Clinical & Experimental Ophthalmology

Biography

Biography: Kirti Singh

Abstract

Managing glaucoma presents many challenges to health providers residing in developing nations of Eastern hemisphere. The genetic propensity of Indian race combined with sheer numbers of our young population subjected to stresses of overcrowding, injuries and sub tropical climate account for large numbers of angle closure and secondary glaucoma patients. Managing such types of recalcitrant glaucoma’s in primary agragarian environs with lack of homogenous infrastructure coupled with economic adversity over the patient’ s lifetime is a challenge. We have devised certain surgical and non surgical strategies which would be safer, feasible and economically viable options for our patients. My talk would present case vignettes depicting surgical strategies to treat glaucoma and cataract by manual small incision fracture combined with trabeculetomy with amniotic membrane (40 eyes), a phacoemulsification machine independent surgery. A modified conjunctival incision in trabeculectomy “Singh’s smile” (40 eyes) contributing to increased comfort and reduced post operative visits. Effective management of lens in angle closure cases (20 eyes with a 2 year follow up) and traumatic glaucoma cases(2 eyes) to treat intraocular pressure. These case vignettes would be illustrated with requisite surgical videos. Utilizing a novel laser technique to control pressures (6 eyes), indigenously made medication to minimize steroid induced glaucoma (6 eyes) and resurrecting pilocarpine to manage recalcitrant aphakic glaucoma’s (5 eyes) would be presented to highlight adapting science to required needs of the patient. A short video on innovations in drug delivery to improve patient compliance will also be presented.