Anna says...
AL
Anna L.Ophthalmologist
Course content
1
Volodymyr Melnyk
Glaucoma. Nosology, classification, etiology
Glaucoma is not a diagnosis on the IOP number — it is an optic neuropathy under intolerant pressure. A walk through the WHO definition, the tolerant vs intolerant IOP concept, what is wrong with the classical A/B/C classification, ocular hydrodynamics from Pascal to Bernoulli, and the three theories of optic nerve damage. The foundation for every clinical decision that follows.
45:00
2Volodymyr Melnyk
Principles of working with a glaucoma patient
Working with a glaucoma patient is not about the prescription — it is about persuading them to actually take it for life. A practical model for diagnostic strategy, monitoring schedules, target vs tolerant IOP, four groups of surgical indications, the 25% rule, and how to communicate the diagnosis differently than you do for cataract.
52:30
3Volodymyr Melnyk
Gonioscopy. From theory to practice
Gonioscopy remains the gold standard — and most of us do it too rarely or too quickly. A detailed tour of the anterior chamber angle: Goldmann vs van Beuningen lenses, anatomical landmarks, four width grades, five pigmentation grades, Schlemm's canal sclerosis, post-surgical changes, congenital and juvenile dysgenesis — with a live demonstration and an honest look at OCT-AC vs gonioscopy.
48:10
4Volodymyr Melnyk
Pathogenetic choice of glaucoma treatment method
If you choose treatment by the IOP number alone, you will lose half your patients. The pathogenetic logic — anterior chamber vs posterior chamber type — drives the entire decision tree: drops, SLT or surgery. A walk through hydrodynamics, the prostaglandin era after Xalatan, tactical vs strategic effects of drugs, the practical drop algorithm and the surgical hierarchy.
55:00
5Volodymyr Melnyk
Surgical methods of glaucoma treatment
What actually happens between conjunctiva and Schlemm's canal — and how the smallest decisions on flap design and Mitomycin C application change the outcome. Step-by-step through deep non-penetrating sclerectomy and trabeculectomy as the gold standard, the author's own modified tunnel trabeculopuncture, anterior lens capsule used as a biological drainage stent, suprachoroidal AJL, Express Shunt and Ahmed Valve — with complication management throughout.
42:25
6Volodymyr Melnyk
Minimally invasive glaucoma surgery. Myths and reality
MIGS was sold as making glaucoma surgery accessible to everyone — but is it really? An honest look at Ike Ahmed's philosophy and the ESCRS Barcelona debate, the MIGS classification by mechanism, what iStent, Hydrus, GATT, CyPass and XEN actually deliver, industry bias in conference presentations, and where MIGS sits in the real surgical hierarchy.
50:15
7Volodymyr Melnyk
Glaucoma. Clinical cases
Four real cases where the decision was not obvious. A 52-year-old on Latanoprost who didn't actually need it; pseudoexfoliative glaucoma on thin sclera; advanced damage with IOP 37 and how to enter the eye safely; a complex multi-revision patient with Ahmed Valve and expulsive complications. Every case ends with the lesson the author took from it.
38:00
