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OPHTHALMOLOGY UPDATE 2017 29th Annual Ophthalmology Update 27th Annual Distinguished Alumnus Award Lecture Saturday, April 22, 2017 *********************************************************** LOCATION Farrell Learning and Teach Center at Washington University in St. Louis 520 S. Euclid Ave., St. Louis, MO 63110 CME PROVIDED BY Washington University School of Medicine, Continuing Medical Education ACCREDITATION Washington University is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CREDIT Washington University designates this live activity for a maximum of 6.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. PRESENTED BY This live activity is presented by the Department of Ophthalmology and Visual Sciences. SUPPORTED BY A complete list of commercial supporters will be available at the time of the conference. SPONSORED BY This live activity is being sponsored by Washington University School of Medicine, Continuing Medical Education NO CHARGE TO ATTEND THIS CONFERENCE PARKING South Garage HOTEL ACCOMMODATIONS The following is a partial list of hotels convenient to the medical school campus. The Parkway Hotel – St. Louis Central West End – 4550 Forest Park Ave., St. Louis, MO 63108 314-256-7777 Chase Park Plaza Hotel – St. Louis Central West End – 212 N Kingshighway, St. Louis, MO 63108 314-633-3000 INFORMATION / REGISTRATION / CANCELLATION Please contact Mary Carnoali at 314-362-4418. Registration will close on April 14, 2017. DISCLOSURE POLICY It is the policy of Washington University School of Medicine, Continuing Medical Education, that planners, faculty and other persons who may influence content of this CME activity disclose all relevant financial relationships with commercial interests in order for CME staff to identify and resolve any potential conflicts of interest prior to the educational activity. Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation. Detailed disclosures will be made in activity handout materials. COURSE CHAIRS Todd P. Margolis, MD , PhD Susan M. Culican, MD, PhD KEYNOTE SPEAKERS Stephen A. Kamenetzky, MD Alan A. and Edith L. Wolff Distinguished Professor and Chairman Department of Ophthalmology Associate Professor of Ophthalmology and Visual Sciences Director, Ophthalmology Residency Program Director, Ophthalmology Education Clinical Professor of Ophthalmology and Visual Sciences Department of Ophthalmology and Visual Sciences Washington University School of Medicine 2017 Washington Univ. Ophthalmology Distinguished Alumnus Iqbal Ike K. Ahmed, MD, FRCSC Assistant Professor Department of Ophthalmology University of Toronto Clinical Assistant Professor Department of Ophthalmology University of Utah Joel S. Schuman, MD Professor and Chair Department of Ophthalmology NYU Langone Medical Center Charles W. Leiter, Pharm D. Pharmacist and VP of Business Development Leiter’s Compounding Pharmacy WASHINGTON UNIVERSITY SCHOOL OF MEDICINE ACTIVITY FACULTY Augustine R. Hong, MD Associate Professor, Ophthalmology & Visual Sciences Anthony J. Lubniewski, MD Professor, Ophthalmology & Visual Sciences Rithwick Rajagopal, MD, PhD Assistant Professor, Ophthalmology & Visual Sciences James B. Shepherd, MD Associate Professor, Ophthalmology & Visual Sciences Lawrence Tychsen, MD John F. Hardesty, MD, Distinguished Professor Professor, Ophthalmology and Visual Sciences Professor, Neurobiology Professor, Ophthalmology in Pediatrics Stephen Wexler, MD Clinical Professor of Ophthalmology OBJECTIVE: The focus of this Annual Update Meeting is the changing landscape of surgical eye care including regulatory barriers to providing eye care, new applications of old technologies to achieve better care, and techniques to improve patient outcomes. Descemets Membrane Endothelial Keratoplasty (DMEK) 1. Describe Descemet Membrane Endothelial Keratoplasty (DMEK) procedure. 2. Identify the pros and cons of recent advances in Endothelial Cell Transplantation. New Medicare Payment Policies: What were they thinking? 1. State the purpose for and details of the new Medicare Payment Policies. 2. Explain how to adapt current office practices and procedures to maximize payment under the new Medicare policies while conforming to the statutory requirements. Compounded Ophthalmic Medications: Impact of new FDA regulations 1. Demonstrate knowledge of FDA rules and regulations. 2. Be able to analyze compounding pharmacies for appropriateness of practice. The Lubniewski Microneedle in anterior segment surgery 1. Explain how to implement use of the Lubniewski microneedle in anterior segment reconstructive surgery. 2. Explain how to use the Lubniewski microneedle in managing intraoperative air with DSEK surgery. Neurologic Perspectives on Diabetic Retinopathy 1. Describe what functional visual changes occur in diabetic retinopathy prior to development of visible vascular lesions. 2. State which cell type in the retina are involved in early diabetic retinopathy. Advances in OCT for Glaucoma 1. Describe optical coherence tomography structural measurement and angiography. 2. Explain 5 different scenarios where OCT would be clinically useful in glaucoma diagnosis, progression and management. The Art and Science of Prescribing Prisms for Adult Strabismus 1. List the indications and contraindications for prismatic correction in adult strabismus. 2. Describe the limitations of prismatic correction and when other therapeutic modalities may be more appropriate. Refractive Surgery for Special Needs Children 1. Identify factors that compel surgical treatment of high refractive error in special needs children. 2. Explain the techniques employed 3. Describe the risks and benefits of pediatric refractive surgery. PRK: The Other Refractive Surgery 1. List the current indications for modern PRK surgery. 2. Describe current PRK techniques. Glaucoma Surgery Advances 1. Identify the pitfalls of traditional surgery. 2. Be able to identify patients who would benefit from newer glaucoma surgeries 3. Describe the techniques that yield success for newer glaucoma surgeries. Advances in Cataract and IOL Surgery 1. Recognize imaging techniques used in the preoperative assessment of complex cataract and IOL cases. 2. Describe surgical devices used for complex cataract and IOL surgery 3. Identify surgical pearls for the complex cataract and IOL surgery. COURSE AGENDA: 7:30 AM – 8:00 AM Registration/Continental Breakfast 8:00 AM – 8:10 AM Welcome Remarks Todd Margolis, MD, PhD 8:10 AM – 8:25 AM Refractive Surgery for Special Needs Children R. Lawrence Tychsen, MD 8:30 AM – 9:15 AM New Medicare Payment Policies: What were they thinking? Stephen A. Kamenetzky, MD 9:30 AM – 9:45 AM PRK: The Other Refractive Surgery Stephen A. Wexler, MD 9:50 AM – 10:00 AM Break (10 minutes) 10:05 AM -10:20 AM Compounded Ophthalmic Medications: Impact of New FDA Regulations Charles W. Leiter, Pharm D 10:30 AM – 10:45 AM Neurologic Perspectives on Diabetic Retinopathy Rithwick Rajagopal, MD, PhD 10:50 AM – 11:35 AM Glaucoma Surgery Advances Iqbal Ike K. Ahmed, MD, FRCSC 12:00 PM - 1:00 PM Lunch 1:00 PM – 1:15PM The Art and Science of Prescribing Prisms for Adult Strabismus James B. Shepherd, MD 1:20 PM – 2:05 PM Advances In OCT For Glaucoma Joel S. Schuman, MD 2:20 PM - 2:35 PM Descemet’s Membrane Endothelial Keraoplasty Augustine R. Hong, MD 2:40 PM – 2:55 PM The Lubniewski Microneedle in Anterior Segment Surgery Anthony J. Lubniewski, MD 3:00 PM – 3:15 PM Break (15 minutes) 3:15 PM – 4:00 PM Advances in Cataract and IOL Surgery Iqbal Ike K. Ahmed, MD, FRCSC 4:15 PM – 4:25 PM Closing Remarks Todd Margolis, MD, PhD