A new twist on sunshine: Disclosures may also fall under state consumer fraud statutes

Most physicians are aware of the obligations that drug and device manufacturers have to disclose to CMS their financial relationships with physicians as part of the Physician Payment Sunshine Act. The act required collection of payment data as of Aug. 1.Now a recent state enforcement action has presented a new twist on disclosing these relationships by imposing an obligation on physicians to disclose to their patients their financial relationships with pharmaceutical and device companies.In what is believed to be the first time such an action occurred, the Oregon Department of (Read more...)

Accomodative Tone in Children Under General Anesthesia – Corrected Proof

Purpose: To determine the effect of general anesthesia on the accommodative tone in children.Design: Cohort study in an academic practice.Methods: In children under 12 years of age who were undergoing general anesthesia, cycloplegic refraction was measured using streak retinoscopy during an office visit. Within 6 months, streak retinoscopy without cycloplegia was performed under general anesthesia. The main outcome measure was the difference between retinoscopy under anesthesia and cycloplegic retinoscopy in children.Results: In 41 children with an average age of 3.7 years (range, 0.8 to 11 years) retinoscopy under anesthesia yielded significantly more myopic measurements than cycloplegic retinoscopy for the sphere and (Read more...)

Reduction of Retinal Sensitivity in Eyes With Reticular Pseudodrusen – Corrected Proof

Purpose: To evaluate the effect of macular reticular pseudodrusen on retinal function using multiple imaging methods.Design: Prospective cross-sectional study.Methods: Thirteen eyes with reticular pseudodrusen, but without any other macular abnormality or glaucoma, and 20 normal eyes were evaluated. All subjects underwent color fundus photography, infrared reflectance (IR), fundus autofluorescence (FAF), and microperimetry.Results: The similarity in the number of reticular pseudodrusen was evaluated through inter-observer intraclass correlation coefficients, which ranged from 0.852-0.944. IR could detect reticular pseudodrusen within the center circle area in 12 eyes, whereas blue-channel fundus photography and FAF could only detect these lesions in 1 and 3 eyes, (Read more...)