Shahid Wahab
Dow University of Health Sciences
Pakistan
Title: Use of new technologies and techniques in glaucoma with vulnerable optic disc
Biography
Biography: Shahid Wahab
Abstract
End stage glaucoma patients are being neglected while using new technologies and technique in Ophthalmology. In this presentation the importance of issues are highlighted while using new methods and technologies. In Phacoemulsification and Vitrectomy new machines are working on high vacuum and high flow rate where bottle height is raised. In expendable gases IOP is raised unpredictably. Silicon oil can cause damage while doing surgery or post-operatively. It is known that after YAG laser IOP is raised, but proper protocol is not followed in many centers. During flap formation in Lasik IOP is raised up to 80mm or more. Now new technologies are being explored to avoid flap formation. Certain Yoga positions are not advised since those positions increase IOP. Intra ocular pressure is doubled during robotic prostatectomy surgery which may take more than two hours. Retained viscoelastics after cataract surgery is known cause of raised IOP. Tight collar or wearing constrictive clothing around the neck can trigger raised IOP intermittently. Poor perfusion for any reason has serious effects. Pressure variations are discussed with recommendations.