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Top-ten of International Congress of Glaucoma Surgeons
November 11-13, 2010, New Delhi, India
Tarek Shaarawy
- The honorary President Prof Erik Greve presented a soul searching lecture on the meaning of a gifted surgeon, and reflected on surgical talent in all its aspects. Apart from the necessary talent, training, facilities and the importance of postoperative controls, he argued that creativity and flexibility characterize the gifted surgeon, Creativity is the sign of the surgeon-artist, the inspired surgeon. (Tarek Shaarawy, Geneva, Switzerland)
- The Thomas Zimmermann Memorial Lecture: Prof George Baerveldt present an eloquent lecture on the long way for the development of an innovation and how carry it on from conception to commercialization. (Tarek Shaarawy, Geneva, Switzerland)
- Viscocanalostomy and canaloplasty provide a viable alternative to conventional glaucoma surgery. Techniques that preserve the superior conjunctiva are preferred as they conserve this region for future trabeculectomy. However, more comparative trials are required before these procedures gain widespread use. (Gabor Schiaroth, Germany)
- High rates of noncompliance are seen in Indian patients with 3 out of 4 patients being noncompliant with the prescribed therapy. The most common barriers to therapy were situational factors. (Neha Chaturvedi, India)
- Retinal detachment surgery with scleral explant causes significant narrowing of anterior chamber angle parameters and rise of IOP in the early postoperative period. (Sumeet Khanduja, India)
- Non penetrating deep sclerectomy is an effective and safe surgery in childhood glaucoma. The mean (±SD) IOP decrease ranges from: 32.8 ± 8.6 mmHg to 14.7 ± 3.8 mmHg (p<0.0001), with the only significant risk factor for failure being the degree of pre-operative corneal haze. (Saleh Al Obeidan,Saudi Arabia)
- Combined trabeculotomy-trabeculectomy is potentially a very successful procedure in patients with primary developmental glaucoma. The achievement of complete success was reported in 73 eyes (83.3%), and a qualified success in seven eyes (7.8%). Eight eyes (11.1%) met failure where an IOP of 21 mmHg could not be achieved after surgery and resurgery was planned. (Suneeta Dubey, India)
- Extrusion and decompensation of the cornea are valid concerns with the use of the Ahmed Glaucoma Valve. The use of a deep scleral tunnel using a modified technique of implantation may minimize the incidence of both. (Tarek Shaarawy, Geneva, Switzerland)
- Selective laser trabeculoplasty is a therapeutic modality fast gaining acceptance by patients and doctors alike. It may offer benefits in terms of offering drug free years to the patients, and by delaying surgery. (P. Rojanapongpun, Thailand)
- the preliminary results of the Ahmed vs Baerveldt trial show that the two shunts have almost comparable efficacy in terms of IOP control with the latter offering a marginally higher reduction. The complication rates with both are also comparable, with the Ahmed Valve having less complications. (Keith Barton, UK)
