Treatment Considerations for a Patient With Cataracts and Normal-Tension Glaucoma

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO

Eyetube

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO, review the case of a 78-year-old man with a history of mild glaucoma who now presents with visually significant cataracts. The patient reports nonadherence to his glaucoma drop regimen but has an IOP of 12 mm Hg. The panelists discuss how evaluation might differ for normal-tension versus primary open-angle glaucoma and consider the efficacy of MIGS procedures in this situation. They outline their decision to proceed with cataract surgery plus placement of a Hydrus Microstent (Alcon) and comment on next steps to pursue if the patient’s glaucoma progresses.

Inherited Retinal Disease in a Young Patient

Blurred central vision, lesions, and macular dystrophy lead to this diagnosis.

Eric Robertson, Osama Said, OD

Modern Optometry

The Biggest Financial Decision: Selling a Practice

The sale price gets all the attention. How much wealth you keep depends on something else entirely: whether the experts around you are working from the same playbook.

David Mandell, JD, MBA

Retina Today

Key Takeaways The sale of a retina practice changes how a physician earns income, pays taxes, invests assets, and plans for retirement. When selling a practice, a coordinated plan brings together the owner’s certified public accountant, wealth advisor, attorney, banker, and broker to ensure each decision reinforces the overall plan. A successful practice sale ensures that years of work translate into lasting financial flexibility and peace of mind. When a retina specialist sells a practice, the instinct is to fixate on one number: the sale price. That’s understandable, as it represents decades of clinical excellence, business ownership, and personal sacrifice. But the price is only part of the financial outcome. The larger question is: After the transaction closes, how much of those proceeds become lasting wealth? The answer depends on the planning that takes place well before a buyer ever appears. Most successful physician-owners have a capable team: a certified public accountant (CPA) who prepares the tax return, a wealth advisor who manages investments, an attorney who handles contracts, a banker, and—once a sale is on the horizon—a broker or investment banker running the transaction. Each brings valuable expertise.