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In this episode, Dr Solish and I discuss the art of “needling” a filtering bleb, or as he likes to call it, a Slit Lamp Revision (SLR), to resuscitate its function. Beginning with the history of when he first thought of the idea as a resident and it was shot down and how this evolved to using antimetabolites in conjunction with the needling in order to discourage fibroblasts from forming more scar tissue from the procedure. You might be surprised to learn what types of blebs are more likely to improve with Slit Lamp Revision! (See the enhanced version of this podcast (https://www.wholelottarob.com/tag-aac...) for chapter markers and images.) Dr Solish’s contact information: [email protected] (mailto:[email protected]) http://www.drsolish.eyemd.org/ Unit 230 630 S Raymond Ave Pasadena, CA 91105-3283 Ph: (626) 577-1115 This episode was recorded live in March 2011 during the American Glaucoma Society annual meeting using a Shure SM58 microphone with a Marantz PMD661 digital recorder. Mixing and sound levelling were completed in February 2012 on a MacPro, MacBook Pro and MacBook Air using Levelator, Fission, and Garage Band. Narration was overdubbed using a Heil PR40 Microphone. 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. ————————————————————————— Selected references: Solish, A., Solish, S. Treatment of leaking filtration blebs using mitomycin C. J. Glaucoma, 8:1 supp. 1999. Solish, A. Treatment of leaking filtration blebs with bleb extension utilizing mitomycin C. 6th Congress of the European Glaucoma Society London, UK, Discussed poster June 12, 2000. Solish, A. Clinical Experimental Evidence for a New Theory of Leaking Filtration Blebs UCLA Jules Stein Eye Institute Research and Alumnit Conference June 2, 2001 Solish, A. Treatment of leaking filtration blebs with bleb expansion utilizing mitomycin C. PAAO Buenos Aires, July 24, 2001 Solish, A. Treatment of leaking filtration blebs with bleb expansion utilizing mitomycin C .AGS San Juan Puerto Rico February 28 2002 Solish, A. “Treatment of leaking filtration blebs with bleb expansion utilizing mitomycin C”. May 2002 Solish, A “Is mitomycin really the cause of leaking filtration blebs? “AAO meeting Chicago October 15, 2005 ————————————————————————- Robert M Schertzer, MD, MEd, FRCSC Clinical Associate Professor Dept of Ophthalmology & Visual Sciences University of British Columbia [email protected] (mailto:[email protected]) http://iguy.tv/podcast http://iguy.tv (http://iguy.tv/) is now set-up as a page to connect you to all my bits and bytes all over the web; go to that landing page as a convenient one-stop hub to all my activities Work - http://westcoastglaucoma.com (http://westcoastglaucoma.com/) or http://iguy.tv/office Twitter - / robschertzer or http://iguy.tv/twitter Blog - http://wholelottarob.com or http://iguy.tv/blog Theme music “Middle East Gold” ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr © Robert M Schertzer MD Inc, 2012