Author: Healio ophthalmology

VIDEO: Speaker updates HORV task force findings on vancomycin

KOLOA, Hawaii ― At Hawaiian Eye 2017, David F. Chang, MD, discusses current knowledge of hemorrhagic occlusive retinal vasculitis (HORV) as found by the HORV task force, which is comprised of members of the American Society of Cataract and Refractive Surgery and the American Society of Retina Specialists. To date, the task force has collected data on HORV in 36 eyes of 23 patients. Because no true cases of HORV have been found in patients who did not receive vancomycin intraoperatively, it appears HORV is in some way a reaction (Read more...)

Speaker: Hang on for the ride in health care

KOLOA, Hawaii — One can be sure that some provisions of the Affordable Care Act will be repealed and some will be replaced – that is the state of politics, according to a speaker here. Another thing to be sure of is that there will be delay, Allison W. Shuren, MSN, JD, said at Hawaiian Eye 2017. “This is not going to happen in January,” she said. “We have set some things up for change, but this is going to be a multi-year ride.”

Capt. Mark Kelly: Perseverance, patience and communication keys to success in life

KOLOA, Hawaii — Capt. Mark Kelly, discussed key elements to success through a series of anecdotes and lessons learned from his personal and professional life experiences here at Hawaiian Eye 2017, where he served as the event’s keynote speaker. The former NASA space shuttle pilot, four-time visitor to the International Space Station and husband of former Congresswoman Gabrielle Giffords – who survived a 2011 assassination attempt – spoke about the importance of perseverance, communication, patience and attention to detail.

Reider announces Hawaiian Eye speaking retirement

KOLOA, Hawaii — After 25 years of attending and presenting at Hawaiian Eye, renowned speaker Alan E. Reider, JD, MPH, announced his retirement here at the conclusion of his Hawaiian Eye 2017 presentation on compliance. Known for his practical educating style, Reider, a partner at Arnold & Porter Kaye Scholer, has been a health care attorney with a focus on both government and private practice for more than 35 years. He is the Regulatory/Legislative Section Editor of Ocular Surgery News. He is a familiar face in ophthalmology.

Health care changes march on regardless of political transitions

KOLOA, Hawaii — Regardless of any changes made in health care policies between presidential administrations, some trends are already in motion and will likely continue, according to Alan E Reider, JD, MPH, who spoke at Hawaiian Eye 2017.“My prediction is that it really doesn’t matter with respect to where we go from Obamacare to Trumpcare,” Reider said. “Things have been moving in a certain direction in health care … that are going to continue irrespective of whether these changes … are made.”

2017 brings big changes to the ophthalmic practice environment

KOLOA, Hawaii — There are multiple changes to the practice management aspect of ophthalmology coming in 2017, Kevin J. Corcoran, COE, CPC, CPMA, FNAO, president of Corcoran Consulting Group, explained here at Hawaiian Eye 2017. Global surgical packages will be reviewed closely by CMS as part of new MACRA legislation, beginning with practitioners in nine states being asked to report every time one is done beginning in July, he said.

Preoperative consultation key before blepharoplasty

KOLOA, Hawaii — Identifying a patient’s goals and expectations prior to surgery is essential to successful upper eyelid blepharoplasty, according to a speaker here.“The time I spend in the preoperative phase of my procedure, I think of it, as a whole, as the most important time to make sure I’m on the same page as the patient and I get it right for them,” Femida Kherani, MD, said at Hawaiian Eye.

Lateral tarsal strip surgery common for correcting ectropion

KOLOA, Hawaii — Every ectropion case is different and there are a variety of corrective surgical techniques, but the most traditional approach is lateral tarsal strip surgery, a speaker here.“If most of your problem is that lower lid, then you’ll want to horizontally shorten that. This is probably the most traditional approach, to do a lateral tarsal strip and tighten it. It’s like tightening a clothesline that has too many clothes hung on it,” Wendy W. Lee, MD, said at Hawaiian Eye 2017.

Dacryocystorhinostomy: An age-old but still relevant approach to tearing

KOLOA, Hawaii — Dacryocystorhinostomy, a procedure that bypasses a blocked nasolacrimal duct, is a dated procedure but still a relevant one, according to a speaker here. “DCR is an old procedure,” Jeremiah Tao, MD, said at Hawaiian Eye 2017, citing the procedure as being thousands of years old while also citing success rates of 90% to 95% for external approaches and 80% to 90% for internal approaches.

Speaker: Maintain high suspicion for compressive optic neuropathy in thyroid eye disease

KOLOA, Hawaii — Compressive optic neuropathy is a finding of concern in patients with thyroid eye disease.Speaking during the Oculoplastics symposium of the Hawaiian Eye 2017 meeting here, Eli L. Chang, MD, told colleagues, “The one key point that people fail to remember about thyroid eye disease is that it is potentially blinding.”