Seen & Heard

Glaucoma Today

Improving MIGS Adoption Rates On MIGS Unplugged, Iqbal Ike K. Ahmed, MD, FRCSC, and Arsham Sheybani, MD, host an episode to talk about the low adoption rate of MIGS procedures in the United States and how surgeons can move the needle and overcome barriers to entry for increasing MIGS adoption. Drs. Ahmed and Sheybani share insights into training, reimbursement, and workflow improvements that could drive further innovation in glaucoma surgery. Determining the Next Path in a Case of Progressive Glaucoma In Glaucoma Case Files, Mitch Ibach, OD, FAAO, outlines a recent case for John P. Berdahl, MD, and Tanner J. Ferguson, MD, in which a woman in her early 80s with a history of severe glaucoma presented with rising IOP. The patient had a history of cataract surgery, iStent (Glaukos) implantation, and subconjunctival surgery with a Xen Gel Stent (AbbVie) 5 to 7 years ago. She reported difficulty instilling topical drops due to Parkinson disease. The three physicians discuss options for safely managing her disease progression.

A Lifetime of Contact Lens Wear

It’s now possible to meet the visual needs of every generation.

Chandler R. Mann II, OD

Modern Optometry

Lifetime contact lens wear isn’t a distant goal—it’s possible now and reshaping how we approach care for patients of all ages. With significant advances in myopia management and multifocal lens technology, eye care practitioners are uniquely positioned to introduce patients to contact lenses at a young age and help them comfortably wear them throughout their lifetime—from childhood myopia through presbyopia and everything in between. At our practice, this full-spectrum approach informs eveFry patient encounter and conversation. Whether we’re guiding a child toward their first myopia control lens or helping a long-time spectacle wearer transition into multifocal lenses, our goal is to deliver personalized, high-quality care adapted to each patient’s age and lifestyle. This mindset enhances patient outcomes, increases patient satisfaction, encourages long-term contact lens wear, and supports consistent practice growth for the benefit of everyone involved. MYOPIA INTERVENTION Preventive care is the cornerstone of our philosophy, particularly in pediatrics. Studies suggest myopia affects an estimated 40% of US children, and the prevalence for all ages is expected to reach 50% by 2030, underscoring the importance of early intervention.1 By discussing long-term visual health implications and lifestyle considerations with our young patients and their parents, we can make informed and personalized recommendations that support lasting outcomes. For most of my pediatric patients, soft contact lenses are my go-to choice for slowing the progression of myopia. They are easy for children to manage, and in my own experience fitting more than 100 patients, outcomes have been consistently positive. For patients with higher levels of astigmatism, or whose lifestyles make overnight lens wear a better fit, orthokeratology continues to serve as a valuable alternative for myopia management.

Interview with ASCRS Executive Director Steve Speares

Eyetube

The Executive Director of The American Society of Cataract & Refractive Surgery (ASCRS) previews the upcoming annual meeting and discusses the most pressing issues facing ophthalmology.  Learn more about your ad choices. Visit megaphone.fm/adchoices