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Deep Sclerectomy – what I learned from my first 20 cases
Author(s) -
Mercieca K.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.04425
Subject(s) - glaucoma , trabeculectomy , medicine , optometry , mainland , referral , tertiary referral centre , trainer , popularity , ophthalmology , medical education , surgery , psychology , family medicine , history , computer science , social psychology , archaeology , programming language
Summary Deep Sclerectomy ( DS ) is a commonly performed procedure for many types of open angle glaucoma, particularly in mainland Europe. The procedure has also gained popularity throughout the UK over the last years, with more units and surgeons in different parts of Great Britain teaching and learning this technically challenging but very rewarding technique. Many glaucoma sub‐specialists undergo intense fellowship training before embarking on independent practice but no experience specifically prepares you for the first months of your solo career. Additionally, DS may not be ubiquitously performed and competition from more traditional surgeries (e.g. trabeculectomy) and Micro‐incisional Glaucoma Surgery ( MIGS ) can result in limited exposure (or none at all) to this type of procedure during the course of a fellowship and/or insecurity when performing the first few cases independently. This part of the SIS will provide expert tips and genuine advice from a newly appointed glaucoma consultants trained in DS and currently teaching the procedure within a large UK tertiary referral setting. The speaker will share videos and experiences from the first few cases as a solo glaucoma specialist. The course will include tips on preventing and handling complications, sharing of lessons and expected pitfalls, and pearls on how to properly and safely teach residents and fellows to perform this procedure.