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AGS 2018 Annual Meeting

Joel S Schuman, MD

NYU Langone Eye Center, NYU School of Medicine
Professor & Chair
New York

nyulangone.org/doctors/1932184777/joel-s-schuman

All matters having to do with ophthalmology residency ACGME accreditation.

5:00pm EST

Registration 6th Floor Registration

7:00am EST

PO035: Toric Intraocular Lens Outcomes In Glaucoma Patients With Advanced Visual Field Loss Astor BallroomReay Brown MD PO036: Posterior Capsular Opacification Rates Following Phacoemulsification In Glaucomatous And Non-Glaucomatous Eyes Astor BallroomJeffrey SooHoo MD PO037: Comparison Of Long-Term Clinical Outcomes Between Micropulse Transscleral Cyclophotocoagulation And Endoscopic Cyclophotocoagulation-Plus Astor BallroomBehzad Amoozgar MD PO038: Pupillary Mydriasis And Recovery After Transscleral Micropulse Cyclophotocoagulation Astor BallroomMarisse Masis MD PO039: Histologic Changes Following Continuous And Micropulse Transscleral Cyclophotocoagulation: A Comparative Study Astor BallroomKareem Moussa MD PO042: Endocyclophotocoagulation Outcomes For Different Glaucoma Types And Stages Astor BallroomMichael Lin MD PO047: MLT (Micropulse Laser Trabeculoplasty) Or Not? Astor BallroomTed Deng BA

8:00am EST

Welcome and Introduction Broadway BallroomCynthia G. Mattox MD • Steven J. Gedde MD • Felipe A. Medeiros MD PhD

8:02am EST

Announcements Broadway BallroomPeter A. Netland MD PhD • Sayoko E. Moroi MD PhD

8:03am EST

Surgery Day Section 1 – Joint ASCRS Suturing And Gluing Within The Anterior Segment (Encourage Video/Cases) Broadway BallroomSayoko E. Moroi MD PhD • Leon W. Herndon Jr. MD (ASCRS Rep)

8:04am EST

SEC1: PCIOL Without Capsular Support - Anchor to Sclera or Iris? Broadway BallroomBrian A. Francis MD

8:11am EST

SEC1: Iris Defect Repair and Pupilloplasty Broadway BallroomShakeel R. Shareef MD

8:19am EST

SEC1: Drainage Implants - Suture or Glue Broadway BallroomRobert J. Noecker MD

8:27am EST

SEC1: Suturing or Gluing the Corneal Wound Broadway BallroomLeon W. Herndon Jr. MD

8:35am EST

SEC1: Conjunctival Closure for Glaucoma Broadway BallroomConstance Okeke MD MS

8:43am EST

SEC1: Closure of Cyclodialysis Cleft Broadway BallroomShane J. Havens MD

9:03am EST

AGS Cares Announcement Broadway BallroomJoshua D. Stein MD MS

9:04am EST

Surgery Day Section 2 – Paper Presentations (PA01-PA05) Broadway BallroomCelso Tello MD • JoAnn A. Giaconi MD

11:13am EST

Surgery Day Section 3 – MIGS: Glaucoma's Next Frontier Broadway BallroomDouglas J. Rhee MD • Davinder S. Grover MD MPH

11:14am EST

SEC3: MIGS vs Conventional Trabs and Tubes Broadway BallroomRichard A. Lewis MD • Douglas J. Rhee MD • Davinder S. Grover MD MPH

11:20am EST

SEC3: Suprachoroidal Drainage MIGS Broadway BallroomSameh Mosaed MD • Douglas J. Rhee MD • Davinder S. Grover MD MPH

11:27am EST

SEC3: Subconjunctival Filtration MIGS Broadway BallroomIan Patrick Conner MD PhD • Douglas J. Rhee MD • Davinder S. Grover MD MPH

11:34am EST

SEC3: Schlemm's Canal MIGS - Stent Broadway BallroomHady Saheb MD MPH • Douglas J. Rhee MD • Davinder S. Grover MD MPH

11:41am EST

SEC3: Schlemm's Canal MIGS - Unroofing Broadway BallroomBrian A. Francis MD • Douglas J. Rhee MD • Davinder S. Grover MD MPH

11:48am EST

SEC3: Ciliary Body "MIGS" (Micropulse/ECP) Broadway BallroomShan C. Lin MD • Douglas J. Rhee MD • Davinder S. Grover MD MPH

11:55am EST

SEC3: When to Use Which MIGS Broadway BallroomMalik Y. Kahook MD • Douglas J. Rhee MD • Davinder S. Grover MD MPH

12:02pm EST

SEC3: Panel Discussion Broadway BallroomDouglas J. Rhee MD • Davinder S. Grover MD MPH

12:14pm EST

Announcements Broadway Ballroom

12:15pm EST

Lunch - On Your Own TBD

1:45pm EST

Surgery Day Section 4 – Surgical Management of Postop Complications (Video) Broadway BallroomArthur J. Sit MD • James C. Tsai MD

1:46pm EST

SEC4: Aqueous Misdirection Broadway BallroomSarwat Salim MD • Arthur J. Sit MD • James C. Tsai MD

1:51pm EST

SEC4: Bleb Leak Broadway BallroomJoseph F. Panarelli MD • Arthur J. Sit MD • James C. Tsai MD

1:57pm EST

SEC4: Choroidal Effusion/Hemorrhage Broadway BallroomPeter A. Netland MD PhD • Arthur J. Sit MD • James C. Tsai MD

2:03pm EST

SEC4: Tube Erosion Broadway BallroomGayle C. Howard MD PhD • Arthur J. Sit MD • James C. Tsai MD

2:09pm EST

SEC4: Overfiltration Broadway BallroomEydie G. Miller-Ellis MD • Arthur J. Sit MD • James C. Tsai MD

2:15pm EST

SEC4: My Worst Intraoperative Day Broadway BallroomMarlene R. Moster MD • Arthur J. Sit MD • James C. Tsai MD

2:21pm EST

SEC4: My Worst Postoperative Day One Broadway BallroomLucy Q. Shen MD • Arthur J. Sit MD • James C. Tsai MD

2:27pm EST

SEC4: My Worst Late Complication- When I Thought Everything was OK Broadway BallroomRonald L. Fellman MD • Arthur J. Sit MD • James C. Tsai MD

2:33pm EST

SEC4: Panel Discussion Broadway BallroomArthur J. Sit MD • James C. Tsai MD

2:55pm EST

FDA CERSI Project on Patient Outcome Regarding MIGS Broadway BallroomGeorge L. Spaeth MD • Malvina B. Eydelman MD

3:05pm EST

Surgery Day Section 5 – Surgical Videos Broadway BallroomMalik Y. Kahook MD • Nathan M. Radcliffe MD

3:06pm EST

SEC5: The Effect of Transscleral Diode Cyclophotocoagulation Using Micropulse Versus Continuous Wave on Ciliary Processes Observed in Miyaki Apple View Broadway BallroomCraig J. Chaya MD • Malik Y. Kahook MD • Nathan M. Radcliffe MD

3:09pm EST

SEC5: Resuscitating a Trabeculectomy - Bleb Needling Broadway BallroomJayant V. Iyer MD • Malik Y. Kahook MD • Nathan M. Radcliffe MD

3:13pm EST

SEC5: Exposed Tube Revision with Tube Extender Broadway BallroomFelina Kremer MD • Malik Y. Kahook MD • Nathan M. Radcliffe MD

3:17pm EST

SEC5: Combined Cypass and Targeted iStent Implantation Broadway BallroomWon Kim MD • Malik Y. Kahook MD • Nathan M. Radcliffe MD

3:22pm EST

SEC5: Cypass Success Secrets Broadway BallroomConstance Okeke MD MS • Malik Y. Kahook MD • Nathan M. Radcliffe MD

3:27pm EST

SEC5: High Pressure, Loose Lens Surgery Broadway BallroomReza Razeghinejad MD • Malik Y. Kahook MD • Nathan M. Radcliffe MD

3:31pm EST

SEC5: Voting/Award Presentation Broadway BallroomMalik Y. Kahook MD • Nathan M. Radcliffe MD

3:35pm EST

Break - Exhibit Hall Shubert Complex, Majestic Complex, Broadway Ballroom Pre-Function (Foyer)

4:10pm EST

Surgery Day Section 6 – What is the Best Surgical Approach? Broadway BallroomRobert M. Feldman MD • Paul F. Palmberg MD PhD

4:11pm EST

SEC6: Uveitic Glaucoma Broadway BallroomDaniel Benjamin Moore MD • Robert M. Feldman MD • Paul F. Palmberg MD PhD

4:17pm EST

SEC6: Failed Tube Shunt Broadway BallroomLauren Sasha Blieden MD • Robert M. Feldman MD • Paul F. Palmberg MD PhD

4:24pm EST

SEC6: Angle Closure Glaucoma Broadway BallroomAngela V. Turalba MD MMS • Robert M. Feldman MD • Paul F. Palmberg MD PhD

4:31pm EST

SEC6: Prior Scleral Buckle or Silicone Oil Broadway BallroomChristopher Teng MD • Robert M. Feldman MD • Paul F. Palmberg MD PhD

4:38pm EST

SEC6: Prior PK or Kpro Broadway BallroomJames D. Brandt MD • Robert M. Feldman MD • Paul F. Palmberg MD PhD

4:45pm EST

SEC6: Primary and Secondary Surgery for Congenital Glaucoma Broadway BallroomSharon Freedman MD • Robert M. Feldman MD • Paul F. Palmberg MD PhD

4:52pm EST

SEC6: Panel Discussion Broadway BallroomRobert M. Feldman MD • Paul F. Palmberg MD PhD

5:00pm EST

Surgery Day Section 7 – Glaucoma and Cataract Approaches in Narrow Angles Broadway BallroomJeremy Blaine Wingard MD • Philip P. Chen MD

5:01pm EST

SEC7: Paracentesis, Laser Iridotomy, and Iridoplasty for Acute Angle Closure Broadway BallroomKateki Vinod MD • Jeremy Blaine Wingard MD • Philip P. Chen MD

5:06pm EST

SEC7: Laser and Surgical Goniosynechialysis Broadway BallroomArsham Sheybani MD • Jeremy Blaine Wingard MD • Philip P. Chen MD

5:12pm EST

SEC7: Pre-op, Intra-op, and Post-op Considerations for Nanophthalmos Broadway BallroomDeepak P. Edward MD • Jeremy Blaine Wingard MD • Philip P. Chen MD

5:18pm EST

SEC7: Cataract and Clear Lens Extraction for Narrow Angle and Angle Closure Broadway BallroomMarc F. Lieberman MD • Jeremy Blaine Wingard MD • Philip P. Chen MD

5:24pm EST

SEC7: Panel Discussion Broadway BallroomJeremy Blaine Wingard MD • Philip P. Chen MD

5:30pm EST

Poster Teardown Astor Ballroom

6:15pm EST

Poster Setup for Friday Astor Ballroom

6:30pm EST

Special Guest Lecture Broadway Ballroom

7:00pm EST

Welcome Reception Broadway Lounge

6:00am EST

Morning Yoga 16th Floor Sky Lobby

6:30am EST

Breakfast - Exhibit Hall Shubert Complex, Majestic Complex, Broadway Ballroom Pre-Function (Foyer)

6:59am EST

Poster Viewing: Imaging, Pharmacology, Functional Assessment, Intraocular Pressure, Pathophysiology (PO050–PO97) Astor BallroomTBD

7:00am EST

Exhibit Hall Viewing Shubert Complex, Majestic Complex, Broadway Ballroom Pre-Function (Foyer) Registration 6th Floor Registration PO050: Gonioscopy Score And Anterior Segment Parameters As Predictors Of Intraocular Pressure Reduction After Phacoemulsification Astor BallroomClaudio Perez MD PO051: Comparison Of Anterior Segment Optical Coherence Tomography Parameters Among Vietnamese, Chinese, And Caucasians Astor BallroomSunee Chansangpetch MD PO052: Diurnal Variation Of Optical Coherence Tomography Measurements Of Static And Dynamic Anterior Segment Parameters Astor BallroomBenjamin Xu MD PhD PO053: Plateau Iris Configuration As A POssible Structural Risk Factor For Drug-Induced Ciliochoroidal Effusion Mechanism Of Acute Angle-Closure Crisis Astor BallroomErin Boese MD PO054: Oct Angiography Of The Optic Nerve Head In Primary Open Angle Glaucoma And Disc Hemorrhage Astor BallroomRafaella Nascimento Silva MD PO055: POwer Of OCT-A (Optical Coherence Tomography Angiography) In Glaucoma Astor BallroomAlex Yang BS PO056: Diagnostic Ability Of Optical Coherence Tomography Angiography Macula Vessel Density For The Diagnosis Of Glaucoma Using Different Scan Sizes Astor BallroomRafaella Penteado MD PO057: Undiagnosed Glaucoma Detected By Multicolor Imaging Of Retinal Diseases Astor BallroomSarah Van Tassel MD PO058: Normative OCT Data In An African American Population Astor BallroomJudy Chen BA PO059: Contralateral Eyes Of Advanced Glaucomatous Eyes Exhibit Accelerated Rate Of Structural Progression Astor BallroomGadi Wollstein MD PO060: Characterization Of Wedge-Shaped Defects In Prelaminar Tissue In Eyes With Primary Open Angle Glaucoma Astor BallroomCarolina A. Chiou BS PO061: Influence Of Bruch's Membrane Opening Area On OCT Diagnostic Accuracy. Astor BallroomLucas Torres MD PO062: Deep Focal And Diffuse Shallow Macular Damage In Early Glaucoma Is Associated With POor Vision-Related Quality Of Life Astor BallroomAakriti Garg MD PO063: Visual Field Testing In A Portable Virtual Reality Environment Astor BallroomYvonne Buys MD PO064: Evaluation Of Visual Field Loss Patterns Associated With Diabetes Status Using Computationally Derived Visual Field Archetypes Astor BallroomBrian Song MD MPH PO065: Comparison Between Nidek MP3 And Humphrey Visual Field In Low Tension Glaucoma Subjects Astor BallroomSheena Song BA PO066: Use Of 60-4 Visual Fields In Patients Identified As Glaucoma Suspect Astor BallroomGavin Roddy MD PhD PO067: Association Between Visual Field And Cognitive Impairment In Primary Open-Angle Glaucoma Patients Astor BallroomMakayla McCoskey BS PO068: Test-Retest Repeatability Of A Novel Computer-Based Contrast Sensitivity Test: The Spaeth / Richman Contrast Sensitivity Test (Sparcs) Astor BallroomMichael Waisbourd MD PO069: The Role Of Isolated-Check Visual Evoked POtentials In Assessing Pigment Dispersion Syndrome And Pre-Perimetric Glaucoma Astor BallroomOwen Drinkwater BS BA PO070: Utility Of The Isolated-Check Visual Evoked POtential Technique In The Assessment Of Myopic Glaucoma Suspects Astor BallroomEleni Drivas BA PO071: Interim Results Of A Prospective, Randomized Phase 2 Study Evaluating The Safety And Efficacy Of Travoprost Intraocular Implants: 3-Month Outcomes Astor BallroomSteven Sarkisian MD PO072: Patient Perspectives On Sustained Release Therapies For Glaucoma Astor BallroomNirmal Gosalia BA PO073: Once-Daily Fixed-Dose Combination Of Netarsudil 0.02% And Latanoprost 0.005% In Ocular Hypertension Or Open-Angle Glaucoma, The Mercury-2 Study Astor BallroomTom Walters MD PO074: Once-Daily Fixed-Dose Combination Of Netarsudil 0.02% And Latanoprost 0.005% In Ocular Hypertension/Open-Angle Glaucoma: 12-Month Data From Mercury-1 Astor BallroomJacob W. Brubaker MD PO075: Once-Daily Netarsudil 0.02% Vs Twice-Daily Timolol Maleate 0.5% In Ocular Hypertension Or Open-Angle Glaucoma, The Rocket-4 Study Astor BallroomAlbert Khouri MD PO076: Prospective Multicenter Trial Of A Compounded Fixed Combination Of Latanoprost 0.005%, Dorzolamide Hydrochloride 2%, Timolol Maleate 0.5%, Brimonidine Tartrate 0.2% For Glaucoma Astor BallroomLauren Seo BA PO077: A Randomized, Double-Masked, Placebo-Controlled Trial Of The Efficacy Of A Novel Neuroprotective Combination For Reversing Mitochondrial Dysfunction In Glaucoma Astor BallroomRobert Ritch MD PO078: The Diurnal And Nocturnal Effect Of Pilocarpine On Intraocular Pressure And Ocular Perfusion Pressure In Patients Receiving Prostaglandin Analogue Monotherapy Astor BallroomLeonard Seibold MD PO079: 24-Hour Intraocular Pressure Control With Brinzolamide 1%/Brimonidine 0.2% In Open-Angle Glaucoma Or Ocular Hypertension Astor BallroomRobert Weinreb MD PO080: The Glaucoma Italian Pediatric Study (GIPSY): 3-Year Results. Astor BallroomLuciano Quaranta MD PO081: Association Of POst-Operative Topical Prostaglandin Analog And/Or Beta-Blocker Use And Incidence Of Pseudophakic Cystoid Macular Edema Astor BallroomColten Wendel MD PO082: Topical Prostaglandins In The Treatment Of Migraine Headaches Astor BallroomChristopher Teng MD PO083: The Agreement In Intraocular Pressure Measurement By Goldmann, Diaton, And Ocular Response Analyzer And Association With Corneal Biomechanical Properties Astor BallroomM.Reza Razeghinejad MD PO084: Goldmann Applanation Tonometry Error Relative To Intracameral Pressure And Partial Correction With A Shaped Applanating Prism Surface Astor BallroomSean McCafferty MS MD FACS PO085: Accuracy Of Tono-Pen Vs. Icare-Pro In Human Cadaveric Eyes With Edematous Corneas Over A Wide Range Of Intraocular Pressures Astor BallroomKelly Ruland BA PO086: Correlation Of Corneal And Scleral Pneumatonometry In Pediatric Patients Astor BallroomJun Hui Lee BA PO087: The Ability Of Patients To Measure Their Own Intraocular Pressure Using A Rebound Tonometer Astor BallroomAndrew Tatham FRCOphth PO088: Effect Of Near Work On Intraocular Pressure Astor BallroomAaron Priluck BSE PO089: Anterior Chamber Paracentesis For Acute Elevations In Intraocular Pressure Astor BallroomStephen Moster MD PO090: Discrepancy Between Optical And Ultrasound Pachymetry Among Glaucoma Patients Astor BallroomNicole Mendez BS PO091: Mitochondrial Dna Haplogroups L2C And L3E1 Exhibit Comparable Glaucoma Severity In African American Patients Astor BallroomXuan Cao BSE PO092: Loxl1 Role In Exfoliation Glaucoma Astor BallroomJ. Mario Wolosin PhD PO093: Peripheral Blood Flow In Normal Tension Glaucoma Vs Exfoliation Glaucoma As Measured By Nailfold Capillaroscopy. Astor BallroomAhmad Najafi MD PO094: Morphologic Findings On Nailfold Capillaroscopy (NFC) In Normal-Tension Versus High-Tension Primary Open-Angle Glaucoma. Astor BallroomLuis Silva MD PO095: The Effect Of Postural Changes On The Trans Lamina Cribrosa Pressure Difference - A Pilot Study Astor BallroomAvner Belkin MD PO096: The Calculation Of Translaminar Pressure Gradient Depends On Tonometric Technology And Body Position. Astor BallroomGloria Fleming MD PO097: Functional And Histological Analysis Of Lowe Syndrome Mouse Model Astor BallroomYang Sun MD PhD

8:00am EST

Announcements Broadway Ballroom

8:05am EST

Paper Presentations: Public Health/Imaging (PA06–PA10) Broadway BallroomRobert N. Weinreb MD • Christopher A. Girkin MD MSPH

8:06am EST

PA06: Philadelphia Telemedicine Glaucoma Detection And Follow-Up Study: Agreement Between Screening And Confirmatory Eye Examination Broadway BallroomJonathan Myers MD • Robert N. Weinreb MD • Christopher A. Girkin MD MSPH

8:17am EST

PA07: Missed Opportunities To Diagnose Angle Closure Before An Acute Crisis Broadway BallroomManjool M. Shah MD • Robert N. Weinreb MD • Christopher A. Girkin MD MSPH

8:29am EST

PA08: Mobile Phone Use In Drivers With Glaucoma: The Risk Is Greater Than They Think Broadway BallroomNara Gravina Ogata MD • Robert N. Weinreb MD • Christopher A. Girkin MD MSPH

8:41am EST

PA09: Utility Of Oct In Cms Defined Severe Glaucoma Patients Broadway BallroomAnand Mantravadi MD • Robert N. Weinreb MD • Christopher A. Girkin MD MSPH

8:53am EST

PA10: Association Of Optic Nerve Head And Macular Oct Measures With Glaucoma-Related Disability Broadway BallroomLuke Bonham BS • Robert N. Weinreb MD • Christopher A. Girkin MD MSPH

9:05am EST

Symposium 1 – OCT for Glaucoma Progression: When Can I Replace Visual Fields? Broadway BallroomSanjay G. Asrani MD • Teresa C. Chen MD

9:06am EST

SYMP1: How I use my Cirrus OCT (RNFL and GCC) to Identify Progression Broadway BallroomDavid S. Greenfield MD • Sanjay G. Asrani MD • Teresa C. Chen MD

9:20am EST

SYMP1: How I use my Spectralis OCT (RNFL and macula) to Identify Progression Broadway BallroomTeresa C. Chen MD • Sanjay G. Asrani MD • Teresa C. Chen MD

9:35am EST

SYMP1: How I use my Optovue OCT to Identify Progression Broadway BallroomJoel S. Schuman MD • Sanjay G. Asrani MD • Teresa C. Chen MD

9:50am EST

SYMP1: Pitfalls in Identifying Progression Using OCT Broadway BallroomSanjay G. Asrani MD • Sanjay G. Asrani MD • Teresa C. Chen MD

10:05am EST

SYMP1: When I cannot use OCT and have to rely on Visual Fields Broadway BallroomJeffrey M. Liebmann MD • Sanjay G. Asrani MD • Teresa C. Chen MD

10:20am EST

SYMP1: Wrap Up Comments Broadway BallroomAll Speakers • Sanjay G. Asrani MD • Teresa C. Chen MD

10:35am EST

Break-Exhibit Hall Shubert Complex, Majestic Complex, Broadway Ballroom Pre-Function (Foyer)

10:55am EST

Symposium 2 – Artificial Intelligence and Deep Learning: Applications in Glaucoma Care Broadway BallroomLouis R. Pasquale MD • Felipe A. Medeiros MD PhD

10:56am EST

SYMP2: What is Deep Learning and Artificial Intelligence? Broadway BallroomLinda Zangwill PhD • Louis R. Pasquale MD • Felipe A. Medeiros MD PhD

11:05am EST

SYMP2: Can a Computer Perform Optic Nerve Assessment Better than a Glaucoma Specialist? Broadway BallroomSameer Trikha BM BSc FRCOphth MBA • Louis R. Pasquale MD • Felipe A. Medeiros MD PhD

11:15am EST

SYMP2: Machine Learning in Visual Field Assessment. Broadway BallroomMichael V. Boland MD PhD • Louis R. Pasquale MD • Felipe A. Medeiros MD PhD

11:25am EST

SYMP2: Can Deep Learning and AI Reduce the Costs of Glaucoma Randomized Clinical Trials? Broadway BallroomLouis R. Pasquale MD • Louis R. Pasquale MD • Felipe A. Medeiros MD PhD

11:35am EST

SYMP2: Use of AI in Glaucoma Decision-Making Broadway BallroomJoshua D. Stein MD MS • Louis R. Pasquale MD • Felipe A. Medeiros MD PhD

11:45am EST

SYMP2: Panel Discussion Broadway BallroomLouis R. Pasquale MD • Felipe A. Medeiros MD PhD

11:55am EST

DC Update Broadway BallroomCynthia G. Mattox MD • Dale K. Heuer MD

11:56am EST

SYMPDC: Introduction Broadway BallroomCynthia G. Mattox MD • Dale K. Heuer MD

11:57am EST

SYMPDC: Update on IRIS Registry and its Future Potential Broadway BallroomWilliam L. Rich III MD • Cynthia G. Mattox MD • Dale K. Heuer MD

12:08pm EST

SYMPDC: Politics, Payment, and Policy Broadway BallroomCathy G. Cohen CAE MHSA • Cynthia G. Mattox MD • Dale K. Heuer MD

12:16pm EST

SYMPDC: Panel Discussion and Q&A Broadway BallroomCynthia G. Mattox MD • Dale K. Heuer MD

12:25pm EST

AGS Business Meeting Broadway Ballroom

12:55pm EST

Group Photo TBD

5:20pm EST

26th Annual AGS Lecture: Glaucoma - From the Artisanal to the Defined Broadway BallroomJoel S. Schuman MD