Glaucoma Coach #2 was originally published on February 13th, 2020.

This 72-year-old presents with poor vision. Why?

Glaucoma Coach #2

Analysis

The optic disc in the right eye (left image) demonstrates some temporal thinning of the neuroretinal rim and notching. The left eye shows significant thinning of nerve and a large cup (the lamina cribrosa is very visible). The visual field from the left eye shows a dense arcuate scotoma superiorly.

The patient was diagnosed with glaucoma (pseudoexfoliation).

In the accompanying 23 min. video featuring Dr. Hady Saheb, Glaucoma Fellowship Director at McGill University in Montreal, you will learn:

  • Learn when SLT is considered as a primary treatment
  • What Tmax is and how it is used to set a target pressure
  • About some of the hardware associated with MIGS (Minimally Invasive Glaucoma Surgery)
Glaucoma Coach #2 Analysis

Glaucoma Coach Tip

Arcuate scotomas are suggestive of significant disc damage in glaucoma.

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