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Case Files

Case Files

Treatment and Prevention of a Tube Shunt–Related Hypertensive Phase

Surgeons discuss how to approach this patient with retinal leukemic infiltrates, retinal edema, and steroid-induced glaucoma.

Jacob Brubaker, MD; Kiersten Snyder, MD, MS; Zachary Vest, MD; Baraa Nawash, MD; Samantha Goldburg, MD; and Mary Qiu, MD

Case Files

Off-Target After Multiple Interventions

Surgeons weigh the next steps for a patient with uncontrolled IOP who is intolerant of topical medications.

Steven R. Sarkisian Jr, MD; Ticiana De Francesco, MD; Alexandros Pappas, DO; Justin Spaulding, DO; and H. George Tanaka, MD

Case Files

Glaucoma in a Very Long Eye

Surgical planning in a high-stakes case.

Devesh K. Varma, MD, FRCSC; Victor Koh, MBBS, MMed(Ophth), MRCSEd, MSc, FAMS; Sarwat Salim, MD, FACS; Kateki Vinod, MD; and Chungkwon Yoo, MD, PhD

Case Files

Unilateral Episodic IOP Elevation

After cataract surgery, a patient experiences blurry vision and recurrent IOP spikes in one eye.

Jacob Brubaker, MD; Ian Conner, MD, PhD; Roma Patel, MD, MBA; and Zarmeena Vendal, MD

Case Files

To Treat or Not to Treat

The case of a glaucoma suspect with a family history of blindness from the disease.

Steven R. Sarkisian Jr, MD; James D. Brandt, MD; Bac T. Nguyen, MD; and Billy Pan, MD

Case Files

Glaucoma, Optic Disc Drusen, or Both?

Ophthalmologists discuss their diagnosis and recommendations for management.

Devesh K. Varma, MD, FRCSC; Reena Garg, MD; Paul Harasymowycz, MD; Anthony Marte, MD; Anurag Shrivastava, MD; and Nathan Radcliffe, MD

Case Files

A Leaky Situation

The Seidel test of a bleb in an eye with advanced glaucoma is positive.

Jacob Brubaker, MD; Austin Bohner, MD; Craig Chaya, MD; Peter T. Chang, MD; Constance Okeke, MD, MSCE; and George R. Reiss, MD

Case Files

A Persistent Steroid Response

A patient with a history of juvenile open-angle glaucoma is concerned her vision is deteriorating.

Steven R. Sarkisian Jr, MD; Jella An, MD, MBA; Eva DeVience, MD; and Lauren S. Blieden, MD

Case Files

Progressive Angle Closure After Laser Peripheral Iridotomy

A patient returns with extremely high IOP and further structural and functional damage.

Devesh K. Varma, MD, FRCSC; Sunee Chansangpetch, MD, BPH; and Shan C. Lin, MD

Case Files

Uveitis and Glaucoma

A coordinated multispecialty approach to patient care.

Jacob Brubaker, MD; Ahmad A. Aref, MD, MBA; Analisa Arosemena, MD; and Sarju Patel, MD, MPH, MSc

Case Files

A Request to Discontinue Topical Therapy

The patient is on maximum tolerated medical therapy and has undergone multiple interventions.

Steven R. Sarkisian Jr, MD; Matthew Brink, MD; George R. Reiss, MD; and I. Paul Singh, MD

Case Files

Glaucoma or Long COVID

Clinicians discuss whether to initiate treatment.

Devesh K. Varma, MD, FRCSC; Ronald L. Fellman, MD; and JoAnn Giaconi, MD

Case Files

Treatment for Vitreous Expansion Syndrome Related to Age-Related Macular Degeneration Therapy

What is the next step for a patient who had a challenging postoperative course in the fellow eye and now needs definitive therapy owing to newly developed IOP elevation and significant topical allergies?

Brian A Francis, MD, MS; John T. Lind, MD, MS; and Jasdeep Sabharwal, MD, PhD

Case Files

No Drops, Thanks

What are the next steps for a patient with elevated IOP and glaucomatous damage who rejects topical therapy?

Steven R. Sarkisian Jr, MD; Dan Eisenberg, MD; Regine Pappas, MD; and Tony Realini, MD, MPH

Case Files

Nanophthalmos Woes

Three ophthalmologists weigh how to proceed after intraoperative malignant glaucoma derails cataract surgery.

Devesh K. Varma, MD, FRCSC; Lauren S. Blieden, MD; and Cara E. Capitena Young, MD

Case Files

Progressive Glaucoma and a Desire for Perfect Vision

Can the patient’s expectations be met?

Jacob Brubaker, MD; Joseph F. Panarelli, MD; Nathan M. Radcliffe, MD; Manjool Shah, MD; and Sarah H. Van Tassel, MD

Case Files

High IOP After Laser Peripheral Iridotomy

What is the next step?

Steven R. Sarkisian Jr, MD; Eva DeVience, MD; Abayomi Fabunmi, MD; and Brian M. Shafer, MD

Case Files

Unexpected Field Changes

Testing demonstrates improvement after surgery.

Devesh K. Varma, MD, FRCSC; Ronald L. Fellman, MD; Andrew Gross, MD; and Kelly W. Muir, MD, MHSc

Case Files

Traumatized by Aqueous Misdirection

Surgeons discuss how they would counsel a patient reluctant to undergo further surgery.

James T. Murphy, MD; Anna T. Do, MD; Manjool Shah, MD; Arsham Sheybani, MD; and Aakriti Garg Shukla, MD

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