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Oregon’s Meeting at Sunriver, May 19‐22, 2016 Optometric Physician Education Acute Anterior Uveitis Presented by Jeff Healey, MD Course Summary: Anterior Uveitis is the most common form of uveitis. Predominantly occurring in young and middle‐aged people. The most common etiologies for this particular form of uveitis includes rheumatologic, skin, gastrointestinal, lung and infectious diseases. One or both eyes may be affected. Treatment depends upon the underlying cause of the inflammation. This talk will cover both autoimmune and infectious causes, appropriate work up and treatments Retina Potpourri Presented by Ambar Faridi, MD, Assistant Professor of Ophthalmology Course Summary: This course will present numerous retinal cases of varying pathology, including vascular, inflammatory, infectious, hereditary, nutritional, and age‐related retinal diseases. We will review their usual presentation, exam, and treatment. The use of multimodal retinal imaging in the diagnosis and management of these conditions will be highlighted. Refractive Considerations in Cataract Surgery Presented by Lori Lombardi, MD Course Summary: This course will address unusual refractive considerations in cataract surgery, and how the optometrist and ophthalmologist can work in conjunction to ensure the most desirable refractive outcome for patients. Grand Rounds/Round Table Presented by Drs. Healey, Faridi, Lombardi During this course, we will discuss cataract surgery co-management with our optometry and ophthalmology sub-specialist colleagues. We will discuss peri-operative coordinated care in patients with various refractive challenges and pre-existing corneal or retinal pathology. Life Beneath a Scleral Lens COPE# 45393‐CL Presented by Matt Lampa, OD, FAAO Course Summary: The purpose of this presentation is to evaluate management options for the irregular cornea and describe a novel, step‐by‐step approach to fitting scleral lenses. Also described will be problem‐solving techniques designed to enhance long‐term success. Multifocal Contact Lenses ‐ New Thoughts, New Understandings COPE# 44879‐CL Presented by Matt Lampa, OD, FAAO Course Summary: This course examines the issue of how todays presbyopic patient is managed with contact lenses. This course boosts your confidence with fitting contact lenses by improving your understanding of the various lens designs and their inherent limitations. Ethical Dilemmas in the Optometric Practice Presented by Douglas Walker, OD and James Hale, OD Course Summary: This one‐hour lecture is intended to serve both as a broad discussion of the ethical and legal issues inherent in the clinical practice of optometry and as an insight for optometric physicians who seek guidance in dealing with ethical questions and conflicts in patient care. Red Disease – OCT in Glaucoma Presented by Mansi Parikh, MD Course Summary: This course will review OCT imaging in glaucoma, identify sources of error in imaging, review possible artifacts in imagining and identify non‐glaucomatous conditions with rNFL changes. Decoding the Alphabet Soup: A Review of Corneal Pathologies and their Treatments Presented by Afshan Nanji, MD Course Summary: This course will present an overview of various corneal pathologies and their treatments. We will review corneal pathologies ranging from corneal ectasias to endothelial dystrophies to ocular surface pathologies, as well as the treatments of each. We will also include an update about new technologies in corneal surgery and in particular, refractive surgery. Fuchs Dystrophy and its Surgical Management [20 min] Presented by Winston D. Chamberlain, MD, PhD Course Summary: At the completion of the program, the attendee should understand the signs and symptoms of Fuchs Dystrophy, understand the prognosis Fuchs dystrophy, understand the management of cataract surgery optical outcomes in the setting of surgical management of Fuchs Dystrophy, and be familiar with new innovations in the management of Fuchs Dystrophy. Ocular and Systemic Diseases associated with Limbal Tem Cell Deficiency [20 min] Presented by Winston D. Chamberlain, MD, PhD Course Summary: At the completion of the program, the attendee should understand the signs and symptoms of limbal stem cell deficiency, understand the causes of limbal stem cell deficiency, should understand the features of aniridia, and be familiar with new innovations in the limbal stem cell disease. Techniques in surgical correction of refractive error [20 min] Presented by Winston D. Chamberlain, MD, PhD Course Summary: At the completion of the program, the attendee should understand the frequent techniques in refractive surgery, understand who is a good candidate for refractive surgery, understand the potential downsides of refractive surgery, and be familiar new technologies used in refractive surgery. Infectious Keratitis and Confocal Microscopy Presented by John Clemens, MD Course Summary: To update the audience on standard of care in the treatment of routine infectious keratitis and how to recognize when an atypical organism might be present. Additionally, the clinical use of cornea confocal microscopy will he highlighted. Dry Eye Presented by David Kading, OD, FAAO Course Summary: Dry eye has become a dry topic. With so many treatment options and so many diagnostic tests, it can become complicated to know when and how we should use what type of treatment. The Future of Dry Eye course looks at the current systems and the way that they miss the mark. We look at ways that new and innovative diagnostic measures help to reveal the nature of the patient’s dry eye. We will review diagnostic measures of meibography, interferometry, gland expression, non‐invasive tear break up time and blink assessment. Additionally, we will cover new ways to treat dry eye including selection of the dry eye drop which meets the problem, warm compress, lid compression, blink training, omega 3 supplements and patient education. Through the proper diagnosis and treatment, dry eye disease can become a preventable problem. Residents Grand Rounds An irregular case of late onset, unilateral induced corneal ectasia and subsequent management with specialty gas permeable contact lenses. Presented by Sheila Morrison, OD, MS Summary: A 66‐year‐old male presented to the Veteran Affairs Hospital with left eye blur and glare while driving at night. He was evaluated and scheduled for cataract surgery of the left eye. Refraction and prediction of IOL power was difficult. The patient was referred to the cornea service and it was determined that the patient had acquired 13 diopters of new irregular astigmatism over the visual axis. This case report discusses the outcome of specialty contact lenses versus cataract surgery in this unusual case of late‐onset corneal ectasia. It was determined that eye rubbing subsequent to the use of a c‐pap machine for sleep apnea caused the ectasia. MMT and Its Effects on the Visual Development of the Fetus/Newborn Presented by Alexandra Bavasi, OD Summary: This clinical case report highlights visual developmental abnormalities of a child born to an opiate‐dependent mother who underwent methadone maintenance therapy during pregnancy. Radial Keratectomy with corneal irregularity and scarring Presented by Shane McDonald,OD Summary: This case report will discuss in clinic uses for a Duette Hybrid contact lens, we will trouble shoot common complications with the Duette lens and discuss ideas for simple cases that are easily resolved with a Hybrid vs a corneal GP or Scleral lens.