so obvious technique of peripheral laser iridotomy, emphasizing the shift away from the 12 o'clock position to a temporal location for most patients. We discuss the rationale for this shift, that includes the dramatic reduction in photopsias, as well as some tips and tricks in performing this technique. Dr Blumenthal's contact information: Prof. Eytan Blumenthal Chairman Department of Ophthalmology Rambam Health Care Campus P.O. Box 9602 Haifa...
Feb 26, 2013
In this episode, Dr Berlin and I discuss the elusive quest to have the Excimer Laser Trabeculostomy (ELT) that he pioneered gain traction after 30 years of development. (This is the AAC enhanced version with chapter markers and images optimized for iOS devices and computers; see mp3 version for most other devices.) Dr Berlin's contact information: Glaucoma Institute of Beverly Hills 8733 Beverly Blvd Los Angeles, CA 1-310-855-1112 berlin@ucla.edu http://www.glaucoma-institute.com/about_us.asp Th...
Jan 03, 2013
In this episode, Dr Solish and I discuss the art of “needling” a filtering bleb, or as he likes to call it, a Slit Lamp Revision (SLR), to resuscitate its function. Beginning with the history of when he first thought of the idea as a resident and it was shot down and how this evolved to using antimetabolites in conjunction with the needling in order to discourage fibroblasts from forming more scar tissue from the procedure. You might be surprised to learn what types of blebs are more likely to i...
Feb 06, 2012
In this episode, Dr Krishna and I discuss the Eye HandBook app that he and partner Dr Ken Lord developed. This app, available for both iOS and Android devices, has been a huge success. How can you disagree when the price is FREE and it is loaded with useful information for eye care professionals? At the time of this recording in March 2011 the Android version had yet to be released but it has since been released…see links in the show notes for downloading the iPhone or Android versions. Dr. Kris...
Nov 04, 2011
In this episode, Dr Sarkisian and I discuass his use of Ologen branded collagen matrix in attempts to improve the success of glaucoma surgery. This novel modification has yet to gain widespread support and would still be considered experimental at the time of this recording. Steven R. Sarkisian, Jr., MD is the director of the glaucoma fellowship at the Dean A. McGee Eye Institute and serves as a clinical associate professor of Ophthalmology at the University of Oklahoma in Oklahoma City. Dr Sark...
Aug 10, 2011
Talking About Glaucoma #16 for late July 2011 - Dr Gus De Moraes, Risk factors for VF Progression in glaucoma patients In this episode, Dr De Moraes and I discuss risk factors for visual field progression in patients already diagnosed with and being treated for glaucoma. Dr De Moraes’ group found that patients with established glaucoma were more likely to progress when peak IOP was 18 mm Hg (millimeters of mercury) or higher. Other risk factors included thinning of the cornea, presence of disc h...
Jul 26, 2011
In this episode, Dr Ehrlich and I discuss baseline corneal hysteresis and its relationship with the amount of IOP reduction in prostaglandin treatment. Dr Josh Ehrlich is a fourth year medical student at the Weill Cornell Medical College in New York City. He begins his Ophthalmology residency July 2012 at the Wills Eye Institute. E-mail: email: jre2001@med.cornell.edu http://www.med.cornell.edu This episode was recorded using more brand new and fun recording gear! Namely, a Marantz PMD-661 Digit...
Mar 29, 2011
In this episode, Dr Dale Heuer and I discuss the latest glaucoma surgical techniques and devices in search of solid evidence for their safety and effecacy. Trabeculectomy is the operation that we love to hate so we are always looking for something better. In some countries, new devices just require proving safety without having to show efficacy whereas in other countries both must be proven. Canaloplasty involves threaded a fibre-optic canula around the full circumference of Schlemm’s canal, usi...
Feb 21, 2011
Show notes Talking About Glaucoma #13 December 2010 Glaucoma Risk Factors In this episode, Dr Nicolela and I discuss the risk factors for the development of glaucoma. This includes talking about the difference between risk factors for developing disease vs those for disease to progress. Much of our current knowledge is based on information from clilnical trials and population studies over the past decade. Bear in mind that still intraocular pressure remains as the single most important modifiabl...
Dec 03, 2010
In this episode, Mr Foster and I discuss angle closure glaucoma focusing on epidemiology, mechanism and treatment (iridotomy and cataract extraction.) Mr Paul Foster a consultant glaucoma specialist with a particular interest in angle-closure glaucoma. He runs the only specialist clinic for angle-closure glaucoma in Europe at Moorfields Eye Hospital. He has had extensive clinical and research training in glaucoma in London, Oxford and Singapore. Mr Foster’s primary research interests concern the...
Aug 19, 2010
In this episode, Drs Schuman, Burgoyne and I discuss optic nerve and nerve fiber layer iimaging in glaucoma. To clarify the different modalities, the Confocal Scanning Laser Ophthalmoscope (CSLO) has been popularized as the Heidelberg Engineering device, current version being the HRT 3; the Scanning Laser Polarimeter is the GDx machine, and; the original Optical Coherence Tomography unit and its next 2 generations were popularized by Zeiss and use Time Domain scanning whereas the latest technolo...
Mar 18, 2010
