Ep 36 Talking About Glaucoma - 6Jun2022 SIEGFRIED Carla The Perfect Trabeculectomy (mp3)
Play • 31 min

In this episode, I talk with Carla Siegfried, Jacquelyn E. and Allan E. Kolker, MD Distinguished Professor of Ophthalmology and Vice-Chair of Diversity, Equity, and Professionalism at Washington University School of Medicine, about the gold standard glaucoma surgical procedure: the trabeculectomy. We exchange detailed tips for success for each step of the surgery and post-operative care. It is clear from our discussion that we must continue to train others so that the trabeculectomy does not become a lost art. This is a procedure requiring no special devices and remains the gold standard for achieving low pressures despite its higher complication rate compared to other procedures.

There are some audio issues with the recording of this episode that I've cleaned up as best I can. I'm Rob Schertzer, a Vancouver, Canada-based glaucoma specialist, podcaster and HealthIT expert, and we're...talking about glaucoma.

Talking About Glaucoma is a podcast of indeterminate frequency and duration...recently averaging 4 episodes per year. I'm still hoping to get this out monthly in the future. It’s available for free on Apple Podcasts, Spotify, Google Podcasts, PocketCasts, Podcast Addict, and many other podcast services. Please rate the podcast on your podcast player of choice, subscribe to it, and tell your friends about it, so that it can reach more listeners and encourage me to continue to produce new episodes. Follow me at WestCoastGlaucoma on Instagram and Talking About Glaucoma on Facebook. Drop me a line at podcast@iguy.org with your show ideas, if you would like to be on a future episode or questions you would like to have answered on future episodes. Keep informed to prevent needless loss of vision from glaucoma. See you next time on Talking About Glaucoma.


About Carla Siegfried:
Carla J. Siegfried, MD
Jacquelyn E. and Allan E. Kolker, MD Distinguished Professor of Ophthalmology
Vice Chair of Diversity, Equity, and Professionalism
John F. Hardesty, MD Department of Ophthalmology and Visual Sciences
Washington University School of Medicine
660 South Euclid Ave.
St. Louis, MO 63110

Selected references from past 5 years:
1: Ban N, Siegfried CJ, Apte RS. Monitoring Neurodegeneration in Glaucoma:
Therapeutic Implications. Trends Mol Med. 2018 Jan;24(1):7-17. doi:
10.1016/j.molmed.2017.11.004. Epub 2017 Dec 7. PMID: 29233479; PMCID:

2: Siegfried CJ. Setting the Gold(en) Standard for Ethical Care:
#PatientCommunication. Ophthalmology. 2019 Mar;126(3):335-337. doi:
10.1016/j.ophtha.2018.09.011. Epub 2018 Sep 19. PMID: 30240792.

3: Van Gelder RN, Siegfried CJ. ROI, COI, and the Ethical Obligations of
Journals. Ophthalmology. 2022 Jun;129(6):602-604. doi:
10.1016/j.ophtha.2022.04.007. PMID: 35598900.

4: De Maria A, Zientek KD, David LL, Wilmarth PA, Bhorade AM, Harocopos GJ,
Huang AJW, Hong AR, Siegfried CJ, Tsai LM, Sheybani A, Bassnett S. Compositional
Analysis of Extracellular Aggregates in the Eyes of Patients With Exfoliation
Syndrome and Exfoliation Glaucoma. Invest Ophthalmol Vis Sci. 2021 Dec
1;62(15):27. doi: 10.1167/iovs.62.15.27. PMID: 34964803; PMCID: PMC8740535.

5: Pelton RW, Siegfried CJ. Re: Bartley: Verifying surgical competence: our
fiduciary responsibility (Ophthalmology. 2020;127:997-999). Ophthalmology. 2020
Dec;127(12):e111-e112. doi: 10.1016/j.ophtha.2020.06.022. Epub 2020 Jul 29.
PMID: 32739188.

6: Siegfried CJ, Shui YB. Intraocular Oxygen and Antioxidant Status: New
Insights on the Effect of Vitrectomy and Glaucoma Pathogenesis. Am J Ophthalmol.
2019 Jul;203:12-25. doi: 10.1016/j.ajo.2019.02.008. Epub 2019 Feb 15. PMID:
30772349; PMCID: PMC6612589.

7: Siegfried CJ, Shui YB, Tian B, Nork TM, Heatley GA, Kaufman PL. Effects of
Vitrectomy and Lensectomy on Older Rhesus Macaques: Oxygen Distribution,
Antioxidant Status, and Aqueous Humor Dynamics. Invest Ophthalmol Vis Sci. 2017
Aug 1;58(10):4003-4014. doi: 10.1167/iovs.17-21890. PMID: 28800647; PMCID:

Production information:

This episode was recorded February 29, 2020 during the Annual Meeting of the American Glaucoma Society in Washington, DC, unfortunately using a BOYA Dual Lapel USB-C Microphone BY-M3D - which I do not recommend. Mixing was finally completed to salvage the recording on May 9, 2022 using Hindenberg Journalist Pro software iZotope processing plug-ins on a Gigabyte AERO 17 computer. The narration was overdubbed using a Heil PR40 microphone through an SSL 2 USB Audio Interface onJune 6, 2022.

The opinions expressed in this podcast are those of the speakers and are not intended to be taken as the standard of care for glaucoma treatment. Please always weigh the complete clinical picture and involve patients with any decisions in their care.

Robert M Schertzer, MD, MEd, FRCSC
Twitter - https://twitter.com/robschertzer
or http://iguy.tv/twitter
Blog - http://wholelottarob.com
or http://iguy.tv/blog
Facebook - https://facebook.com/talkingaboutglaucoma
Office website - https://westcoastglaucoma.com
or http://iguy.tv/office
YouTube channel - https://youtube.com/robschertzer
Instagram - https://instagram.com/westcoastglaucoma

Theme music “Middle East Gold” ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr

© 2022 DOSWA Prods Enr/Robert M Schertzer MD. MEd, FRCSC

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