Session Highlights: Oculoplastics and Neuro-Ophthalmology

Dr. Wendy Lee, Oculoplastics Editor for OphthalmologyWeb asks Dr. Tim McCulley of UCSF about his key take-home messages from the neuro-ophthalmology and oculoplastics subspecialty presentations at this year's AAO meeting in New Orleans. Dr. McCulley also describes the ASOPRS sessions preceding the AAO. Non-invasive cosmetic procedures involving fillers such as autologous fat, laser treatments, and the use of botox are highlighted. Blepharoplasty techniques for Asian patients are presented in detail. Evisceration procedures and implant selection criteria are reviewed. He also outlines some of his own presentations around templar artery biopsies for giant cell arteritis in the Asian community near UCSF. In neuro-ophthalmology, Dr. McCulley discusses the presentations on the differential diagnosis and work up of unilateral disc edema. Another issue covered is the management of patients with normal examination and peri-ocular pain; etiology of orbital and lacrimal tumors like adenoid cystoid carcinoma, mechanisms such as peri-neural invasion vs. expansion, and the diagnostic utility in understanding the importance of quality and location of pain or paresthesia. Dr. McCulley suggests that the future of research in neuro-ophthalmology may lie in neuro-protection, preventing ganglion cell loss, in part funded by NIH grants for MS research.