Your WGA Update for September

The World Glaucoma Association is ready to share high-quality education to the ophthalmic community around the world. Mark your calendar for October 10, 2020, when the WGA will launch a new initiative of knowledge sharing. More information will be shared soon.

Spotlight on Bleb Rescue Operations

Talvir Sidhu, Arjun Desai, Vipul Singh, Ramanjit Sihota and Tanuj Dada
RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

First Prize Film Festival WGC-2019
‘Bleb rescue operations’ video describes management of various bleb related complications encountered in the late post-operative period after mitomycin c augmented Trabeculectomy. The video includes innovative surgical techniques to manage over-filtering blebs associated with hypotony, conjunctival flaps for repair of bleb leaks, scleral flaps for tectonic support of scleral thinning and complex corner-scleral repairs using collagen implants and scleral patch grafts. Pre and post operative clinical photographs and ASOCT bleb imaging are included to facilitate video assisted skill transfer.  

Watch all the Film Festival videos

WGC-2019 Videos: Education Committee Selections

Throughout the year we will be releasing content from the World Glaucoma Congress in Melbourne (WGC-2019) on the Educational Portal. Click here to access the portal and get free access to all the WGC-2013, WGC-2015 and WGC-2017 recordings. WGC-2019 participants have free access to all the Melbourne recorded sessions as well!
The Education Committee carefully selects presentations from the WGC-2019 for your benefit.
This month Ingrida Januleviciene introduces the sessions: Dilemmas in glaucoma surgery and Genetics for the non-geneticist. 

Dilemmas in glaucoma surgery

When I do trab and when I do MIGS?

Dr.Julian Garcia Feijoo discussed the role for MIGS devices and Trab based on the clinical experience and existing scientific evidence. The target IOP range, stage of disease, rate of progression, age, topical treatment regime, number of drops are different among glaucoma patients. Surgeon’s choices are affecting patient’s quality of life. Patients have expectations for safe surgery, low complication rate, efficacy. He suggested ...

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Genetics for the non-geneticist

How can you tell that genetics are involved in a disease and traits- Introduction to heritability
Dr.Alex Hewitt talked about possibilities to evaluate evidence for high heritability,  genetic factors, environmental factors evaluating homozygotic twins, giving examples of tight correlation in identical twins as compared to non identical. Also he mentioned possible pedigree studies, investigations of glaucoma endophenotypes  - measurements that are abnormal in glaucoma e.g. IOP, Optic nerve. He mentioned ...

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Watch the presentations
Tip: when watching the videos, don't forget to access the slides of the lecture at the Resources Tab and open them in a different window. This will allow you to appreciate both the slides and the lecturer at the same time.

From the WGC-2019 Photo Exhibition

Glaucoma Research Centre, Montchoisi Clinic, Lausanne, Switzerland 
Ocular Decompression Retinopathy After Deep Sclerectomy 

Fundus photography three months after deep sclerectomy for traumatic glaucoma showing characteristic signs of ocular decompression retinopathy, with multiple diffuse, superficial (white arrows) and deep (black arrows) retinal hemorrhages peripapillary and across the posterior pole. Post-operative intraocular pressures were of 6 mmHg, from 30 mmHg prior to surgery. 

Picture by the Glaucoma Research Centre, Montchoisi Clinic, Lausanne, Switzerland - Prof. A. Mermoud, Prof. K. Mansouri, Dr L. Salinas, Dr K. Hoskens, Dr K. Gillmann, Dr GE. Bravetti, Dr S. Elahi. 

In Memoriam

We are deeply saddened to tell you that Dr. Stephen Drance passed away on 2 September at the age of 95 years on Salt Spring Island, British Columbia.
Stephen was a giant in our field, vastly expanding our understanding of glaucoma in innumerable diverse areas.  
His legacy is immeasurable. More than anything else he had the wisdom, patience and charm that made being with him and learning from him an absolute delight. He treated his patients with the utmost kindness and respect, all the while continuing to ask the bigger questions. He had a healthy skepticism of dogma but respected any viewpoint with kindness and deference. He never tired of learning and told us many times that curiosity is what makes us excel.
With his beloved Betty at his side, Stephen's love of the research, the questions, the patients, and his home city provided the backdrop to his extraordinary career.  Never one to accept the status quo, Stephen pushed the envelope on our understanding on so many fronts including normal tension glaucoma, vascular risk factors and optic disc morphology amongst other areas.
He trained fellows from across the globe, and those of us who had the privilege of studying under his keen eye know how fortunate we were to have Stephen Drance as our mentor.

In addition to his impact in ophthalmology, shortly after the first of his many 'retirements,' he passionately turned his attention to early music with the objective of putting Vancouver on the map for Baroque Opera.  He helped establish the Vancouver Festival, which became a magnet for early music lovers.  We are sure that Stephen would love to be remembered as much for his contributions to the arts as to glaucoma.
The world has lost a giant.  This unique and truly remarkable human being has touched the lives of so many people around the world.
Balwantray Chauhan, Douglas Anderson and Jody Piltz-Seymour

Upcoming Events 

October 1-4, 2020
Advances in Glaucoma Research and Clinical Science 2020 Online

October 2-4, 2020
ESCRS – Virtual Meeting

October 3-4, 2020
ATPO Eye CAN 2020

October 9-11, 2020
DOG 2020 Online

October 22-24, 2020
5th National Congress of the Moroccan Glaucoma Society

October 29-30, 2020
ESG 2020

Meeting Calendar
The WGA Update is our (almost) monthly collection of glaucoma news, thoughts, and ideas. If you’ve enjoyed this issue, please do share it.
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