Top-Five of the 8th International Congress on Glaucoma Surgery
Muscat, Oman, February 17–20, 2016
Tanuj Dada, New Delhi, India
The Thom J. Zimmerman Memorial Lecture Dr George L.
Spaeth gave a thought-provoking talk on ‘Glaucoma surgery from the point of
view that matters – the patient’ and emphasized the prime importance of understanding
emotional and psychological needs of individual patients and their personal
perspective on glaucoma therapy as the guiding force for surgical decision making
rather than the target IOP or efficacy of new surgical techniques. (Dr George
L. Spaeth, Philadelphia, USA)
The Clive Migdal Appreciation Lecture Dr Andre Mermoud
gave a lecture titled ‘Transgress to Progress’ introducing a new ‘Eye Watch
System’ to reduce complications of Tube surgery. This is a magnetic system which
is implanted between the anterior chamber and the seton tube and can regulate
the aqueous flow passing through with the help of an external magnet, and thereby
reduce the risk of post-operative hypotony. (Dr Andre Mermoud, Lausanne,
Switzerland)
The Doug Johnson Memorial Lecture Michael Coote spoke
on the process of changing the ‘goal posts’ for interrogating the mechanisms
that underpin successful glaucoma surgery. New methods of testing and manipulating
the porosity of subconjunctival tissue are the key to designing innovative predictable
and more successful glaucoma surgery strategies. (Michael Coote, Melbourne,
Australia)
Bioinformatic and chronological analysis of trabeculectomy by utilizing
comprehensive functional gene association and cellular event studies: a focus
on fibrotic scar formation Muneeb A. Faiq et al. provided a comprehensive
event analysis (genetic, epigenetic and cellular) based on the understanding
of the process of postsurgical scar formation in trabeculectomy. Two hundred
nine genes, 1764 interactions, 24 biochemical processes and 31 cellular functions
involved in fibrotic scar formation were identified. Statistical analysis revealed
19 genes that can be targeted to prevent scar formation to improve surgical
outcomes. (Muneeb A. Faiq, New Delhi, India)
Trabeculectomy with or without an AC maintainer This
RCT compared the effect of using an anterior chamber maintainer during trabeculectomy
on intraocular pressure (IOP) and corneal endothelial cell density (ECD), in
a follow-up period of one year. Using an AC maintainer was associated with a
greater IOP reduction and less decrease in ECD, giving an additional safety
while performing trabeculectomy. (Marilita M. Moschos, Athens, Greece)