Welcome to the next issue of Clinical Insights in Eyecare.
This edition features an insightful Point-Counterpoint discussion, a compelling lead case report, and our ever-valuable journal scans that summarize key updates from recent literature.
Our lead case report, “Profilometry Guided Scleral Lenses for High Corneal and Scleral Toricity,” by Jennifer S. Harthan, OD, FAAO; Matthew McGee, OD, FAAO; and Megan Piraino, OD, highlights the role of profilometry-guided scleral lens design in managing complex ocular surface anatomy. This case demonstrates how advanced profilometry can be utilized to assess significant corneal and scleral irregularities and guide lens customization when conventional fitting approaches are unsuccessful. As scleral lens technology continues to evolve, this report offers valuable clinical insights into managing challenging fitting scenarios and optimizing patient outcomes.
Our Point-Counterpoint this quarter explores the evolving role of minimally invasive glaucoma surgery (MIGS) in the management of mild to moderate glaucoma. In “Combined MIGS and Cataract Surgery: Maximizing Synergistic IOP Reduction in Mild to Moderate Glaucoma,” Gabrielle Anderson, OD, and Brooke Major, OD, MS, examine an important question facing clinicians today: should MIGS procedures primarily be performed in conjunction with cataract surgery, or should they be considered earlier as standalone interventions? Their discussion highlights the benefits, limitations, and clinical considerations associated with each approach as glaucoma management continues to evolve.
As always, Drew Rixon and Eddie Chu contribute insightful journal scans with practical takeaways from recent studies.
We hope you find this issue informative, clinically relevant, and engaging.
Raman Bhakhri, OD, FAAO
Editor in Chief
Jim Williamson, OD, FAAO
Associate Editor