Repeat OMNI Goniotomy and Canaloplasty

Gagan Sawhney, MD

Eyetube

Gagan Sawhney, MD, demonstrates use of the OMNI Surgical System (Sight Sciences) in the eye of a patient who previously underwent 180° goniotomy and canaloplasty, and returned with a visually significant cataract, prompting a combined phacoemulsification procedure with repeat OMNI goniotomy and canaloplasty for the remaining 180° of trabecular meshwork. Notably, there is no closure or scarring observed at the prior goniotomy site. The video illustrates the treatment of the remaining 180° and provides guidance on bypassing obstructions in Schlemm canal. Financial Disclosure: Speaker (Sight Sciences)

Realize the Power of Comanagement

Build community with your local providers to ensure your patients receive the best possible care.

Jeff Banas, OD

Modern Optometry

I am embarrassed to admit it took me a while to truly appreciate the value of social networking, but it is now integral to how I practice optometry. To clarify, when I use the term social networking, I am not referring to social media, although that has its place. Rather, I mean the building of real, lasting relationships based on personal interactions. In the health care industry, networking can come in many forms, from establishing mentors to meeting colleagues and friends across various specialties. Many clinicians focus on what we alone can do for our patients, and we are proud of our abilities to treat and manage various conditions, much to the joy of our patients. However, as the scope of optometric care continues to grow, more of us are becoming more specialized. My practice focuses heavily on refractive surgery, glaucoma, and the anterior segment. We do provide comprehensive eye care, but we refer out for certain conditions. I am knowledgeable about the retina, but I have no problem telling a patient that I would like my retina colleague’s second opinion on what I’m seeing. I view comanagement as an extension of my knowledge base that I use to ensure my patients receive the best care possible.

The Four S’s of Clinic Flow Optimization

Improve patient care by addressing space, staffing, systems, and scheduling.

Jane T. Shuman, MSM, COT, COE, OCS

Modern Optometry

Have you ever remarked, “Today was a good day. Let’s do it again,” but found it impossible to replicate? It may be that all the puzzle pieces just happened to align perfectly on that day. For optimal clinic flow, four puzzle pieces must interlock seamlessly. I refer to these elements as the four S’s: space, staffing, systems, and scheduling. A close examination of each reveals the impact they have on one another. Efficiency is defined as the capacity to achieve a goal with minimal wasted time and effort. The concept is applicable to at least two of the four puzzle pieces. 1. Space Clinic flow is largely influenced by the office’s layout.