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Case Files

When Medical Therapy Is Not Enough for Advanced Pigmentary Glaucoma

Surgeons outline their decision-making process.

Devesh K. Varma, MD, FRCSC; Ahmad A. Aref, MD, MBA; and Kateki Vinod, 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

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

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

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

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

Education

Prioritizing Processes Over Goals

Surgeons can make micro adjustments to effect atomic change.

Matt Schlenker, MD, MSc

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

To Treat or Not to Treat

Clinicians discuss how to approach the management of a young patient with normal-tension glaucoma, high myopia, and sleep apnea.

Devesh K. Varma, MD, FRCSC; Ahmad A. Aref, MD, MBA; James T. Murphy, MD; and Rachel G. Simpson, MD

Case Files

Iris Bombe, Synechiae, and High IOP

Four surgeons strategize how to manage a patient with a history of retinal surgery.

Devesh K. Varma, MD, FRCSC; Peter A. Netland, MD, PhD; Jeffrey R. SooHoo, MD, MBA; and Monisha M. Vora, MD

Case Files

Pigment Dispersion Glaucoma

The iridotomy dilemma.

Devesh K. Varma, MD, FRCSC; Shan C. Lin, MD; James Liu, MD; and Kelly W. Muir, MD, MHSc

Case Files

Active Glaucoma or an Old Insult?

Clinicians discuss the diagnosis and therapeutic considerations.

Devesh K. Varma, MD, FRCSC; Reena A. Garg, MD; and Michael D. Greenwood, MD

Case Files

The Highest IOP I Ever Measured

Which type of surgical intervention is most appropriate?

Devesh K. Varma, MD, FRCSC; Steven J. Gedde, MD; Joseph F. Panarelli, MD; and Oluwatosin Smith, MD

Case Files

Small Eye, Big Pressure

Abnormal corneas render clinical decision-making more complex.

Devesh K. Varma, MD, FRCSC; Lauren S. Blieden, MD; and Georges M. Durr, MD, FRCSC

Case Files

Infection After Implantation of a Subconjunctival Stent

What steps should be undertaken to avoid a catastrophe?

Manjool Shah, MD, and I. Paul Singh, MD

Case Files

Subtle Rim Thinning in a Glaucoma Suspect

Is treatment indicated in this asymptomatic patient?

Devesh K. Varma, MD, FRCSC; David S. Friedman, MD, MPH, PhD; and Manjool Shah, MD

Case Files

Subtle Rim Thinning in a Glaucoma Suspect

Is treatment indicated in this asymptomatic patient?

Devesh K. Varma, MD, FRCSC; David S. Friedman, MD, MPH, PhD; and Manjool Shah, MD

Complex Case Management

Glaucoma and Intermittent Monocular Diplopia

Repeated IOL subluxation in a young patient with high myopia.

Davinder S. Grover, MD, MPH; Shakeel Shareef, MD; Julia Song, MD; and Devesh K. Varma, MD, FRCSC

Cover Story

Sustained-Release Drug Delivery: Closer Than You Think!

Devesh K. Varma, MD, FRCSC

Inside Eyetube

Future Shock

The current proliferation of new options for the surgical management of glaucoma may be just the beginning.

Jonathan S. Myers, MD