AAO 2018
    Glaucoma, IOP and Aqueous Flow, Surgical Management

    In this interview from AAO 2018, Dr. Ron Fellman shares how the episcleral venous fluid wave offers insights into patterns of fluid flow within the eye. During MIGS surgery, surgeons can observe the episclera for a blanching of blood caused by a washout wave of balanced salt solution, thereby offering an immediate view of the success of the procedure. Through this technique, Dr. Fellman has observed that circumferential flow within Schlemm’s canal is limited and that fluid tends to flow in the inferonasal direction and is conserved distally. His translational work has enabled surgeons to better understand patterns of outflow with MIGS surgery.

    Relevant Financial Disclosures: None