Eyeworld

UPDATE 13 In the journal Transepithelial versus epithelium-off corneal crosslinking for corneal ectasia: a meta-analysis Hidenaga Kobashi, MD, Shi Song Rong, MD, Joseph Ciolino, MD In this review involving progressive corneal ectasia, investigators compared results of transepithelial corneal collagen crosslinking to epithelium-off crosslinking. Included were 505 eyes from seven random- ized controlled trials. Investigators determined that during the 1-year observation period those in the epithelium-off crosslinking group had postoperative changes in maximum keratometry that were significant- ly better than those who had undergone transepithelial crosslinking. They more frequently found a postoperative demarcation line in eyes that had undergone the epithelial-off crosslinking technique. With the transepithelial technique post-treatment central corneal thickness was significantly greater and best spectacle corrected visual acuity showed more improvement. However, in terms of halting ectasia progression, it was determined that maximum keratometry with the transepithelial approach was lower than with the epithelium-off approach. Efficiency of video presented information about excimer laser treatment on ametropic patients' knowledge and satisfaction with the informed consent process – a randomized controlled trial Philipp Baenninger, MD, Livia Faes, Claude Kaufmann, MD, Valentina Reichmuth, MD, Lucas Bachmann, MD, Michael Thiel, MD The aim in this randomized controlled trial was to determine how offer- ing patients informed consent for refractive excimer laser surgery as part of a video presentation compared with a conventional face-to-face inter- action. In the study, 55 patients were given the video presentation while 58 had a conventional exchange. Investigators determined that in terms of knowledge, satisfaction with the consent process, and anxiety toward the surgery, both approaches were equivalent. For those who watched the video presentation total consultation time needed was significantly lower by 4.96 minutes. Investigators concluded that practice efficiency could be improved with use of the video approach to consent. Comparison between primary and secondary intraocular lens implantation in traumatic cataract after open globe injury in pediatric age group Pradhnya Sen, MBBS, Chintan Shah, DOMS, Alok Sen, MBBS, Elesh Jain, DO, Amit Mohan, MBBS For pediatric patients with open globe injuries is it better for them to undergo primary or secondary IOL implantation? A recent retrospective cases series compared how 61 patients who had primary cataract ex- traction fared versus 78 who underwent a secondary IOL implantation procedure. Investigators determined that 49% of those who underwent primary implantation attained 20/40 acuity or greater versus 60% who had this done secondarily. When they considered achieving a desirable refractive outcome with a spherical equivalent of less than 2, investiga- tors found that 66% of those who had primary implantation reached this level, as compared with 77% of those who had the secondary ap- proach. The risk of poor refractive outcomes was highest in cases where the wound size was large. The most common postoperative complica- tion in either group was fibrinous uveitis. Those who underwent pri- mary implantation were more likely to have issues with pupillary optic capture and lens decentration versus those in the secondary group who had a higher occurrence of strabismus. While both techniques resulted in comparable visual and refractive outcomes, in cases of small periph- eral corneal laceration primary IOL implantation may be chosen to help with early visual rehabilitation and to avoid repeated use of general anesthesia. EW December 2018 ASCRS Glaucoma Day, spon- sored by the ASCRS Glaucoma Clinical Committee, provides cutting-edge guidance for expand- ing glaucoma treatment options and improving patient outcomes. Acclaimed speakers, real-world case studies, debates, videos, and the latest surgical techniques and clin- ical advances make it the premier glaucoma event. Cornea Day, sponsored by the ASCRS Cornea Clinical Committee and the Cornea Society, is a premier 1-day interactive program on cornea and cataract surgery. Pertinent top- ics are covered via panel discussions, case studies, debates, and surgical video reviews showcasing the latest innovations and techniques. Exhibit Hall and Special Events The world-class Exhibit Hall will once again feature more than 300 industry exhibitors representing a variety of products and services. New in 2019, the ASCRS•ASOA Welcome Party will be held in the Exhibit Hall to facilitate access to the exhibitors and their products and services. The party will be held on May 4 from 4:30–6:00 p.m. There will be music, complimentary hors d'oeuvres, and refreshments to enjoy while networking with the exhibitors in a relaxed environment. For the third year ASCRS will have the Industry Spotlight Theater in the Exhibit Hall. The Industry Spotlight Theater offers a series of product-focused corporate educa- tional sessions (non-CME). These sessions will provide attendees with overviews and comparisons across several different ophthalmic product categories. In 2019, ASCRS will celebrate the 37th anniversary of the ASCRS Film Festival Awards. Established in 1982, the Film Festival Awards honor the best filmmakers in oph- thalmology. ASOA Program ASOA will offer various educational sessions and specialty programs, many specifically geared toward physicians. Courses related to how to manage mergers and acquisitions, associated private equity consider- ations, succession planning, growth strategies, coding in a changing regulatory environment, and others will provide essential knowledge with practical applications to help a practice flourish. ASOA also offers educational sessions for practice management staff. In addition to educational courses and programs, ASOA's high- lights include an Opening General Session featuring Brad Montgomery, a Sunday General Session featuring Cara Silletto, MBA, the Certified Ophthalmic Executive (COE) Lun- cheon, the Administrator Beginner's Circle (ABC) Luncheon, and the Writer's Workshop and Luncheon. ASOA will also offer networking opportunities through ASOA Round- tables and the Consultants on Call program. For 2019, ASOA has added two new Pre-Conference Deep Dives (separate registration and fees apply)—Human Resources: What Practice Leaders Need to Know and Seven Habits of Highly Effec- tive Leaders. For those interested in ASOAnalytics, ASOA's online benchmarking tool, ASOA will host a half day ASOAnalytics user group meeting. Techs and Nurses program The Technicians and Nurses pro- gram will feature educational content created specifically for allied ophthalmic professionals. Topics covered in these valuable sessions include diagnostic imaging, updates in cataract, glaucoma, cornea and retina treatments and therapies, anesthesia update for nurses, and more. Attendees will be able to regis- ter for additional optional program- ming at the meeting, including the Association of Technical Personnel in Ophthalmology (ATPO) "Train the Trainer" course, as well as Biom- etry Learning Labs. Additional fee applies for optional programs. Attendee hotel and registration Those who are interested in attend- ing the 2019 ASCRS•ASOA Annual Meeting can currently register and book a hotel for the meeting. More information about the 2019 ASCRS•ASOA Annual Meeting can be found at www.AnnualMeeting. ascrs.org. The Real-Time Program is available in December and the Program Preview will be available online in late January. EW Contact information Monasterio: dmonasterio@ascrs.org

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