Author: Healio ophthalmology

Thursday’s Speakers of the Day named for Hawaiian Eye/Retina 2016 program

WAIKOLOA, Hawaii — Andrew G. Lee, MD, chairman of ophthalmology at Blanton Eye Institute at Houston Methodist Hospital, Texas, was named Speaker of the Day for the Comprehensive Ophthalmology Program for his panel discussion with Randy H. Kardon, MD, PhD, and Grant T. Liu, MD, on neuro-ophthalmology case reviews, as well as Speaker of the Day for the Nurse & Allied Health Program for his talk on neuro-ophthalmology. Nisha Acharya, MD, MS , director of the Uveitis Service and the Uveitis Fellowship at the F.I. Proctor Foundation, California, was named (Read more...)

Uveitis specialist treats macular edema with topical difluprednate

WAIKOLOA, Hawaii — One uveitis specialist has changed her practice and begun using topical difluprednate as an option for initial therapy for uveitic macular edema. “There are a lot of different options for treating macular edema. We have drops, we have non-steroidal anti-inflammatory drops, we have steroids in many, many forms,” Nisha Acharya, MD, MS, said at Retina 2016. “We know steroids are very effective for both uveitis and for macular edema, but of course they come with known and expected side effects.”

OCT guides management in uveitis clinic

WAIKOLOA, Hawaii — OCT has revolutionized how uveitic patients with cystoid macular edema are treated, according to Thomas A. Albini, MD, who related “Tips from the uveitis clinic” for his colleagues at Retina 2016.“I get a lot of OCTs in the uveitis clinic. Any patient who doesn’t have 20/20 vision, I’m suspicious of uveitic cystoid macular edema, which is the driving force behind vision loss in a lot of uveitis entities. I want to be aware of whether they do have macular edema; it does change my treatment and how (Read more...)

Speaker: Look past ocular itching to diagnose allergic conjunctivitis

WAIKOLOA, Hawaii — Ocular itching is the most common symptom of allergic conjunctivitis, but proper diagnosis is most often determined by patient history and physical examination, according to a speaker here. “Itch is the most symptom of ocular allergy, but patients do not always come in complaining of itch,” Jodi I. Luchs, MD, FACS, said at Hawaiian Eye. “When patients come in, they may not have a lot of clinical signs. Their eyes may look very white and quiet, so it is important for us to key in on that (Read more...)

Speaker: Look past ocular itching to diagnose allergic conjunctivitis

WAIKOLOA, Hawaii — Ocular itching is the most common symptom of allergic conjunctivitis, but proper diagnosis is most often determined by patient history and physical examination, according to a speaker here. “Itch is the most symptom of ocular allergy, but patients do not always come in complaining of itch,” Jodi I. Luchs, MD, FACS, said at Hawaiian Eye. “When patients come in, they may not have a lot of clinical signs. Their eyes may look very white and quiet, so it is important for us to key in on that (Read more...)

Glaucoma specialists face ‘tsunami’ of new patients in coming decade

WAIKOLOA, Hawaii – Glaucoma specialists need to prepare for an impending “tsunami” driven by an aging population and increasing demand for care, a speaker told colleagues here. “In the tsunami hazard zone, you go inland, you go to high ground. But if you’re smart, you might want to take your surfboard and head for the beach and make something of the tsunami,” Cynthia Mattox, MD, said at Hawaiian eye. “The status quo is not an option.”

Surgeon shares customized approach to selecting best MIGS procedure

WAIKOLOA, Hawaii — Disease status, change over time, age, IOP and previous surgery are all considerations when choosing a MIGS approach to an individual case, according to Malik Y. Kahook, MD, who related the risk/benefit tradeoffs that he discusses with patients before making a choice of which device “to take off the shelf.”In a case of moderate disease with stable change in a young and healthy patient whose IOP goal is in the mid-teens and who has not had previous surgery, “This is where the iStent [Glaukos] is the workhorse (Read more...)

Tissue adhesives efficacious in management of corneal perforation

WAIKOLOA, Hawaii — Nicoletta Fynn-Thompson, MD, gave pearls for using tissue adhesives for the management of corneal perforation here at Hawaiian Eye 2016. “Tissue adhesives work very well. We use these for impending perforations and also frank perforations,” Fynn-Thompson said. “The size of the perforation is important. Generally larger sizes will not work well because you are not able to seal.”

Wednesday’s Speakers of the Day named for Hawaiian Eye/Retina 2016 program

WAIKOLOA, Hawaii — Robert D. Fechtner, MD, professor of ophthalmology at Rutgers University, New Jersey, was named Speaker of the Day for the Comprehensive Ophthalmology Program for his presentation that challenged the value of the ‘one eye’ trial. Elias Reichel , MD, of New England Eye Center, Boston, was named Speaker of the Day for Retina 2016 for his talk that explored the role of laser in the treatment of retinal vascular conditions.

Speaker: It may be time to consider SLT as first line treatment in management of glaucoma

WAIKOLOA, Hawaii — Because it is as effective as primary glaucoma medications, and it is less expensive and safer than medications with no patient compliance issues, selective laser trabeculoplasty should be considered as a first line therapy for some glaucoma patients, according to a speaker here.“In the majority of patients in the trabecular meshwork for Schlemm’s canal, there is a problem with outflow. All of the current drugs that we are using really don’t address that particular problem,” L. Jay Katz, MD, said at Hawaiian Eye. “There has been a (Read more...)