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hi this is john canalopoulos here in our office i want to share a very interesting case with you today weamp;#39;re in athens crease at the laser vision amateur surgery center this is a 62 year old gentleman who is uh visiting us today heamp;#39;s pseudo it with a very high myopia to begin with weamp;#39;re seeing here two very nicely placed posterior chamber and dracula lenses he has coinciding diagnosis of glaucoma and heamp;#39;s currently using ganford a combination of prostaglandin and beta blocker at night and siberisa which is a combination of a cabanica hydras inhibitor in an alpha agonist morning and night and this is creating a little bit of hyperemia but heamp;#39;s non-symptomatic the reason that probably his treatment is being boosted with target under 13 his pressures with his regimen are 11 in both eyes and his chronic imagery is uh 550 so his pressures are around 11 12 adjusted so the reason uh the treatment is boosted and target is lowered to low teens is because