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Top-Four of the 24th Biennial Glaucoma Meeting Colombia
September 20-21, 2013, Bogotá, Colombia
Juan Manuel Rodríguez
- Review on 24 hour IOP. Emphasis was made on nocturnal IOP rise and peaks, and therapies capable of controlling these IOP elevations. Up to 70% of IOP peaks occur outside usual office exam hours. PGs most effective therapy. Second line CAI's. Beta blockers and brimonidine less effective. ALT also effective. Look for peaks with IOP 24 hour curves. (Sameh Mosaed, Irvine, USA)
- Genetics. Useful in familiar early presymptomatic diagnosis or detection of high-risk patients. Diagnosis of specific gene malfunction (i.e., myocilin) for designer specific therapy for special cases of glaucoma. (Wallace Alward, Iowa City, USA)
- Trabeculectomy. Still the most practiced glaucoma surgery in the world. Tendency towards tight closures of scleral flaps, with perhaps moderate to high IOPs in first days post-op but with laser suturolysis for IOP control, avoiding flat chambers. Use of security sutures for better chances of step-by-step suturolysis. (Wallace Alward, Iowa City, USA)
- Novel glaucoma surgeries. Solx, Gold shunt: use suprachoroidal space as outflow way. Useful in refractory glaucomas. Not affected by scarred conjunctiva. Cypass-tube, Hydrus, Intracanalicular dilating device: Only used combined with cataract extraction. Still only investigational devices with short-term results. (Sameh Mosaed, Irvine, USA)
