Glaucoma Intrascleral Tube Surgery

Poojitha Balakrishnan, MD, MPH, PhD, recaps her article “Using Imaging to Understand the Causes and Sequelae of Hypotony,” written with Jithin Yohannan, MD, MPH, and featured in the March/April issue of Glaucoma Today. Hypotony is a significant complication of glaucoma surgery, and identifying its causes and sequelae can be a challenge with slit-lamp examinations and indirect ophthalmoscopy alone. Dr. Balakrishnan discusses the value of ocular imaging modalities such as OCT and ultrasound as additional tools for diagnosis and management.

Reay H. Brown, MD, and Shibandri Das, MD, each present a scenario that highlights how minimally invasive procedures can be used to address specific obstacles in glaucoma management. The two patient cases were featured in their article, “Customizing Care and Minimizing Risk With MIGS,” which was written with Shivani Kamat, MD, and featured in the May/June 2026 issue of Glaucoma Today.

On this episode of Survey Says, a special edition of GT: The Podcast, I. Paul Singh, MD, is by joined by Reena Garg, MD, to discuss next steps for a patient who is having difficulty adhering to his topical medication regimen. With no progression shown on visual field testing, Dr. Singh raises the question of whether the current treatment is appropriate or if the compliance issue warrants exploring a different option such as repeat selective laser trabeculoplasty, drug delivery, or surgery. Dr. Garg weighs in, and later, they compare their opinions with the results of a social media poll of GT’s audience and Dr. Singh shares what he did.

Glaucoma specialists share insights into treating uveitis-glaucoma-hyphema (UGH) syndrome, as featured in the January/February 2026 issue of Glaucoma Today. Roya Garakani, DO, recaps, “Surgical Decision-Making in Patients With UGH Syndrome,” outlining options for patients with UGH syndrome who require glaucoma surgery in addition to an IOL procedure. Then, Mahsaw Mansoor, MD, recaps, “Selecting an IOL and Fixation Technique for Patients With UGH Syndrome,” which was written with Nicole Fram, MD, and presents a case-based approach to surgical management of in-the-bag UGH syndrome secondary to dead bag syndrome.

Welcome to GT: The Podcast! In this episode, glaucoma specialists share the approaches and pearls they wish they had discovered sooner, as featured in the November/December 2025 issue of Glaucoma Today. Kateki Vinod, MD, and Won I. Kim, MD, share their reflections on IOP monitoring and how home tonometry has changed their respective practices. Later, Jenny Lu describes age-related neuroretinal alterations and how these changes can mimic glaucomatous damage, as covered in an article by Shuning Li, MD, PhD, and Ying Han, MD, PhD.