Author: Healio 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.”

PUBLICATION EXCLUSIVE: Pediatric dry eye disease: The next generation dry eye patient is already here

When you think about dry eye, whether or not you treat dry eye, there is a certain image that jumps to mind. For some of you, it is the classic image of an older patient gently rocking in a chair on the porch with his nose buried in a Zane Grey novel. After an hour or two, he starts to squint, rub his eyes, dab his cheekbones and then eventually quit as his eyes become drier with each turn of the page. Others among you, likely those who have done (Read more...)

ACP raises concerns with incoming administration on health care

With 8 days until President-elect Donald J. Trump is inaugurated, his approach to health care policy appears to be in conflict with the goals of the ACP.The association released statements criticizing the Senate’s vote to begin repealing the Affordable Care Act — a position strongly advocated by Trump in a press conference on Jan. 11 — and supporting the current immunization schedule recommended by the CDC. Earlier this week, Trump met with Robert Kennedy, Jr, who has criticized immunization policies, which troubled infectious disease experts.

PUBLICATION EXCLUSIVE: Surgeons share experiences, pearls for meeting challenges of sutureless scleral IOL fixation

In the absence of a lens capsule that can support an IOL, sutureless scleral fixation of the lens is an attractive option, without the risk of suture deterioration over time. But the fixation must be secure for the mostly three-piece posterior chamber lenses with extremely flexible haptics.Amar Agarwal, MS, FRCS, FRCOphth, OSN APAO Edition Board Member, likens sutured IOLs to a broken camera lens that has been sutured to the lens body. “You will not be able to take good quality pictures because the lens will move with the lens (Read more...)

HHS: Marketplace coverage vital to Americans

As of December 24, 2016, more than 11.5 million people in the United States, including 8.9 million returning consumers and 2.6 million new consumers, had signed up for Health Insurance Marketplace coverage, surpassing last year by 286,000 plans, according to a new report issued by the HHS. This increased utilization of the Marketplace established by the Affordable Care Act (ACA) was announced the same day President-elect Donald J. Trump reaffirmed that he will repeal and replace the ACA at a press conference.“Nationwide demand for health coverage is higher than ever, (Read more...)