Eyeworld

92 EW MEETING REPORTER Oculoplastics Wendy Lee, MD, Miami, covered common eyelid malpositions in her presentation. It's important to remember the primary function of eyelids is to protect the globe and ocular surface, she said. If the lids don't perform well, this can endan- ger the underlying structure, which could lead to other complications. The two most common malposi- tions are ectropion and entropion. With ectropion, Dr. Lee said the most common cause is involutional, and this can cause tearing, foreign body sensation, exposure, or con- junctival inflammation. For entropion, Dr. Lee said the most common cause is also likely involutional. Complications can include corneal and conjunctival abrasions, foreign body sensation, redness, tearing, and discharge. Dr. Lee said to be sure to differentiate among trichiasis, distichiasis, and epiblepharon on evaluation. Also during the session, Dr. Lee presented on behalf of Eli Chang, MD, Long Beach, California, on "Re- moving Annoying Eyelid Barnacles and Reconstructing If Necessary." You need to start by looking at the lesions and formulating in your mind if you think it's benign or malignant, Dr. Lee said. She said to look at history and determine how long the lesion has been there, if it has been growing, if there are any systemic conditions, and the sun exposure and skin type of the patient. Generally, with a benign lesion, Dr. Lee said it's well outlined, there is no loss of lashes, and there is no loss of normal skin architecture. Her personal approach is to do an exci- sional biopsy, but she will still have the lesion checked to confirm that it is benign. Malignant lesions will usually cause loss of lashes, nodularity, tel- angiectasia, and loss of normal skin architecture. Dr. Lee said she will get a confirmatory biopsy if she thinks it's malignant. Among the options for skin cancer removal, Dr. Lee stressed surgical excision with a permanent section, surgical excision with a frozen section, and Mohs micro- graphic surgery. The ultimate goals for management of skin cancer are complete removal, no recurrence, no postoperative complications, and minimal loss/damage to the sur- rounding tissues. Editors' note: Dr. Lee has no financial interests related to her presentations. Special guest speaker The special guest speaker at the meeting was Ron Jaworski, a 17- year veteran NFL quarterback, sports broadcaster, business owner, and philanthropist. Mr. Jaworski shared his football history and how this gave him a foundation to carry over to his expe- riences in business. He highlighted the importance of building a team, noting that this is something attendees can relate to. He stressed the importance of disci- pline to believe that the leadership will set you up for success. Trust was another important principle that Mr. Jaworski discussed. He high- lighted the importance of trust in football and likened it to the trust physicians need to have among their staff. Mr. Jaworski shared his "Seven no-brainers of leadership": 1. You must like people. 2. You must lead by example. 3. Create an atmosphere where peo- ple enjoy coming to work. 4. Bring energy. 5. Look people in the eye and let them know you care and create that relationship. 6. Be sincere. EyeWorld/ASCRS reports from the 2019 Hawaiian Eye Meeting EyeWorld/ASCRS reports from the 2019 Hawaiian Eye Meeting, January 19–25, Big Island of Hawaii March 2019

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