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Bulletin June, 2016 St. Louis Optometric Society Annual Installation & Awards Banquet P.O. Box 6136 Chesterfield, MO 63006 Tuesday, June 14 St. Louis Optometric Society The Caramel Room at Bissinger’s 1600 North Broadway Officers: 2016-2017 President Joseph Castellano, O.D. 314 863-0000 President-Elect Andrew Biondo, O.D. 314 394-3045 Vice President Kurt Finklang, O.D. 636 528-2020 Secretary Daniel Friederich, O.D. 314 843-5700 Treasurer Emily Pike, O.D. 314 913-4103 Sgt. At Arms Steven Branstetter, O.D. 314 375-0111 Immediate Past President Erin Niehoff, O.D. 636 528-2020 MOA Trustees Jason Riley, O.D. 573 468-4032 Steven Rosen, O.D. 314 843-2020 Executive Director Barbara Nahlik Phone: 314 725-2020 FAX 314 961-1041 e-mail: [email protected] Website: www.stlouisoptometricsociety.org 6:30 p.m. Reception Hosted by BioDOptix Midland Optical Quantum Vision Centers 7:30 Dinner Guy Phillips, Y98 Radio Guest Speaker Presentation of Awards Installation of Officers $65.00 per person RSVP by June 3 ~~~~~ Gated, lighted parking lot at rear of building off Mullanphy with direct entrance to elevator lobby. other wavelengths and why we get eye strain when using digital devices. (Continued next page) Tom Fischer and Dr. Anne Marie Lahr of Hoya Vision Care FROM THE MAY MEETING.. The way we use our eyes has changed dramatically in the past 5-10 years with the advent of computers. Americans average 2.7 hours per day on social media. The average computer sits 2-4 feet from our eyes. Tablets are held even closer, especially in kids. This can put stress on our accommodative system. These patients may complain of end of the day blur as there accommodative system is locked up after a full day of near work. The closer patients hold their digital devices, the more of a problem this is. Studies are starting to show light emitted from these digital devices may be harmful to our eyes. The low end of the visible light spectrum (i.e., blue light) has three documented effects on our eyes. These include ocular discomfort and eye strain, the interruption of sleep patterns and circadian rhythms, and the association of blue light exposure with the development of age related macular degeneration (AMD). Blue light naturally focuses in front of the retina, which is why we don’t see blue light as well as t DR. LAHR CONTINUED Symptoms of eye strain include fluctuations in vision, tired eyes, headaches, dry eyes, decreased night vision, light sensitivity and rubbing of eyes. It is important to ask patients how many hours a day they are using digital devices to accurately diagnose these patients. Our bodies require “reasonable amounts” of blue light for our circadian rhythms to properly function. This is the blue light at the higher end of the blue light spectrum (450 and up). We are getting excessive amounts of all wavelengths of blue light from our digital devices; therefore, lack of blue light is never a problem. Just as not enough blue light can interfere with our circadian rhythms, so can too much blue light. Blue light suppresses the production of melatonin. Thus, night time viewing of digital devices stimulates the brain and tells the body to stay awake. This can also have negative effects on the immune system. There is no such thing as good blue light at the level of the retina. All wavelengths of blue light will cause damage to the retina. Blue light will do more damage to the retina than ultraviolet light. The corneal and crystal lens of the eye absorbs ultraviolet light so it never reaches the retina. Because high energy blue light focuses on or near the retina, it is associated with increased risk of AMD. When blue light reaches the retina it interacts with oxygen and does oxidative damage to the retinal pigment epithelium (RPE). There are no studies available that confirm this assumption of blue light damage to the retina and there will likely never be. This is because the association with blue light and retinal damage is so strong; it would be unethical to expose patients to excessive blue light for study purposes. Many thanks to Dr.Lahr, Tom Fischer and Hoya Vision Care for sponsoring the meeting. # # # Special Thanks to our Banquet Sponsors Alcon BioDOptix Drs. Berdy & Malhotra Cohen Eye Associates Cooper Vision Envision Eye Specialists Eye Care Associates of St. Louis Galanis Cataract & Laser Eye Center Glaucoma Consultants of St. Louis Goltschman /Sturm Eye Center Hoya Vision Care Jones Eye Care & Surgery Midland Optical Ophthalmology Consultants Pepose Vision Institute Quantum Vision Centers Retina Associates of St. Louis St. Louis Eye Care Specialists St. Louis Eye Institute SureVision Eye Centers Tekwani Vision Center TLC Laser Eye Center The Retina Institute Visionary Eyecare & Surgery Vistakon ZeaVision ~~~~~ John C. Galanis, M.D., FACS Roberta J. Crawford, O.D. Mark R. Barlow, O.D. Craig H. Sorce, O.D. • Laser cataract surgery • ReSTOR ® Tecnis Multifocal™ Crystalens® implants • Fellowship trained glaucoma consultation • Wavefront optimized implant lenses • Consultative Optometry • Co-management of your Cataract, LASIK and Multifocal implant patients • Glaucoma consultation, OCT, LTP and surgery for your co-managed glaucoma patients (314) 633-8575 7331 Watson Road, St. Louis, MO 63119 www.drgalanis.com Thanks to Paige Biehler & Eric Ricker, UMSL Student Liaisons to SLOS CONTACT LENS REPORT Steven Branstetter, O.D. Johnson and Johnson has removed their Unilateral Pricing Policy in order to support contact lens advocacy and fight deregulation. They are supporting the Contact Lens Consumer Health Protection Act (S.2777). For more information please visit jnjvisioncareinfo.com. ##### June 29 – July 3, 2016 Boston, Massachusetts **** PEPOSE VISION INSTITUTE SEMINAR Wednesday, June 22 – 6:00 p.m. Pepose Vision Institute – 1815 Clarkson Rd. “Dry Eyes & Allergies – unique testing and treatments offered at PVI.” 2 Hours CE Drs. Pepose & Qazi. For reservations call: 636 728-0111 -ask for Elena LaPlante of Micah Williams. ### COMING UP AT UMSL Annual Optometry Academe 2016 August 28, 2016 - Sunday Joseph J. Pizzimenti, OD Carlo Pelino, OD 6 CEE Hours – Retina & Systemic Disease UMSL- Penney Conference Center For more information – optometry.umsl.edu ### MOA REPORT Jason Riley, O.D., Steven Rosen, O.D., Trustees There have been many years of hard work by the MOA and its members to pass our noncovered services legislation. Well, congratulations to us all, we have finally succeeded and our Non-Covered Services bill has passed both the Senate and House and is sitting on the Governor’s desk waiting for his signature! We definitely could not have achieved this milestone without everyone’s support. Again, thank you to all that had a hand in this endeavor and congratulations to everyone! Here is a complete rundown of our legislation that has passed both the House and Senate this session and is waiting for Governor Nixon’s signature: Telehealth-Language that includes Optometry is contained in SB579 Non Covered Services- HB1682 Medical Practice Freedom -Includes Optometry HB1682 Eye Drop Bill, extending sunset provisionHB1816 as well as in several other bills that passed Work Force Study-HB1816 Optometry Student Work Bill-HB1816 Lastly, one repeat reminder, please mark your calendars for upcoming events later this year. The MOA Leadership Retreat will be held June 3-5 at the Hilton Promenade in Branson, MO. Next, Optometry’s Meeting will be held June 29-July 3 in Boston, MA. This will be a very exciting venue to celebrate our nation’s independence on the 4th of July. And lastly, our annual MOA Conference will be back in Branson over the weekend of October 13-16 at Chateau on the Lake. ### CO-MANAGEMENT REPORT Michelle Dierheimer, O.D. On Monday April 18, 2016 Avedro announced it received FDA approval for the company's KXL System that provides corneal collagen cross-linking for the treatment of progressive keratoconus. The approval includes Avedro's Photrexa Viscous and Photrexa, which are riboflavin solutions used with the KXL System during the procedure. The FDA determined that the new treatment for progressive keratoconus was safe and effective based on three 12-month clinical trials conducted in the United States. In two of the studies, patients with the disorder were randomized to receive either the crosslinking therapy or a sham therapy in a designated eye. The eyes treated with the riboflavin ophthalmic solution showed increasing improvement from month 3 through month 12. In contrast, eyes receiving the sham therapy worsened during the study period. Corneal opacity, punctate keratitis, corneal striae, corneal epithelium defect, and eye pain were among the most common adverse events observed in the studies. The manufacturer noted that ulcerative keratitis can occur with the treatment, and that clinicians should monitor patients for epithelial defects. The company's corneal crosslinking technology has long been available in Asia and Europe, but we have been waiting approval in the US for nearly 10 years. We have not been able to treat patients with progressive keratoconus in this country unless it has been in clinical trials, so for these patients, this is a major advance. ### CALENDAR June 3-5 MOA Legislative Conference Hilton Promenade Hotel, Branson, MO June 14 SLOS Installation & Awards Banquet The Carmel Room at Bissingers Reservations by June 3 June 22 Pepose Vision Institute Seminar Reservations call: 636 728-0111 June 29-July 3 Optometry’s Meeting Boston, Massachusetts July 12 SLOS Meeting Zeiss hosts Aug.9 SLOS Meeting Aug. 28 Optometry Academe UMSL College of Optometry 6 hrs. CEE optometry.umsl.edu Oct. 13-16 MOA Conference Chateau pf the Lake Branson, MO ### New Patient Care Center for University of Missouri Optometry and Nursing colleges Scheduled to open in the summer of 2016, the new building will include space for campus and community partners to offer complementary health care services, such as dental and primary care. UMSL has the only optometry program in Missouri, and it’s one of just 21 such college programs nationwide. # # # Don’t forget SLOS dues.