Trabeculotomy and Goniotomy - Just Defer It | Driving with Dr. David Richardson Ep 07
ฝัง
- เผยแพร่เมื่อ 11 ก.ค. 2024
- Hello I'm Dr. David Richardson. I'm a cataract and glaucoma surgeon here in sunny Southern California.
There are two minimally invasive glaucoma surgeries that are getting quite a bit of interest right now. One is Gonioscopy-Assisted Transluminal Trabeculotomy or GATT for short and the other one is Kahook Dual Blade Goniotomy. We'll talk about whether they work and some of the issues involved.
Full transcript and citations here: new-glaucoma-treatments.com/tr...
00:00 Introduction
00:45 Description of goniotomy & trabeculotomy
01:45 Background and history
03:05 Trabectome®
04:23 Kahook Dual Blade® (KDB)
04:45 Gonioscopy-Assisted Transluminal Trabeculotomy (GATT)
05:22 Why goniotomy & trabeculotomy are popular among eye surgeons
06:20 Issues with goniotomy & trabeculotomy
07:48 Why it makes sense to save the trabecular meshwork
09:56 ROCK-NET inhibitors: a new class of glaucoma medication
10:46 My recommendations regarding goniotomy & trabeculotomy
11:40 When goniotomy & trabeculotomy might be appropriate
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DRIVING WITH DR. DAVID RICHARDSON
Holistic Approach to Glaucoma Series #
Episode 1: Cardiovascular Health and Glaucoma
• Holistic Approach to G...
Episode 2: Blood Pressure and Glaucoma
• Blood Pressure and Gla...
Episode 3: Sleep Apnea and Glaucoma
• Sleep Apnea and Glauco...
Episode 4: Exercise and Glaucoma
• Exercise and Glaucoma ...
Episode 5: Diet, Nutrition and Glaucoma
• Diet, Nutrition and Gl...
Learn More About Glaucoma Series #
Episode 6: Light Adaptation and Glaucoma
• Light Adaptation and G...
Episode 7: Trabeculotomy and Goniotomy - Just Defer It
• Trabeculotomy and Goni...
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About Dr. Richardson:
David Richardson, M.D. is widely recognized as one of the top cataract and glaucoma surgeons in the US and is among an elite group of glaucoma surgeons in the country performing the highly specialized canaloplasty procedure. Many patients have traveled from around the world to have canaloplasty by Dr. Richardson. Moreover, Dr. Richardson is one of only a few surgeons in the greater Los Angeles area that performs Micropulse® Cyclophotocoagulation (MP3) glaucoma laser surgery. Dr. Richardson graduated Magna Cum Laude from University of Southern California and earned his Medical Degree from Harvard Medical School. He completed his ophthalmology residency at the LAC+USC Medical Center/ Doheny Institute.
To learn more about Dr. David Richardson, please visit david-richardson-md.com.
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We Listen. You'll See!℠
David D. Richardson, M.D.
Patient-Focused Ophthalmologist
San Marino Eye
2020 Huntington Drive
San Marino, CA 91108
Phone: (626) 289-7856
Email: david@new-glaucoma-treatments.com
Patient-Focused Websites:
New-Glaucoma-Treatments.com
About-Eyes.com
Dr Richardson Very knowledgeable and very pleasant. I went to see Dr. Richardson sometime in April after needing a second opinion I flew from Arizona and I was pretty fast getting into his office his staff was professional very small office but it’s very comfortable Dr. Richardson answered all my questions so I walked out of his office pretty confident in what I need to do it’s really worth seeing him awesome doctor will go and see him again in the future
Very educational, interesting, useful and generous of you to share your knowledge. Thank you!
Very informative., Thanks a lot
He's the best!
Great video. I've subscribed!!
Glad to hear that you enjoyed it enough to subscribe. You'll be pleased to know that I already have another in the process of being edited and should be posting it in the next few weeks.
What about the contact lens through which laser is directed? or did you mention this? My doctor is planning on doing this on both my eyes end of month. Thanks.
I had a goniotomy and it didn't work. Then I had SLT and it didn't work. Then I had a i-stent and it didn't work. My pressure went down from 40ties/30ties to low 20ties, but not enough. I tried Rhopressa. Horrible. Haha. Red bloodshot eyes.
Umm, okay, this is way more involved than I ever thought. gulp!
How often does trabeculectomy fail? I had one 3 years ago and its a failure 😭. First i got a leak. Then after 3rd stitch was cut lost all pressure and i had to get gel injected in the office. Very painful. The after all that after atropine was stopped my iris moved up into surgery site. Pressure in eye was only marginally reduced while stitches were in place and then pressures were same as pre surgery. Currently my pupil is oval and portion of itis up in surgery site. Another doc said that if he goes in and tries to fix im going to get the same problems. Why would doctors perform this surgery with such high rates of failure. Have lost faith in eye docs😡😡🤬🤬🤬
I quite understand what you must be going through
How is your eyesight now.
@@eltoro3369 the vision in my eye with the surgery is not good. Would not be able to rely on that eye for functional purposes. Glaucoma and all the options suck. Ruined my life.
That is awful, where are you, in the UK or US?
@@risenshine2783 US
Sir I had done this but my eye is comfortable some times in my eye air bubbles like create that is really painfully
hello Dr. David
my name is norbu gyeltshen from Bhutan and i am here to get some good advice from Doctor regarding the trabeculotomy surgery if i happen to under such operation. so i am open angle gaucoma and my eye pressure rise up to 26 and 23 as of now. so shloud i undergo such operations or not.i would be grateful if Docotr kindly recommend on this issue.
hope to get reply in my mail doctor
did you end up getting it? if so, please tell me the side effects as i have one soon
I am due to get trabeculotomy here in the UK soon. I wouldn’t not make a decision based on youtube videos though, just add it all up and listen to your own eye doctor most of all.
I have seen here on TH-cam a procedure know as SLT LASER OR SELECTIVE TRABECULOPLASTY AND FORMER HARVARD GRADUATE AS WELL. IS RECOMMENDED IT AS A 1ST LINE OF DEFENSE INSTEAD OF EYE DROPS. CAN YOU PLEASE ELABORATE ON THIS PROCEDURE? AMD HAVE YOU EVER PREFORMED IT ON YOUR PATIENTS ? IN OFFICE PROCEDURE TAKES ABOUT 5 TO 10 MINUTES IF IM NOT MISTAKEN
SLT is a very reasonable first-line treatment which I offer to nearly all of my newly diagnosed glaucoma patients. I’ve written about the various forms of laser trabeculoplasty here: new-glaucoma-treatments.com/introduction-to-laser-trabeculoplasty-lt/
How can I
Sir I want to talk to you
congratulations from l,ima PERU - VERY IMPORTANT opER4ACUION trabeculectomia
Thank you for not driving