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Subspecialties Glaucoma, Health Economics and Policy

In and Out

At a Glance

  • Although pharmacologic treatment remains the backbone of glaucoma therapy, there has also been incredible innovation and growth in the surgical device arena, not least MIGS
  • Though it is common for a patient to be on a number of topical medications, it is not common practice to combine more than one MIGS procedure to achieve the same end – though perhaps it should be
  • Combining procedures – such as ECP with the iStent (3) – makes sense; there is a growing body of real-world experience, both in terms of efficacy and safety
  • Though a practice still very much in its infancy, combining procedures should be given the same consideration afforded to the combination of pharmaceutical agents with different mechanisms of action.

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About the Author

Philip Bloom

Consultant Ophthalmic Surgeon at The Western Eye Hospital (Imperial College Healthcare NHS Trust) & The Hillingdon Hospital NHS Foundation Trust

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