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2019 Annual Meeting Abstracts


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Please note . . .  ALL speakers giving a talk that will receive CME credit must submit the conflict of interest disclosure.  We greatly appreciate receiving these forms well in advance of the meeting.

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Named Lectures

Ruedemann Lecture

John A. Irvine, MD
Doheny Eye Institute
Pasadena, CA

 

Jerry & Donna Knauer AESC Foundation Lecture

Edward Buckley, MD
Duke University Eye Center
Durham, NC

 

General Session Program


OMIC Risk Management Presentation --  "Duty to Patients: Beginning, Ending and Obligations"

The following abstracts have been submitted for the summer 2019 AESC meeting.  Abstracts will be posted here as they are submitted.


Albanis, Chris-- "What does Dr. Seuss have to say about advocacy? 
  • Summary:  Advocacy - is it for me? Well, let's wait and see. Advocating for the needs of our patients and our profession remains a critical aspect of our day-to-day lives. Will discuss the need to advocate locally and nationally. 
  • Educational objectives: Will review why advocating for the needs of our patients and our profession is critical.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Berry, Jesse  L.-- "Aqueous Humor is Superior to Blood as a Liquid Biopsy for Retinoblastoma" 
  • Summary:  Purpose: to evaluate whether tumor-derived cell-free DNA (cfDNA) can be isolated as effectively from the blood as aqueous humor (AH) in retinoblastoma (RB) eyes. Methods: AH was extracted via clear corneal limbal paracentesis at diagnosis or during intravitreal injection of chemotherapy. Matched venous blood samples were drawn. Shallow whole genome sequencing was done to assess cfDNA fractions and somatic copy number alterations (SCNAs) in blood and AH samples. Results: Five samples of AH extracted at diagnosis and 13 during intravitreal injection were compared to matched blood samples from 16 patients (2 bilateral patients). The presence of detectable SCNAs in AH was 14/18 and 0/16 in blood. Size distribution of cfDNA in the AH peaked at 157 bp versus 184 bp in the blood. Conclusions: Based on size profiles of cfDNA and absence of SCNAs in the blood, the AH appears a superior source of tumor-derived cfDNA than blood and thus a better target for development as a liquid biopsy.
  • Educational objectives:  This research will discuss the role of the aqueous as a liquid biopsy for retinoblastoma.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Chan, R. V. Paul-- "Rethinking Our Management of ROP: Old Ideas, New Solutions" 
  • Summary:  The management of ROP is evolving throughout the world. I plan to discuss our experience with introducing new therapies and management algorithms in global ROP programs.
  • Educational objectives:  There is a need to understand the latest management algorithms for ROP.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received: 

Chiang, Michael F. -- "Artificial intelligence for retinopathy of prematurity" 
  • Summary:  This talk will describe the challenges of current retinopathy of prematurity care, and advances in artificial intelligence which have potential to address those challenges.
  • Educational objectives:  Provide background in application of artificial intelligence to clinical care.
  • Schedule Restrictions: NOT Fri/Sat/Sun
  • Conflict of interest disclosure received: 

Cunningham, Matthew A.-- "Full-thickness Macular Hole Formation after Repair of Rhegmatogenous and Tractional Retinal Detachment" 
  • Summary:  The objective of this study is to report the clinical features, associations, and outcomes of patients with a full-thickness macular hole (MH) formation after pars plana vitrectomy for retinal detachment (RD). This retrospective, interventional case series of consecutive patients was performed from September 2014 to October 2018 at a single vitreoretinal surgery practice. A total of 996 cases of rhegmatogenous and tractional retinal detachment repair were identified. The incidence of subsequent MH formation, in patients that underwent surgery, was 0.8% (8/996). In cases with at least 3-months of postoperative follow-up, MH closure was achieved in 100% of eyes after a single surgery. The mean preoperative visual acuity (VA) was 2.06 logMAR units (20/2296 Snellen Equivalent) and significantly improved to 0.72 logMAR units (20/104 Snellen Equivalent; p=0.017), at the last follow-up after MH repair. Overall, all patients had improvement in VA at the final postoperative visit with a VA of 20/200 or better achieved in 87.5% of cases.
  • Educational objectives: This lecture addresses the educational need of assessing a potential complication after vitrectomy surgery for retinal detachment repair.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received: 

Del Monte, Derek W.-- "Bilateral Same Day Cataract Surgery: The Way of the Future?" 
  • Summary:  Bilateral sequential same day cataract surgery has been growing in acceptance both nationally and abroad due to a number of factors including healthcare cost and patient preference, however a number of barriers still prevent this from being mainstream in the United States. I will describe some of the advantages and disadvantages of bilateral same day surgery, and my experience with this protocol. 
  • Educational objectives:  Improving the cost of healthcare while keeping our patients safe by combining bilateral surgery. 
  • Schedule Restrictions: None
  • Conflict of interest disclosure received: 

Epley, David -- "ABO MOC FYI 
  • Summary:  I will present a brief update from the ABO regarding the status of Maintenance of Certification for ophthalmologists who are board certified and participating in the MOC process. The talk will address the ABO's efforts to make the process less onerous and better integrated into the daily flow of a busy ophthalmology practice. 
  • Educational objectives:  All Board Certified ophthalmologists since 1996 have been required to participate in MOC. This talk will educate diplomates of the ABO about changes to the program and the best way to stay in compliance.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  YES

Frankfort, Benjamin-- "Mouse Retinal Ganglion Cells are Severely Impacted by Small IOP Increases: New Important Clinical Considerations" 
  • Summary:   We know incredibly little about the actual, direct, immediate impact of IOP increases on retinal ganglion cells. Recent mouse research from my laboratory has shown that even small IOP increases can have profound effects on retinal ganglion cell function and gene expression. I will present and discuss these findings, as well as their potential clinical impact. 
  • Educational objectives:  We need a better understanding of the earliest impact of IOP on the retina.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Giangiacomo, Annette -- "Technology Based Eye Care Services: a platform for tele glaucoma at the VA" 
  • Summary:   Review technology based eye care services program and it's successes and review the new tele glaucoma platform. 
  • Educational objectives:  Increase knowledge around telemedicine and tele glaucoma.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Gold , Robert S.-- "The 50 Year View--AESC History 1969" 
  • Summary:   The highlights of the AESC meeting in 1969 will be presented 
  • Educational objectives:  This talk will review the highlights, in particular the scientific sessions of the AESC meeting of 1969.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Gold, Robert S. -- "OMIC PRESENTATION - Duty to Patients: Beginning, Ending and Obligations" 
  • Summary:    Patients have been harmed and physicians have been sued when the physician did not realize a relationship had been established or termination of the relationship was not handled appropriately. A plaintiff cannot prove negligence if there is no doctor-patient relationship. Education about the duty of care and management of the physician-patient relationship will be provided through a series of case presentations and discussion.  
  • Educational objectives: Physicians will better ensure that they meet their duty to patients 
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Hoar, Glen-- "What your patient hears" 
  • Summary:   Ophthalmologists have the unique ability to give on the spot, visual diagnosis of disease. I will look at how much of our discussion is actually absorbed by the patient in certain situations. 
  • Educational objectives:   Ability of the physician to act as a patient educator in stressful situations.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:

Lelli, Gary-- "Private Equity in Ophthalmology" 
  • Summary:   Will discuss recent uptick in private equity acquisitions in medicine and particularly ophthalmology, including the 'why now?' for both sellers and buyers, and the possible future ramifications for ophthalmology. 
  • Educational objectives:  Discussing the trend towards private equity acquisition in ophthalmology will help us better understand the direction of our field nationally.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Maltzman, Jeff -- "Ganja and Glaucoma: A Valid Treatment? 
  • Summary: This presentation will present the current evidence for and against the use of cannabis for the treatment of glaucoma, with a review of the most up-to-date research into the subject.
  • Educational objectives:  Patients regularly ask if glaucoma is a good treatment for glaucoma. All ophthalmologists should be aware of the current evidence regarding such treatment.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  NO

Miller, Aaron M.-- "Considerations and Advancements in Managing the Adult with Double Vision 
  • Summary:  A systematic assessment of the adult with diplopia complaints will be reviewed along with surgical and non-surgical management. There have been recent advancements in the management of orbital inflammatory conditions with the introduction of new immune suppressants. Their role in managing the adult patient with diplopia complaints will be discussed along with surgical considerations made in a few case-by-case examples. This discussion will focus on the adult patient with thyroid eye disease-related diplopia.
  • Educational objectives:  Attendees will gain knowledge on how to systematically assess and best manage adults with diplopia complaints, with attention made to the more common causes such as thyroid eye disease.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  NO

Miller, Darby -- "Recurrent corneal erosion: diagnosis and treatment 
  • Summary:  The talk will provide a comprehensive review of the diagnosis and treatment options for recurrent corneal erosion. A brief history of recurrent corneal erosion along with the pathophysiology will also be covered.
  • Educational objectives:  A straightforward diagnosis and treatment algorithm for recurrent corneal erosion.
  • Schedule Restrictions: Not Tues July 30 or Wed July 31
  • Conflict of interest disclosure received:   

Patel, Purnima -- "Considerations for Cataracts Surgery in Patients with Retinal Disease 
  • Summary:  I will discuss considerations in Perioperative planning for cataract surgery in patients with pre-existing retinal disease including timing, prognosis, and what to look out for. 
  • Educational objectives:  Attendees will be able to evaluate patients with retinal disease appropriately to plan for cataract surgery and be able to know what to tell their patients about prognosis.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:   

Rachitskaya, Aleksandra  V. -- "Novel Imaging and Visualization Techniques in Retina 
  • Summary:  This case-based presentation will cover the use of novel imaging and visualization techniques utilized in a retinal practice. The examples will include swept-source OCT angiography, intraoperative OCT, and 3D intraoperative visualization system.
  • Educational objectives:  This presentation will provide an update on novel imaging and visualization techniques utilized in a retinal practice.
  • Schedule Restrictions: Not Wednesday, July 30
  • Conflict of interest disclosure received:  

Raju, Leela -- "HSV Keratitis Recurrence Rates with Topical Prophylaxis 
  • Summary:  Twenty thousand new cases and 28,000 recurrences of herpes simplex occur in the US each year. HEDS demonstrated that oral acyclovir reduces recurrence. However, no studies indicate whether adding a topical corticosteroid can further reduce this risk ¿ specifically in stromal keratitis or keratouveitis. A retrospective review of patients suggests that long-term, low-dose topical corticosteroids have a place in the prevention of recurrent HSV stromal keratitis or keratouveitis.
  • Educational objectives:  The morbidity of HSV keratitis if often underestimated and it can be mitigated by adding topical prophylaxis to oral antivirals.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Robbins, Shira -- "The MOST Exciting Thing in Pediatrics: Ocular Gene Therapy" 
  • Summary: We are in the Jetson era. Treatments that we only imagined are becoming reality. When I worked my 1st job after college in a molecular oncology lab sequencing DNA, the concrete reality of using genetic therapies seemed very far away. This talk will cover the usage of gene therapy for pediatric eye diseases. 
  • Educational objectives:  There are new treatments for Pediatric Inherited Retinal diseases that have not been available in the past.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:   

Setabutr, Pete-- "Printing Perfection: A Customized Approach to Orbital Fracture Repair" 
  • Summary: A brief discussion about the use of 3-D printed implants in the use of orbital surgery.  
  • Educational objectives:  This talk will present a new technology used in orbital reconstruction.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:   

Shaw, Hal -- "A Deadly Case of the Blind Staggers 
  • Summary: Investigation of a suspected homicide resulted in a surprising discovery. Stay tuned to find out whodunit...or whatdunit...in this intriguing forensic case. 
  • Educational objectives:  This presentation is designed to heighten diagnostic awareness about potential life-threatening disorders ophthalmologists might encounter.
  • Schedule Restrictions: Not Saturday
  • Conflict of interest disclosure received:  YES

Schwartz, Stephen G.-- "Famous Monocular Warriors 
  • Summary:  The loss of an eye can be associated with many negative and lifelong consequences to a patient. Interestingly, some of the most successful military commanders in history have been monocular. These include Philip II of Macedon, Federico III da Montefeltro (my personal favorite, and the subject of a previous AESC talk), and perhaps Horatio Nelson, although the evidence in support of Nelson's eye injury is questionable. Their life stories are interesting and may prove inspiring to ophthalmologists and to our patients.
  • Educational objectives:  This talk presents a different view on the lives of people who lost an eye in adulthood, this may help ophthalmologists provide better counseling to their patients.
  • Schedule Restrictions: ONLY Wednesday 7/31/19
  • Conflict of interest disclosure received:  NO

Tao, Jeremiah -- "Blindness from Facial Fillers 
  • Summary:  Facial filler use is increasing and complications may be on the rise. Filler embolization blindness is one of the most serious adverse events. Beginning with cases, the talk will review pathophysiology and provide an update on strategies for prevention and management of blindness and other complications from facial injectables.
  • Educational objectives:  Pathophysiology and management of filler embolization blindness.
  • Schedule Restrictions: Not Sunday
  • Conflict of interest disclosure received:  NO

Villegas, Victor M.-- "Peeling Conundrum 
  • Summary:  15 month-old child without systemic disease was consulted to the ophthalmology service 3 months after a severe motor vehicle accident. Immediately following the accident, the patient developed increased intracranial pressure secondary to an intracranial hemorrhage and underwent a craniotomy. Upon ophthalmologic evaluation the patient was found with bilateral vitreous hemorrhage and intraretinal hemorrhage. Terson's syndrome was diagnosed. We present the management strategy employed in this challenging case.
  • Educational objectives:  Immediate sequential bilateral vitreoretinal surgery is feasible and safe treatment paradigm for pediatric patients with bilateral vitreoretinal pathologic features when repeated general anesthesia is undesirable or impractical.
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Ying, Michelle -- "Neutrophic Keratitis - what is new? 
  • Summary:  We will review the treatment options for neutrophic keratitis including the use of Oxervate. Oxervate is a new FDA-approved eye drop use to treat this chronic condition. We will review our clincal experience with this drug.
  • Educational objectives: Discuss all the current treatment options to treat neutrophic keratitis
  • Schedule Restrictions: None
  • Conflict of interest disclosure received:  

Last Updated on Monday, May 13, 2019 10:21 AM