Glaucoma Specialists

Article I wrote for Review of Ophthalmology based on a talk I gave at this year’s AGS meeting in NYC. Bottom line: not everyone with a narrow angle needs a hole put in their iris. At least not until we have better clinical evidence that this is necessary in every case. (page 44) https://www.reviewofophthalmology.com/CMSDocu//rp0918i.pdf

Feeling grateful for being part of something bigger

Drs. Tanaka and Lieberman were recognized as research mentors and discussants for the CPMC residents at Barkan Day.

Video describing the mission of Pacific Vision Foundation. https://youtu.be/Fis9CpHPXgg

Video from Dr. Tanaka's recent mission trip to Guatemala

A relatively straightforward case from this week: trimming a tube that is too long in the anterior chamber. A tube that is too long can lead to corneal endothelial cell loss and corneal decompensation. After making two corneal incisions and reforming the anterior chamber with viscoelastic, the end of the tube is grasped with MST forceps while an MST intraocular scissors is used to trim the tube. The cut portion of the tube is removed, and the viscoelastic is irrigated from the eye. The corneal incisions are self sealing.

Pics from our annual Glaucoma Specialists Holiday Party!

This video demonstrates an impressive nearly 180 degree fluid wave through the nasal collector channels immediately after implanting a single iStent through the nasal trabecular meshwork in conjunction with cataract surgery. A fluid wave is seen as a blanching of the peri-limbal conjunctival vessels as blood inside the vessels is replaced by clear balanced self solution flowing through the lumen of the iStent and filling Schlemms canal. Observation of a fluid wave provides direct evidence that the distal outflow system is patent and functional, indicating that a drop in intraocular pressure is likely in the next several weeks following iStent implantation. A beautiful and striking demonstration of aqueous physiology!

Interviewed about my music in the OR. As a surgeon, working closely with nurses, anesthesiologists and assistants, and medical trainers, I have found music can... bring us all together as a team and keep the mood light during a potentially stress-filled day. My awake patients universally enjoy having music to distract them a bit. With surround sound and a subwoofer in my OR, I sometimes am guilty of playing it too loud tho... See more

From last year's Congress of the Colombian Society of Ophthalmology https://www.youtube.com/watch?v=dqbF0fx4DuU