News

Intracameral triamcinolone acetonide (Kenalog, Bristol?Myers Squibb) used judiciously offers simple and safe anti-inflammatory treatment in cataract surgery patients, said James P. Gills, MD, at "Spotlight on Cataract Surgery in 2005" during the annual meeting of the American Academy of Ophthalmology.

When diplopia arises within the context of Graves? ophthalmopathy, the diagnosis is usually straightforward. However, the diagnosis becomes more complicated in the absence of previous thyroid dysfunction, when the patient has a remote history of hyperthyroidism, and when ocular symptoms present first, James Garrity, MD, explained Monday at the American Academy of Ophthalmology annual meeting.

A number of pathologies can be confused with giant cell arteritis, Anthony Arnold, MD, explained Monday at the American Academy of Ophthalmology annual meeting. Patients with a painful ophthalmoplegia might have an isolated cranial neuropathy, a skull-based or cavernous sinus process such as a tumor, or an inflammatory or infiltrative process, an orbital process, a brainstem process, or a vasculitic process.

Uncomplicated vitrectomy has been implicated in the development of primary open-angle glaucoma (POAG), according to Stanley Chang, MD, who presented the Jackson Memorial Lecture Sunday at the American Academy of Ophthalmology annual meeting.

Innovations in Glaucoma

Adapting an idea from other medical specialties, ophthalmologists are beginning to apply the concept of global risk assessment to their glaucoma patients.

A number of compounds are either available or under investigation to treat wet age-related macular degeneration (AMD), offering some hope to patients and clinicians, said Michael J. Tolentino, MD, of Winter Haven, FL.

Mass vision screening for amblyopia in school-age children should be standardized, and Pamela Hutt Berg, CO, COMT, recommended how that might be accomplished Sunday at the American Academy of Ophthalmology annual meeting.

While treatment for amblyopia is effective, there is no consensus as to what treatment works best. There are a number of factors that have an impact on treatment efficacy, according to Bruce Furr, CO. He discussed these factors Sunday at the American Academy of Ophthalmology annual meeting.

While results of epidemiologic studies indicate that only one-third of glaucoma damage is attributable to excess IOP over the normal distribution, much more of glaucoma damage appears to be pressure-dependent and therefore preventable, especially in patients whose IOP is higher than average, said Paul F. Palmberg, MD, PhD.

Recognizing significant achievements and contributions to ophthalmology, several awards were presented to physicians and organizations during opening ceremonies of the 2005 annual meeting of the American Academy of Ophthalmology (AAO).

The patterns of childhood blindness and visual impairment are changing over time, according to Clare Gilbert, MD, MSc. Dr. Gilbert described the shifts in pediatric blindness patterns resulting from the ?nurture? factors Sunday at the American Academy of Ophthalmology annual meeting.

Uncomplicated vitrectomy has been implicated in the development of primary open-angle glaucoma (POAG), according to Stanley Chang, MD, who presented the Jackson Memorial Lecture Sunday at the American Academy of Ophthalmology annual meeting.

Sometimes physicians, nurses, pharmacists, and other health-care providers make mistakes. A few statistics generated by the Institute of Medicine, the Centers for Disease Control and Prevention, and others highlight the problem.

Where can one preview the latest products from the American Academy of Ophthalmology (AAO), get answers to specific coding questions, talk to Washington insiders about reimbursement, personalize patient-education DVDs, get a first look at the academy's new Maintenance of Certification (MOC) products, and learn the ins and outs of acquiring and installing an electronic medical records system? There's only one place and it happens only once a year—the annual meeting, where all these resources and much more can be found at the academy resource center and technology pavilion.

Presbyopic LASIK using a multifocal ablation profile where the central zone is steepened for near and the peripheral zone targeted for distance (central PresbyLASIK) appears to be able to enhance near vision while maintaining good distance vision to offer spectacle independence to many patients and without loss of contrast sensitivity, said W. Bruce Jackson, MD, at the refractive surgery subspecialty day meeting sponsored by the International Society of Refractive Surgery of the American Academy of Ophthalmology.

Playing it by ear

The eye isn't the only organ that consumes the time of one New York City ophthalmologist. For Hampson A. Sisler, MD, FACS, FAGO (Fellow, American Guild of Organists), his craft as a musician leads him to an organ of another sort. In fact, the 73-year-old physician has been a professional church organist much longer than he has been an ophthalmologist.

Washington, DC—Maintaining an index of suspicion for Acanthamoeba infection in patients with keratitis is important, irrespective of a history of contact lens wear, because timely diagnosis and prompt treatment initiation are critical for a good prognosis, said John K. Dart, DM, FRCS, FRCOphth, at World Cornea Congress V.

I do not travel much, but recently was excited to represent my department at a special once-in-a-lifetime meeting in Asia. First, I flew to Chicago. A few hundred of us then piled into a 747 at 11 a.m., and the jet taxied out onto the runway. About to take off, we suddenly veered off to the side of the runway, the engines went dead, and fire trucks were visible heading our way.

Panelists at a CME symposium on Saturday evening provided an in-depth review of current information on the results of early detection and treatment with lipid therapy. Prostaglandin and prostamide drugs are widely used to lower IOP, and speakers discussed clinical data on these drugs as well as the differences between the three once-daily lipids available today.

The preliminary pegaptanib sodium (Macugen, OSI/Eyetech Pharmaceuticals) exploratory phase II data indicate that the drug seems to be successful for treating diabetic macular edema (DME), according to Steven Schwartz, MD, who reported the findings of the Macugen Diabetic Retinopathy Study Group during the retina subspecialty day at the American Academy of Ophthalmology annual meeting.

Presbyopic LASIK using a multifocal ablation profile where the central zone is steepened for near and the peripheral zone targeted for distance (central PresbyLASIK) appears to be able to enhance near vision while maintaining good distance vision to offer spectacle independence to many patients and without loss of contrast sensitivity, said W. Bruce Jackson, MD, at the refractive surgery subspecialty day meeting sponsored by the International Society of Refractive Surgery of the American Academy of Ophthalmology.

Botulinum toxin type A (Botox, Allergan), originally approved by the FDA as an orphan drug for the treatment of strabismus and blepharospasm, has been found to be effective for the treatment of hemifacial spasm, Meige syndrome, nystagmus, and lid retraction in Graves? disease, according to Matthew Dean Kay, MD, adjunct clinical associate professor, Nova Southeastern University, Pompano Beach, FL.

Multicenter prospective clinical trials are ongoing to evaluate the efficacy and safety of an intracorneal inlay (Accufocus) for improving near vision, said Daniel S. Durrie, MD, at the refractive surgery subspecialty day meeting sponsored by the International Society of Refractive Surgery of the American Academy of Ophthalmology.