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Ohio Ophthalmological Society 2013 Annual Meeting February 2, 2013 Hilton Columbus — Easton Town Center, Columbus, Ohio A full day of clinical meetings for ophthalmologists and ophthalmic technicians. Registration materials inside... 08917.indd 1 11/27/12 1:12 PM Location & Lodging Hilton Columbus at Easton 3900 Chagrin Drive, Columbus, OH 43219 Phone (614) 414-5000 A block of rooms has been reserved at the Hilton Columbus. Please call (800) HILTONS, (800-445-8667) or (614) 414-5000 and indicate you are with the OOS Annual Meeting. Our group rate is $169.00 per night plus tax. Reservations must be received by Jan. 11, 2013, to ensure receiving the special discount rate. Columbus, Ohio Greater Columbus offers a host of interesting places to visit. Whether you are interested in the quaint brick streets of German Village, the upscale cuisine of the North Market or the world recognized Columbus Zoo, you won't leave disappointed. The Hilton Columbus is the premier meeting and conference location in the Columbus area. Located just steps from Easton Town Center, the luxurious hotel is just 10 minutes from downtown. To find out more about what to do, events and attractions in Columbus and at the Easton Town Center, go to the following websites: www.experiencecolumbus.com and/or www.eastontowncenter.com. Directions 08917.indd 2 11/27/12 1:12 PM Ohio Ophthalmological Society 2013 Annual Meeting Ohio Ophthalmological Society Officers and Board Members Saturday, February 2, 2013 Hilton Columbus at Easton President ....................................... Jeff Perkins, MD Joint Sponsored by Ohio State Medical Association Secretary/Treasurer ...................... W. Walker Motley, MD Program Focus The practice of ophthalmology encompasses all aspects of visual health as well as medical and surgical treatment of diseases. Ophthalmologists and allied health professionals must remain educated in current subspecialty trends, treatment practices and clinical research studies that affect their patients. This meeting has been designed to meet the educational needs of ophthalmologists and ophthalmic technicians who are engaged in the diagnosis and treatment of eye diseases. Planning Committee President-Elect ............................. Jim Silone, Jr., DO Past President ............................... Bernard Perla, MD District Governors District One ................................ W. Walker Motley, MD District Two ................................ John Kunesh, MD District Three ............................. Paul Armstrong, MD District Four ............................... Kristopher Kelly, MD District Five ................................ Joseph Coney, MD District Six ................................. Lyn Yakubov, MD District Seven ............................. Dan Clemens, MD District Eight/Nine ..................... Jim Silone, Jr., DO District Ten ................................. Mark Lomeo, MD District Eleven ............................ Jeff Perkins, MD District Twelve ........................... Marc Jones, MD • Physician program: Jeffrey Perkins, MD, Ohio Ophthalmological Society President; Todd Baker, Ohio Ophthalmological Society Executive Director AAO Councilors ............................. Bernard Perla, MD and ....................................................... Anita Dash-Modi, MD • Ohio State Medical Association Education Services Legislative Chair ........................... Carl Minning, Jr., MD • Technician program: Ophthalmic Education Services Public Service Chair ..................... Daniel Mayer, MD Overall Goal and Objectives By participating in this annual meeting, ophthalmologists will be more prepared to accurately diagnose and manage their patients with various ophthalmic issues by: • Discussing the prevalence and impact of retina disease, glaucoma, and cornea and other external diseases. • Discussing new and emerging data regarding strategies aimed at improving the management of patients. • Designing management strategies for appropriate therapy in patients with retina disease, glaucoma, and cornea and other external diseases. • Integrating practice management strategies to address critical business issues in the ophthalmology practice. OMEPAC ......................................... John Stechschulte, MD Ohio Eye Injury Registry ............... David Miller, MD Third-Party Relations Co-chair .... Jeffrey Oehler, MD Play Hard. Don’t Blink Program Advisor ........................... Miles Burke, MD Executive Director ........................ Todd Baker Assistant Director ......................... Yvonne Tenant Physician Program Speakers Patrick Chan, MD – Cornea, Cornea/External Disease & Refractive Surgery Fellowship, Cole Eye Institute, Cleveland Clinic, Cleveland OH Adam Cloud, MD – Fellowship, Havener Eye Institute, OSU Wexner Medical Center Continuing Medical Education This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through joint sponsorship of the Ohio State Medical Association (OSMA) and the Ohio Ophthalmological Society. The OSMA is accredited by the ACCME to provide continuing medical education for physicians. Michael Driscoll – Eye Care Business Advisor, Allergan Eye Care Business Advisory Group, Irvine CA The OSMA designates this live educational activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Neema Nayeb-Hashemi, MD – Cornea/External Disease & Refractive Surgery Fellowship, Cole Eye Institute, Cleveland Clinic, Cleveland OH Richard Erdey, MD – Erdey Eye Group, Columbus OH David Lubeck, MD – Arbor Centers for Eye Care, Chicago IL Anne Menke, RN, PhD – Risk Manager, Ophthalmic Mutual Insurance Company Michael Ober, MD – Retina Consultants of Michigan, Detroit MI Jeffrey Nerad, MD – Cincinnati Eye Institute, Cincinnati OH Jeffrey Perkins, MD – Wooster Eye Center, Wooster OH John Stechschulte, MD – Arena Eye Surgeons, Columbus OH 08917.indd 3 11/27/12 1:12 PM OOS Physician Program 7:00 a.m. – 8:00 a.m. Continental Breakfast/Visit Exhibits/Registration 9:30 a.m. – 9:55 a.m. 8:00 a.m. – 8:10 a.m. Richard Erdey, MD Opening/Welcome This session will review the clinical advantages and challenges associated with offering deep anterior lamellar keratoplasty (DALK) and descemet membrane endothelial keratoplasty (DMEK) surgery. Jeffrey Perkins, MD 8:10 a.m. – 8:35 a.m. The Latest in Ophthalmologic Surgical Interventions Recent Advances in Corneal Transplantation • Discuss new developments and latest techniques with DALK and DMEK David Lubeck, MD • Identify patients who would benefit from DALK and DMEK This session will highlight innovative surgical technologies that many surgeons may not have been aware of. It will also provide strategies to ‘look for’ future innovations that may be beneficial. • Compare advantages of DALK versus penetrating keratoplasty (PK) and advantages of DMEK versus DSEK or PK • Identify several innovations in ophthalmologic surgical technology Break/Visit Exhibits • Evaluate the potential value of these innovations to their own practices 8:35 a.m. – 9:05 a.m. Fellowship presentations Evaluation of Surgical Margins During Treatment of Ocular Surface Squamous Neoplasia Patrick Chan, MD This session will discuss available data on management of ocular surface squamous neoplasia, and present a series of cases in which disease was controlled adequately despite smaller margin surgical excision. • Recognize that wide-margin excision (5mm) of ocular squamous neoplasia is not absolutely necessary Identification of and Treatment Options for Contact Lens Related Stem Cell Deficiency Neema Nayeb-Hashemi, MD This session will examine the clinical characteristics, diagnosis, treatment options for Contact Lens Related Stem Cell Deficiency (LSCD), and commonly seen in patients who have been wearing contact lenses since early youth. • Distinguish the difference between contact lens related LSCD and contact lens related keratitis 9:55 a.m. – 10:25 a.m. 10:25 a.m. – 10:50 a.m. Update on Intravitreal Steroids and Retinal Disease: A New Alternative to Expensive, Long-term Delivery Devices Michael Ober, MD This session will describe a new technique for intravitreal injection of steroids using centrifuge concentration that yields a longer duration of effect. Presentation will include cost comparison with available long term intravitreal steroid devices. • Evaluate the current options for intraocular steroids • Describe the costs of steroid options • Understand the steps involved in centrifuge concentration of intravitreal triamcinolone 10:50 a.m. – 11:15 a.m. Periocular Tumors and Techniques of Eyelid Reconstruction Jeffrey Nerad, MD • Recognize malignant eyelid lesions • Describe techniques used for eyelid reconstruction 11:15 a.m. – 11:40 a.m. • Discuss medical management options that may eliminate the need for stem cell transplantation and ocular surface reconstruction Evaluation and Treatment of Central Serous Chorioretinopathy (CSC) in 2013 9:05 a.m. – 9:30 a.m. This session will review the diagnosis, pathophysiology, and treatment of CSC. Innovations in Cataract Surgery and New Lens Implant Technologies Michael Ober, MD • Evaluate the diagnosis of CSC David Lubeck, MD • List the known risk factors for exacerbation of CSC During this session participants will experience a realistic and objective discussion of current cataract and intralocular lens (IOL) technologies including the femtosecond laser and advanced technology IOLs. • Describe the pathophysiology of CSC • Evaluate available treatment options for CSC • Discuss and evaluate the latest surgical and implant technologies for performing routine and complex cataract surgery 08917.indd 4 11/27/12 1:12 PM Physician Program Registration Form FOR EASY REGISTRATION, PLEASE GO TO WWW.OHIOEYE.ORG The deadline to register is Jan. 18, 2013 or until capacity is reached. 11:40 a.m. – 12:05 p.m. What the American Academy of Ophthalmology (AAO) is Doing For You Ohio Ophthalmological Society 2013 Annual Meeting Saturday, Feb. 2, 2013 John Stechschulte, MD, and Adam Cloud, MD Please print Join us to hear how AAO advocacy and services can help you solve medical problems and practice issues. Name 12:05 p.m. – 12:15 p.m. Practice Name Business Meeting Address Jeffrey Perkins, MD City 12:15 p.m. – 1:30 p.m. PhoneFax Lunch/Visit Exhibits Email 1:30 p.m. – 2:35 p.m. Fees* Financial Benchmarking for the Ophthalmology Practice $200 Early Registration - Practice or Individual Members (Received on or before Friday, Jan. 11, 2013) Michael Driscoll Successful practices are diligent in gathering, measuring, and managing information. This session defines benchmarking and educates participants on the importance of focusing on key operating metrics that impact practice performance to achieving long-term practice success. You will be introduced to 10 key leading indicators of financial health against which they can measure and compare the current and historical results of your own practice. This information can then be used to assess areas of opportunity for improving practice performance. • Use benchmark reports to analyze practice results on a consistent basis • Identify areas for potential performance improvement 2:35 p.m. – 3:45 p.m. Lessons Learned From Defense Verdicts in Malpractice Trials MD StateZip $230 Regular Registration - Practice or Individual Members (Received after Friday, Jan. 11, 2013) $400 Non Members Fee includes materials, refreshments, lunch and CME credit. Confirmation will be emailed or faxed to you. *Your 2013 Membership Dues must be paid by Jan. 1, 2013 or Non Member meeting rate will apply. Lunch Choice Beef Chicken Vegetarian Payment Check enclosed Check# Credit Card MasterCard Visa Discover Amex Name on Card Anne Menke, RN, PhD Account number This presentation will provide ophthalmologists with an update on current approaches to risk in their practices. Security CodeExp. Date • Disclose and document complications and their management • Follow up on noncompliant patients • Determine when referral to a sub-specialist is necessary • Obtain consent for off-label medications 3:45 p.m. – 4:00 p.m. Program Evaluation/Adjourn 08917.indd 5 DO Signature Billing address same as above. Please provide billing address if different from above Cancellation Policy Cancellations made on or before Jan. 18, 2013 Ohio Ophthalmological Society will receive a 50% refund. There will be no 3401 Mill Run Drive refunds made after Jan. 18, 2013. Participant Hilliard, OH 43026 substitutions can be made. Call (800) 766-6762 Fax (614) 527-6763 for cancellations or substitutions. Please mail or fax to: 11/27/12 1:12 PM OOS Technician Program Continuing Education The Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) has approved this course for no more than a total of 7.0 track hours of Continuing Education Credits/Category A. 7:00 a.m. – 8:00 a.m. 9:05 a.m. - 10:05 a.m. Breakout session 2 – choose one 2A: Complete Guide to the Conjunctiva Carrie Lembach, DO Continental Breakfast/Visit Exhibits/Registration This session will address bulbar and palpebral conjunctiva abnormalities including lesions, melanosis, conjunctivitis, xerosis, hyperemia, chemosis, chalasis, papillae, follicle, phlyctenule…and more! 8:00 a.m. - 9:00 a.m. • Identify various abnormal conjunctival conditions Breakout session 1 – choose one • List signs and symptoms of each condition 1A: Common In-office Oculoplastics Procedures 2B: Retinal Toxicities of Systemic Medicines Ronald Warwar, MD This session will review instrumentation, room and tray setup, patient preparation, surgical procedure and post-operative care of common procedures performed by the oculoplastics specialist. • List instruments and materials used for office-based oculoplastics procedures Sugat Patel, MD This session will present potential ophthalmic manifestations of medication focusing on retinal side-effects. Pathophysiology, dosage, long-term versus short-term effects, diagnostic tests and normal versus abnormal findings will be covered. • List common systemic drugs with potential for ophthalmic toxicity • Outline preparation of the patient by the tech/nurse • Outline the ophthalmic workup for each medication 1B: Ocular Tumors 2C: COT Review Part 2* Colleen Cebulla, MD, PhD Anna May, COT This session will cover various aspects of ocular tumors including clinical evaluation, differential diagnosis, epidemiology, genetics counseling, and prognosis. Presenting signs and symptoms will be stressed along with management of potentially devastating tumors. This session will cover content area included in the duties of the ophthalmic technician. Skills and knowledge areas to be addressed include keratometry, retinoscopy, refinement, tonometry, motility, visual fields, lensometry, history taking, pupils, and supplemental skills. • Describe the epidemiology of uveal melanoma • Describe how to identify and measure prism in spectacles • List presenting signs and symptoms of uveal melanoma • List method of assessing the field of vision and identify common defects • List characteristics of small uveal melanoma 1C: COT Review Part 1* Anna May, COT This session will cover content area included in the duties of the ophthalmic technician. Skills and knowledge areas to be addressed include keratometry, retinoscopy, refinement, tonometry, motility, visual fields, lensometry, history taking, pupils, and supplemental skills. • Outline the components of a motility work up and assessment of ocular alignment * Session material is based on the instructor’s interpretation of the content areas outlined in the JCAHPO “Criteria for Certification,” and the instructors of this review session have no direct knowledge of the specific certification questions. 10:05 a.m. – 10:25 a.m. Break/Visit Exhibits • Describe various ophthalmic imaging and the indications of each 08917.indd 6 11/27/12 1:12 PM OOS Technician Program 10:25 a.m. - 11:25 a.m. 11:30a.m.-12:30 p.m. Breakout session 3 – choose one Breakout session 4 – choose one 3A: Postoperative Complications of Cataract Surgery 4A: The Visian ICL – Alternative to LASIK Linda Spraley, RN, CRNO Richard Erdey, MD This session will address potential complications of cataract surgery and steps the ophthalmic team can take to prevent occurrences. This session will cover the Visian Implantable Contact Lens (ICL) - a phakic IOL refractive surgical option. Patient selection, indications, advantages, clinical results, complications, surgical videos and strategies to simultaneously correct astigmatism will be discussed. • Identify complications that can occur as a result of cataract surgery • Describe possible etiologies of postoperative complications 3B: When OSHA Comes Knocking Elethia Dean, RN, BSN, MBA, PhD OSHA recently increased oversight of many healthcare facilities, including physician offices and ambulatory surgery centers (ASC). This presentation will outline citations from recent OSHA surveys and what each facility must do to ensure compliance. • List issues that may trigger an OSHA inspection • List common deficiencies from recent OSHA inspections 3C: Glaucoma 2013 Gregory D. Searcy, MD This session will present clinical evaluation and work-up for glaucoma and glaucoma suspect patients. Current and emerging technologies and diagnostic testing will be presented. Case presentations will be provided. • Describe the surgical procedure of Visan ICL • List potential complications of ICL 4B: Retinopathy of Prematurity David Rogers, MD This session will cover various issues related to retinopathy of prematurity (ROP) including pathophysiology of ROP, grading scale, treatment, secondary ocular complications, and visual outcomes. Community resources for visually impaired children and support services for parents will be shared. • Understand the diagnostic criteria for retinopathy of prematurity • Review the drugs used for the routine examination and treatment of infants with retinopathy of prematurity • Update on treatments for retinopathy of prematurity • Discuss the current research efforts focusing on prevention, diagnosis, and treatment of infants with retinopathy of prematurity • Describe current diagnostic tests used in glaucoma management • List key criteria of a glaucoma suspect 4C: Infection Control in Ophthalmology Elethia Dean, RN, BSN, MBA, PhD This session will review infection control processes for the ophthalmic nurse and technician. Standard precautions, universal precautions, as well as cleaning and disinfection in the ophthalmic setting will be covered. • Describe universal precautions and how it relates to standard precautions • Identify symptoms of toxic anterior segment syndrome (TASS) and endophthalmitis 12:30 p.m. - 1:30 p.m. Lunch/Visit Exhibits 08917.indd 7 11/27/12 1:12 PM OOS Technician Program 1:30 p.m. - 2:30 p.m. 2:35 p.m. - 3:35 p.m. Breakout session 5 – choose one Breakout session 6 – choose one 5A: Corneal Cases - What is it? 6A: Cataracts in Children Daryl D. Kaswinkel, MD Susan Crowe, COT Interesting corneal case presentations during a routine day in an anterior segment/corneal practice are discussed. This session will explain how cataracts develop, with an emphasis on embryology, describe the different types seen, explain how they are treated and how visual rehabilitation is facilitated, and will review outcomes among the different types. Pre- and post-op workup procedures will be reviewed with an emphasis on the technician’s role in assessing these children. • List a differential diagnosis for each case • List critical history elements of each case 5B: Care of the Retina Patient: Office Injections Mitch Opremcak, MD This session will cover sub-conjunctival, sub-Tenon's, retrobulbar and intra-ocular injections of gases, steroids, Avastin, Eylea, Lucentis, tissue plasminogen activator (TPA), antibiotics for the treatment of endophthalmitis, retinal detachments, cystoids macular edema (CME), uveitis, central retinal vein occlusion (CRVO), and age-related macular degeneration (ARMD). The risks, benefits, and indications will be addressed in addition to equipment, supplies and setup. • Describe indications for each in-office procedure • Outline supplies needed for each procedure • Understand how pediatric cataracts form • Identify three different types of pediatric cataracts • Describe two clinical skills needed to assess a child with a cataract 6B: Common Neuro-ophthalmic Conditions Lawrence Ronning, MD This session will review conditions involving the optic nerve and optic tracks including inflammatory, infections, tumors, and vascular abnormalities. Ocular and brain imaging, clinical assessment, and history elements will be reviewed utilizing case presentations. • List the most common disorders of the optic nerve 5C: Basic Motility and Strabismus Angela Serna, CO This session will address basic motility and strabismus including terminology, extraocular muscle and their actions, definition of phoria vs tropia, and methods to assess motility status. • Methods and tests used clinically to assess and measure strabismus • Describe the difference between a phoria and tropia • Review common types of strabismus in children and adults • Outline testing and expected results for each condition 6C: Tonometry- Methods, Mechanics and Variables Mary Preston, COMT This session will address various instruments for measuring intraocular pressure. Basic mechanics, pros and cons, sources of error and contributing factors to intraocular pressure (IOP) will be presented. • Identify indentation and applanation tonometers and benefits of each • List steps to obtain accurate tonometry readings 08917.indd 8 11/27/12 1:12 PM OOS Technician Program 3:40 p.m. - 4:40 p.m. Breakout session 7 – choose one 7A: Facial Lumps and Bumps: What is it? Donald Hudak, MD This presentation will cover disorders of the eyelids and facial area with tips on identifying lesions. Medical and surgical management will be presented including facial reconstruction. Case presentation will highlight common and less common maladies. • List and describe the most common eyelid lesions. Describe benign and malignant features. • Understand the most common eyelid reconstruction options 7B: Retina Trivia Marie Martinek, MD Various retina cases including history, symptoms and signs will be presented. Audience participation will aid in developing a differential diagnosis and final diagnosis followed by a brief review of each condition. • Identify potential causes of symptoms presented • Suggest useful diagnostic testing for each case 7C: Advanced Motility Angela Serna, CO This session will cover types of adult strabismus and specific sensory and motor testing essential before strabismus surgery. The use of prisms in the adult population will be discussed. • Outline tests and clinical techniques to assess adults with strabismus and diplopia • Identify which extraocular muscles are involved in common adult strabismus • Review of tests to assess binocularity, diplopia and retinal correspondence 08917.indd 9 11/27/12 1:12 PM t Technician Program Registration Form FOR EASY REGISTRATION, PLEASE GO TO WWW.OHIOEYE.ORG Ohio Ophthalmological Society 2013 Annual Meeting • Saturday, Feb. 2, 2013 NamePractice Name Practice Address City StateZip PhoneFax EmailOffice Manager/Contact Session Selection When registering, please select one topic of your choice in each of the seven breakout sessions. You must choose ONE session from each time period, in order to receive proper CEU credit and materials. 8:00 a.m. - 9:00 a.m. 10:25 a.m. - 11:25 a.m. 12:30 p.m. - 1:30 p.m. 2:35 p.m. - 3:35 p.m. choose one choose one choose one choose one Breakout session 1 1ACommon In-office Oculoplastics Procedures 1BOcular Tumors 1CCOT Review Part 1 Breakout session 3 3APostoperative Complications of Cataract Surgery 3BWhen OSHA Comes Knocking 3CGlaucoma 2013 Lunch Beef Chicken Vegetarian None 1:30 p.m. - 2:30 p.m. 9:05 a.m. - 10:05 a.m. 11:30a.m.-12:30 p.m. Breakout session 4 Breakout session 5 choose one choose one choose one Breakout session 2 2AComplete Guide to the Conjunctiva 2BRetinal Toxicities of Systemic Medicines 2CCOT Review Part 2 4AThe Visian ICL – Alternative to LASIK 4BRetinopathy of Prematurity 4CInfection Control in Ophthalmology 5ACorneal Cases - What is it? 5BCare of the Retina Patient: Office Injections 5CBasic Motility & Strabismus Breakout session 6 6ACataracts in Children 6BCommon Neuro-ophthalmic Conditions 6CTonometry- Methods, Mechanics and Variables 3:40 p.m. - 4:40 p.m. Breakout session 7 choose one 7AFacial Lumps and Bumps 7BRetina Trivia 7CAdvanced Motility Fees* $200 Early Rate for Staff of Practice Level Members (Received on or before Jan. 11, 2013) $225 Regular Rate for Staff of Practice Level Members (Received after Jan. 11, 2013) $300 Staff of Non Members or Individual Level Members Confirmation letters will be emailed or faxed to your practice. *Your 2013 Membership Dues must be paid by Jan. 1, 2013, or Non-Member meeting rates will apply. Payment Check enclosed - Check # Please charge my Visa / MasterCard / Discover / Amex (Circle One) Name on Card Account number Security Code Expiration Date Signature Billing address same as above. Please provide billing address if different from above. 08917.indd 10 Please mail or fax to: Ohio Ophthalmological Society 3401 Mill Run Drive Hilliard, OH 43026 Fax (614) 527-6763 Cancellation Policy Cancellations made on or before Jan. 18, 2013 will receive a 50% refund. There will be no refunds made after Jan. 18, 2013. Participant substitutions can be made. Call (800) 766-6762 for cancellations or substitutions. Registration Deadline The deadline to register is Jan. 18, 2013 or until capacity is reached. 11/27/12 1:12 PM thanks Get acquainted with the latest equipment, software, pharmaceuticals and other eye care organizations by stopping by our exhibitors' booths. At the time of printing, the following exhibitors have confirmed their space at our meeting. Abbott Medical Optics Alcon Laboratories, Inc. Allergan Carl Zeiss Meditec, Inc. Compulink Business Systems, Inc. Genentech Genzyme Corp. Heidelberg Engineering, Inc. Katena Products MARCO MedFlow NextGen Healthcare Nidek, Inc. Ohio Amblyope Registry Ophthalmic Mutual Insurance Company (OMIC) Regeneron 08917.indd 11 11/27/12 1:12 PM Ohio Ophthalmological Society 3401 Mill Run Drive Hilliard, OH 43026 Ohio Ophthalmological Society ~ 2013 Annual Meeting ~ 08917.indd 12 11/27/12 1:12 PM