Controversies in the Use of MIGS

Abstract Minimally invasive glaucoma surgery (MIGS) has fulfilled an unmet need in the management of glaucoma. This chapter highlights some controversial issues regarding the use of MIGS in clinical practice, including (1) whether there is sufficient evidence to advocate combining MIGS with cataract surgery over cataract surgery alone, (2) the merits and drawbacks of different approaches to trabecular bypass and canal-based MIGS procedures, (3) the effect of MIGS on endothelial cell loss, (4) suprachoroidal MIGS devices and whether there is still a role for these procedures, and (5) a comparison between subconjunctival MIGS and trabeculectomy. Several questions are still left unanswered and hopefully, further research and more clinical experience with these new technologies will help improve surgical outcomes for patients

London's Olympic legacy and the Imagine methodology

In 2010 Future of London commissioned academics to work with representatives from the London Boroughs, to consider the legacy of the Olympic Village taking shape in Stratford, in the East End of London. The exercise, in the form of a workshop, was to: review the current context/situation; prioritize issues; envisage future options; explore and develop relevant sustainability indicators; develop a forward plan for community development. This article describes the process adopted in the analysis of the Olympic Village’s transformation from World Media Site to a sustainable part of the Greater London metropolis. The methodology applied, Imagine, is described and some of the key outputs from the analysis and design of legacy process are described. In conclusion the article examines the oeuvre of projects of this kind when set against the challenges of longer term sustainability