News

The Medicare Access and CHIP Reauthorization Act of 2015 and its Merit Based Incentive Payments System are here to stay for the foreseeable future and are likely to significantly impact reimbursement for ophthalmologists as part of a shift away from traditional fee for service medicine. In this changing landscape, eye care practitioners need to understand the basics of the system, such as reporting requirements, and begin to consider new models of care.

My classmate in medical school, Eric, only became a medical student because his father insisted. Eric wasn’t happy about this until he discovered he loved ophthalmology. He went on to perform brilliantly as a resident and built an extremely successful and fulfilling practice. Eric’s story is not unique.

Research aiming to elucidate the underlying factors for oxidative damage to the trabecular meshwork in glaucoma has led to studies of alterations in gene expression that may ultimately guide the development of genetic therapy for glaucoma, said Carla J. Siegfried, MD, recipient of the 2018 Shaffer Prize for Innovative Glaucoma Research.

One laboratory is at work on new devices that use visual stimuli to prompt retinal ganglion cells to regenerate, while two other researchers describe techniques through which virtual reality might diagnose the disease more accurately than standard automated perimetry.

Put to the test

I have an idea. The idea is based upon what seems to be an almost-universally accepted belief that before there should be widespread use of surgical or medical therapies to treat patients with diseases, those therapies should first be vetted in controlled clinical trials involving a limited sample of the afflicted population.

A review of glaucoma drugs in various clinical study phases reveals that at least seven new glaucoma drugs were in trials and two others were approved by the FDA in 2017. Many drugs that have progressed the most act on prostaglandin receptors, though some combine this with other mechanisms of action.

Ophthalmology Times is pleased to announce Melina I. Morkin, MD, and Pedram Hamrah, MD, FACS, of New England Eye Center/Tufts Medical Center, Department of Ophthalmology, Tufts University School of Medicine, Boston, as the third-place winner of the 2017 Resident Writer’s Award Program, sponsored by Allergan. Their entry is featured here.

The Intelligent Research in Sight (IRIS) Registry-a comprehensive eye disease registry developed by the American Academy of Ophthalmology (AAO)-has far surpassed early estimates for physician participation, according to William L. Rich III, MD, FACS.

When considering the Boston type 1 keratoprosthesis as the evidence-based procedure of choice for managing cornea graft failure, superior visual outcomes must be weighed against greater risk of sight-threatening complications.

Ophthalmology Times is pleased to announce Igor I. Bussel, MD, MS, MHA, and Deepinder K. Dhaliwal, MD (faculty sponsor), of the Department of Ophthalmology, University of Pittsburgh/UPMC Eye Center, Pittsburgh, as the second-place winner of the 2017 Resident Writer’s Award Program, sponsored by Allergan. Their entry is featured here.

Dr. Francesco Oddone, Head of the Glaucoma Research Unit at Bietti Foundation, Rome, speaks about the most interesting features of COMPASS, the unique automatic perimeter combined with a scanning ophthalmoscope, able to provide retinal threshold sensitivity as well as confocal images of the retina.

David Lin, MD, Medical Director Pacific Laser Eye Centre in Vancouver, Canada, shares his experiences with SCHWIND SmartSurfACE treatment and how this procedure completely transformed the way of the clinic performing laser surgery.