iTrack Advance With iStent Infinite for Mild POAG

I. Paul Singh, MD

Eyetube

I. Paul Singh, MD, shares a case in which he combined iTrack Advance (Nova Eye Medical) with iStent Infinite (Glaukos) implantation in the eye of a pseudophakic patient with mild primary open-angle glaucoma who was taking three medications. The goal was to reduce medication burden but maintain IOP. Financial disclosure: Consultant (Glaukos, Nova Eye Medical)

The Mystery of Cilioretinal Arteries and AMD

Research is beginning to unravel the role these arteries play in the pathogenesis of neovascularization.

Adel Ebraheem, MD, MS, OD

Modern Optometry

Age-related macular degeneration (AMD) is a multifactorial condition characterized by dysregulation of the inflammatory, complement, lipid, and angiogenic pathways. AMD is classified as either dry or wet based on the absence or presence of choroidal neovascularization (CNV), respectively. Dry (nonexudative) AMD represents most of the total number of AMD cases.1 The hallmark of dry AMD is the presence of drusen, which can progress to geographic atrophy. Wet (exudative) AMD is characterized by invasion of the outer retina by new, immature blood vessels, or CNV, from the underlying choroid. The pathogenesis of wet AMD is the secretion of vascular endothelial growth factor (VEGF), which promotes the growth of these abnormal blood vessels. CNV can manifest as a retinal pigment epithelial detachment (PED), cystoid macular edema, hemorrhage, disciform scar, subretinal fluid (SRF), or a combination of these clinical features. IDENTIFYING CILIORETINAL ARTERIES The outer retina receives its blood supply from the choroid; the nutrients take a path through Bruch membrane and the retinal pigment epithelium to the neural retina. The central retinal artery is the main blood supply to the inner retina. The inner layers of the macula may receive a second blood supply from cilioretinal arteries, which emerge from the choroidal vascular bed (Figure). Cilioretinal arteries typically originate from the temporal margin of the optic disc, although they can also occasionally originate near the nasal border.

Want to Achieve Financial Freedom?

Follow these four tips suitable for any optometrist.

Aaron Neufeld, OD

Modern Optometry

As optometrists, we possess a wealth of knowledge on everything eye-related, but how do we become good stewards of the revenue we earn providing exemplary eye care? Truth be told, most optometrists would say they do not have a wealth of investing knowledge. This article aims to change that by sharing four helpful tips that have guided me and many other optometrists in achieving financial freedom. WHAT IS FINANCIAL FREEDOM? Before we get into the tips, let’s agree on what it means to achieve financial freedom. Simply put, it means having enough money and/or assets to live comfortably without needing to work. That is, while your residual income pays the bills, you can focus on what matters most to you, whether that means spending time with family, traveling the world, or continuing to serve your patients in the best manner possible. With disciplined investing practices, financial freedom can come much earlier than your enrollment in Medicare, despite what conventional wisdom might tell you. Consider the following four recommendations and you’ll be on your way. TIP NO.