Publications by authors named "R D Fellman"

Purpose: To develop a patient-reported outcome measure to assess the impact of glaucoma and treatment, including minimally invasive glaucoma surgery (MIGS).

Design: Observational study before and after concomitant cataract and Food and Drug Administration-approved implantable MIGS device surgery.

Setting: Survey administration was on a computer, iPad, or similar device.

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Article Synopsis
  • A 70-year-old man with severe glaucoma had previous surgeries including selective laser trabeculoplasty and minimally invasive glaucoma surgery while also being intolerant to multiple medications.* -
  • After consultation with a neuro-ophthalmologist, a trabeculectomy was performed on the left eye, which stabilized its intraocular pressure (IOP) for nearly two years, while the right eye continued to deteriorate.* -
  • Visual acuity measurements showed significant impairment in the left eye (20/250) compared to the right eye (20/25), with the right eye's IOP at 20 mm Hg and ongoing treatment with medications.*
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Purpose: To describe the iSTAT (Intraluminal Suture Transfixed and Titratable) technique, an improvement on prior tube occlusion methods, allowing for variable flow.

Observations: A 76-year-old woman who underwent an uncomplicated glaucoma drainage device (GDD) placement for uncontrolled mixed mechanism glaucoma presented with hypotony 4 years post-operatively. The iSTAT technique was performed to adjust the flow in the GDD tube: a 4-0 polypropylene suture tip was blunted with a low-temperature cautery, creating a bulbed end that would occlude the tube.

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