New Technologies in Glaucoma Management
New Technologies in Glaucoma Management
New Technologies in Glaucoma Management
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9/22/13Visante OCT Anterior Segment Imag<strong>in</strong>g andBiometryProblems with traditional Gel& Shell exam<strong>in</strong>ation method•! Worry about probe tip hitt<strong>in</strong>gthe cornea•! Probe sterility issues•! Methodology concerns–! Patient must recl<strong>in</strong>e–! Gel often required–! Shell must be <strong>in</strong>serted under thelids and (uncomfortable)–! Likelihood of corneal abrasionsfrom shell as posteriorstructures are exam<strong>in</strong>edMethodology!! Fill bag ! with tap waterMethodology (Preferred)Patient can be exam<strong>in</strong>ed sitt<strong>in</strong>g (ocular structures &dynamics same when viewed with slit lamp)!! Add water slowly tom<strong>in</strong>imize air bubbles!! LIN50 – USE DISTILLEDWATERCl<strong>in</strong>ical Applications<strong>Glaucoma</strong>(lights off exam)Occluded angle<strong>Glaucoma</strong>© Dr T. C. Prager, University of Texas, Houston, USA1 0