Eyeworld Daily News

EW SHOW DAILY 57 A ngle closure glaucoma brings its own challenges to the exam room. "Angle closure from A to Z" aims to answer some common concerns associated with angle clo- sure glaucoma. The symposium will take place on Monday from 3 to 4:30 p.m. and is sponsored by the ASCRS Glaucoma Clinical Commit- tee. Expect the symposium to offer a soup-to-nuts perspective on treat- ments for angle closure. "The symposium will be a rapid- fire video event where the leaders in the field of cataract and glaucoma provide pearls on how to handle complicated clinical situations," said co-moderator Marlene R. Moster, MD, Philadelphia. "The participants will be able to take home practical points that can be used immediately after attending this program." "The angle closure symposium is aimed at comprehensive practi- tioners to bring them up-to-date with angle closure epidemiology and diagnostic evaluation using some of the newer instrumentation and techniques for looking at angles," said co-moderator Garry P. Condon, MD, Pittsburgh. The session will begin with a talk on "Angle closure: Epidemiol- ogy, genetics, gonioscopy and future novel treatments," led by Douglas J. Rhee, MD, Boston. Indications to perform a laser iridotomy will be covered by Leslie S. Jones, MD, Washington, D.C., in her talk "When to do a PI." "She'll talk about timing and location," Dr. Condon said. "From there, we'll talk about treatment options for patients with angle closure, and if they have a cataract, whether phaco alone would do the trick or combined cataract and some form of glaucoma surgery might be considered," Dr. Condon said. Talks on the cataract/glaucoma patient will be kicked off by Reay H. Brown, MD, Atlanta, with "Choices with angle closure: Cataract alone or combined surgery?" Then, Alan S. Crandall, MD, Salt Lake City, will discuss "Increased risks for perform- ing cataract surgery in angle closure patients." Rengaraj Venkatesh, MD, Pondicherry, India, will address "Techniques for removing dense lenses in angle closure patients." Both Paul Harasymowycz, MD, Montreal, and Ike K. Ahmed, MD, Toronto, will talk about direct angle surgery and challenges associated with approaches to open the angle, Dr. Condon said. Dr. Harasy- mowycz's talk will be "What is the role of goniosynechialysis?" and Dr. Ahmed will focus on "Surgery in narrow angles with large lenses after the peripheral iridotomy." Ronald L. Fellman, MD, Dallas, will present an alternative approach with "When removing the cataract is not enough: Techniques for com- bined surgery and the role of endo- scopic cyclophotocoagulation." "This involves approaching the angle from behind the iris instead of the front. If we can't push it open, we can help it open by reducing what's behind the iris," Dr. Condon said. Finally, Dr. Condon will address "Aqueous misdirection or malignant glaucoma and other challenges." This will emphasize signs and symp- toms for recognizing early aqueous misdirection in the narrow angle pa- tient that's just undergone surgery. Medical and surgical approaches to manage these extremely concerning scenarios will be outlined and demonstrated," Dr. Condon said. EW Editors' note: The physicians inter- viewed have no financial interests related to their comments. February 2011 ASCRS SYMPOSIUM, SAN DIEGO 2011 Getting a better view of angle closure glaucoma by Vanessa Caceres EyeWorld Contributing Writer Free Yourself Unlock the profit in your practice by puing your dispensary in our hands. visassoc.com ç 800.346.7486 Visit Booth #2536 for a FREE Assessment! lor-made for a given level of glau- coma severity." The schedule Short talks by panelists and a panel discussion will tackle relevant topics, such as "What is the effect of pha- coemulsification on IOP?" from Gary Foster, MD, and "Does glau- coma change the indication for cataract surgery?" from Kuldev Singh, MD. Other panelists will hone in on the combination of phaco with spe- cific glaucoma treatment ap- proaches. Panelists will take part in two point/counterpoint discussions: "Combined procedures for early to moderate glaucoma: Which one? Why?" and "Combined procedures for advanced glaucoma: Which one? Why?" The symposium will end with a panel discussion as well as an audi- ence response/vote section. EW Editors' note: The physicians inter- viewed have no financial interests related to their comments. continued from page 56 Co-moderator Marlene R. Moster, MD, promises practical pearls from the "Angle closure from A to Z" symposium. ASCRS•ASOA SYMPOSIUM & CONGRESS, SAN FRANCISCO 2013

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