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NEW ORLEANS ACADEMY OF OPHTHALMOLOGY 61st ANNUAL SYMPOSIUM

FEbRUARY 10 – 12, 2012 SHERATON NEW ORLEANS HOTEL

Program Committee ChairsO. Jay LaCour III, M.D. and D. Anthony Mazzulla, M.D.

Needs AssessmentRetinal vascular diseases are responsible for many cases of blindness throughout the world. Recent studies have been published that have the potential to change the standard of care for Age-Related Macular Degeneration. Over the last few years, new surgical techniques have expanded the physician’s armamentarium for treating vitreoretinal disease.

Orbital trauma that is not cared for correctly and expediently is a serious threat to vision. Devastating endophthalmitis is a potential side effect, and recent research has shown an increasing resistance to conventional antibiotics.

As the population ages, the incidence of cataract also increases. New techniques in IOL fixation techniques are changing the standard of care for cataracts and intraocular lenses.

Comprehensive ophthalmologists and subspecialists need to be updated on the recent clinical trials, new techniques and treatments that impact the standard of care in retinal diseases, ocular trauma and anterior segment disorders.

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PurposeThe focus of this meeting will be to update the general ophthalmologist as well as the specialist on the latest in diagnosis, medical management, surgical techniques and clinical outcomes in the fields of retina, oculoplastics and anterior segment, as well as research on future developments in these disciplines.

Educational ObjectivesUpon completion of this program, participants should be able to:

»» Integrate anti-VEGF agents into the pre-existing treatment paradigms for diabetic retinopathy.»» Compare and contrast existing therapies in the management of cystoid macular edema secondary

to venous occlusive disease.»» Interpret the results of the CATT study and its application to practice.»» Integrate prior and current treatment modalities to provide optimal treatment for patients with ARMD.»» Evaluate the role of evisceration/enucleation, as well as alternative therapies, like

immunosuppressive therapy, in preventing sympathetic ophthalmia. »» Review current techniques of IOL fixation and determine the most appropriate technique for the

patient.»» Evaluate current therapies for endophthalmitis.»» Critique surgical approaches to posterior segment trauma.»» Apply current information to avoid and/or manage complications during and after cataract surgery»» Appraise current office procedures for corneal complications - perforations, recurrent erosions

and epithelial defects»» Recognize current concepts in thyroid eye disease - risk factors, severity, as well as medical and

surgical therapy for each phase. »» Summarize the most useful techniques for repairing orbital fractures.»» Compare and contrast various therapeutic and surgical options for facial rejuvenation as

botulism toxin, soft tissue fillers, blepharoplasty and rhytidectomy.

AccreditationThe New Orleans Academy of Ophthalmology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

DesignationThe New Orleans Academy of Ophthalmology designates this educational activity for a maximum of 21.00 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity.

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Gary W. Abrams, M.D.Professor of OphthalmologyKresge Eye InstituteDetroit, MI

Anita Agarwal, M.D.Associate Professor of Ophthalmology and Visual SciencesVanderbilt Eye InstituteNashville, TN

Riva Lee Asbell Ab, COClinical Assistant Professor of SurgeryUMDNJ- Robert Wood Johnson Medical SchoolNew Brunswick, NJ

Neil M. bressler, M.D.The James P. Gills Professor of OphthalmologyWilmer Eye Institute, Johns Hopkins University School of MedicineBaltimore, MD

Jeffrey Daigrepont, EFMPSenior Vice President, Coker GroupAlpharetta, GA

Jonathan Dutton, M.D., PhDProfessor of OphthalmologyUniversity of North CarolinaChapel Hill, NC

Richard S. Hoffman, MDClinical Associate Professor Oregon Health & Science UniversityEugene, OR

David E. Holck, MDPrivate PracticeSan Antonio, TX

David G. Hwang, MD, FACSProfessor of Ophthalmology, Co-Director Cornea Service, and Director, Refractive Surgery Service Department of Ophthalmology University of California, San FranciscoSan Francisco, CA

William F. Mieler, MDProfessor and Vice-ChairmanDepartment of Ophthalmology & Visual SciencesUniversity of Illinois at ChicagoChicago, IL

Jeffrey Nerad, MDProfessor of Ophthalmology, University of Cincinnati School of MedicinePrivate Practice, Cincinnati Eye InstituteCincinnati, OH

The New Orleans Academy of Ophthalmology relies upon invited speakers at all sponsored continuing medical education activities to provide information objectively and free from bias or conflict of interest. In accordance with ACCME and institutional guidelines pertaining to potential conflicts of interest, the faculty for this continuing medical education activity have been asked to complete faculty disclosure forms. In the event that some invited speakers indicate that they have a relationship which, in the context of the subject of their invited presentation, could be perceived as a potential conflict of interest, they have agreed to disclose such a relationship, but do not consider that it will influence their presentation. The intention is to provide full disclosure of any potential conflict-of-interest, real or perceived, which is related to a specific event.

Faculty

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Friday, February 10, 2012

7:00 - 7:45 AM Registration and Continental breakfast

7:55 - 8:00 AM President’s Remarks – Jonathan D. Nussdorf, M.D.

Session I Macular Disease

8:00 - 8:15 AM Legacy of Don Gass Anita Agarwal, MD

8:15 - 8:40 AM Common Questions Regarding Dietary Supplements and Age-related Macular Degeneration

Neil Bressler, MD

8:40 - 8:55 AM Clinical Implications of CATT Results on Treatment of Neovascular Age-related Macular Degeneration

Neil Bressler, MD

8:55 - 9:10 AM NSAIDs-The Current Role in the Management of Postoperative Inflammation and CME

William Mieler, MD

9:10 - 9:25 AM Commonly Misdiagnosed Macular Conditions Anita Agarwal, MD

9:25 - 9:55 AM Roundtable: AMD: VEGF Agents; Preferences, Cost Considerations, PDT, IVTA

Moderator: Gary Abrams, MD Panel: Drs. Anita Agarwal, Neil Bressler, William Mieler

9:55 - 10:05 AM Q & A

10:05 - 10:40 AM break and Visit the Exhibits

Session II Endophthalmitis & Uveitis

10:40 - 10:55 AM Countering the Rising Threat of MRSA and Fluoroquinolone Resistance: What Every Ophthalmologist Needs to Know

David Hwang, MD

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10:55 - 11:15 AM Current Management of Endophthalmitis 2012 William Mieler, MD

11:15 -11:35 AM Ocular Parasites Anita Agarwal, MD

11:35 - 11:55 AM Panuveitis-Approach to Diagnosis Anita Agarwal, MD

11:55 - 12:05 PM Q & A

12:05 - 1:30 PM Lunch and Visit the Exhibits

Session III Orbit

1:30 - 2:00 PM Thyroid Eye Disease Jonathan Dutton, MD

2:00 - 2:15 PM Eyelid Lesions Made Easy Jeffrey Nerad, MD

2:15 - 2:30 PM Update on Orbital Fracture Repair David Holck, MD

2:30 - 2:45 PM Orbital Foreign bodies Jonathan Dutton, MD

2:45 - 3:00 PM Pearls in blepharoptosis Repair Jeffrey Nerad, MD

3:00 - 3:10 PM Q & A

3:10 - 3:40 PM break and Visit the Exhibits

Session IV Anterior Segment

3:40 - 3:55 PM Phaco Crush: A Technique to Reduce Ultrasound-Related Corneal Complications after Cataract Surgery

David Hwang, MD

3:55 - 4:10 PM P.K.P. R.I.P.? Have New Selective Keratoplasty Procedures Made Penetrating Keratoplasty (PKP) Obsolete?

David Hwang, MD

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4:10 - 4:30 PM Management of Decentered IOLs Richard Hoffman, MD

4:30 - 4:45 PM Pseudoexfoliation — Challenges & Options Richard Hoffman, MD

4:45 - 5:00 PM Will New Medical Therapies Render Endothelial Keratoplasty (EK) obsolete? Investigative Approaches to the Prevention and Management of Corneal Edema

David Hwang, MD

5:00 - 5:10 PM Q & A

5:15 - 6:15 PM Workshop — Pitfalls in EMR Chart Documentation Riva Lee Asbell Workshop — Ethics: ACO’s/Physicians as Employees — the Good and the bad Dennis Agliano, MD

5:30 - 8:00 PM President’s Wine and Cheese Reception Open to all attendees and their guests

Saturday, February 11, 2012

7:15 - 7:50 AM Registration and Continental breakfast

7:50 - 8:00 AM President’s Remarks

Session V Orbit

8:00 - 8:15 AM A Ten Year Review of Orbital Fracture Complications David Holck, MD

8:15 - 8:30 AM An Update on Lacrimal Intubation Techniques Jeffrey Nerad, MD

8:30 - 8:45 AM Changing Concepts in Orbital Implants Jonathan Dutton, MD

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8:45 - 9:00 AM When do I Use External Approach vs. Endoscopic Approach in Medial Wall Orbital Decompression

David Holck, MD

9:00 - 9:30 AM Principles of Eyelid Reconstruction Jeffrey Nerad, MD

9:30 - 9:50 AM Facial Rhytidectomy — Advanced Oculoplastic Surgery David Holck, MD

9:50 - 10:00 AM Q & A

10:00 - 10:30 AM break and Visit the Exhibits

Session VI

10:30 - 10:45 AM Posterior Segment Manifestations of Closed-Globe Ocular Injuries William Mieler, MD

10:45 - 11:00 AM Traumatic Retinal Detachment Gary Abrams, MD

11:00 - 11:15 AM Management of Retained IOFbs William Mieler, MD

11:15 - 11:30 AM What’s New in PVR? Gary Abrams, MD

11:30 - 11:45 AM Management of Choroidal Hemorrhage Gary Abrams, MD

11:45 - 12:10 PM Roundtable: Differing Surgical Approaches to Trauma: Lensectomy, Pars Plana or Limbus, Timing of Repair (Case discussion)

Moderator: Anita Agarwal, MD Panel: Drs. Abrams, Bressler and Mieler

12:10 - 12:20 PM Q & A

12:20 - 1:20 PM Lunch Presentation: Secrets of the Eye Codes Riva Lee Asbell

Visit the Exhibits

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Session VII

1:20 - 1:40 PM Principles of Upper & Lower blepharoplasty Jeffrey Nerad, MD

1:40 - 1:55 PM Aesthetic brow Lifting- Is There an Ideal Approach? David Holck, MD

1:55 - 2:25 PM blepharospasm and Hemifacial Spasm Jonathan Dutton, MD

2:25 - 2:40 PM An Introduction to Cosmetic Toxins & Facial Fillers Jeffrey Nerad, MD

2:40 - 2:55 PM Facial Palsy Management- Are There better Ways? David Holck, MD

2:55 - 3:20 PM Roundtable: Evisceration, Yes or No Moderator: Jonathan Dutton, MD *FOR – Dr. Dutton *AGAINST – Dr. Agarwal Discussion - Drs. Agarwal, Dutton, Holck and Nerad

3:20 - 3:30 PM Q & A

3:30 - 4:00 PM break and Visit the Exhibits

Session VIII

4:00 - 4:15 PM Office-based Corneal Procedures for the Comprehensive Ophthalmologist I: New Ideas for Management of Corneal Perforations and Recurrent Erosions

David Hwang, MD

4:15 - 4:30 PM Scleral Fixation without Conjunctival Dissection Richard Hoffman, MD

4:30 - 4:45 PM Office-based Corneal Procedures for the Comprehensive Ophthalmologist II: Management of Persistent Corneal Epithelial Defects

David Hwang, MD

4:45 - 5:00 PM Minimally Invasive ExPress Shunt Implantation without Conjunctival Dissection

Richard Hoffman, MD

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5:00 - 5:10 PM Q&A

5:15 - 6:15 PM Workshop — DSEK for beginners: Techniques and Tips David Hwang, MD Workshop — EHR: Where Have We been and Where Are We Going Jeffery Daigrepont

Sunday, February 12, 2012

7:00 - 7:25 AM Registration and Continental breakfast

7:25 - 7:30 AM President’s Remarks

7:30 - 8:30 AM Workshop: Early Morning Eye Opener

Session IX Retinal Vascular Disease

8:30 - 8:45 AM Treatment of Macular Edema from Retinal Vein Occlusions: How Do We Choose Which Treatment Among So Many Choices

Neil Bressler, MD

8:45 - 9:00 AM Update Regarding Management of Venous Occlusive Disease William Mieler, MD

9:00 - 9:15 AM branch Retinal Artery Occlusion in the Young Anita Agarwal, MD

9:15 - 9:30 AM Retinal Angiomatous Proliferation (RAP) Gary Abrams, MD

9:30 - 10:00 AM Roundtable: When to Poke, When to burn (bRVOs, CRVOs in the VEGf Era) Moderator: Neil Bressler Panel: Drs. Abrams, Agarwal and Mieler

10:00 - 10:10 AM Q & A

10:10 - 10:25 AM break

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Session X

10:25 - 10:50 AM Update on Treatment of Diabetic Macular Edema Neil Bressler, MD

10:50 - 11:05 AM Update Regarding Medical and Surgical Management of Diabetic CME William Mieler, MD

11:05 - 11:20 AM Diabetic Vitrectomy/TRD Repair Gary Abrams, MD

11:20 - 11:50 PM Roundtable: Role of Anti-VEGF in Proliferative Disease Moderator: William Mieler, MD Panel: Drs. Abrams, Agarwal and Bressler

11:50 - 12:00 PM Q & A

12:00 - 12:10 PM Closing

Every effort has been made to present the program as accurately as possible from information available at the time of printing. The New Orleans Academy of Ophthalmology reserves the right to make changes to the program.

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Hotel AccommodationsSheraton New Orleans Hotel500 Canal StreetNew Orleans, LA 70130(504)-525-2500(888)-627-7033

A block of rooms have been reserved for registrants at the special rate of $199.00. To make your hotel reservations, call the Sheraton and mention the New Orleans Academy of Ophthalmology. The Sheraton may charge an early departure fee if your scheduled length of stay changes, so please inform the hotel prior to arrival on any change in departure date. After January 9, 2012, reservations will be on a space available basis. Please make your hotel reservations in advance.

Registration information** All New Orleans Academy of Ophthalmology members should register in advance for the meeting. Please register online at www.noao.org or send in the registration form.**

The registration fee of $495.00 includes all course materials and refreshments. The deadline for the early registration fee is January 9, 2012. After January 9, the fee is $595.00. The registration fee of $195.00 ($295 after January 9) is for the allied health professional whose physician is not a NOAO member. The registration fee of $25.00 is for allied health professionals whose physician is a NOAO member. These fees include entrance to the Symposium, all course materials and refreshments. There is no charge for residents if letter from chief of service accompanies the reservation form.

New this year — 1st Annual Technicians’ Conference, Friday February 10, 2012. Please see www.noao.org for registration and pricing details.

If you do not receive a confirmation of registration or you have any questions regarding this conference, please contact the Academy office at 504-861-2550.

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Cancellation policyCancellation requests must be made in writing via e-mail, facsimile or by mail. A cancellation fee of $50.00 will be assessed if request is postmarked by January 9, 2012. After January 9, the cancellation fee is $150.00. Please enclose a copy of your confirmation slip with your notice of cancellation. Note: No refunds will be made once the meeting begins.

Workshop Registration InformationThe following workshops are available at no charge to attendees of the 2012 Annual Meeting:

Pitfalls in EMR Chart Documentation Instructor: Riva Lee Asbell, AB, CO Friday, February 10, 5:15 – 6:15 PMThis course reviews chart documentation problems found in electronic medical records (EMR) and gives a step-by-step critique on how to identify and then correct them. Suggestions for formatting your EMR as well as problems encountered in audits and under review by the OIG will be discussed.

Ethics: ACOs and Physicians as Employees — The Good and the bad Instructor: Dennis Agliano, M.D., Member, Council on Ethical and Judicial Affairs, AMA Friday, February 10, 5:15 – 6:15 PMAccording to the Centers for Medicare and Medicaid Services (CMS), an ACO is “an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it.” Proponents believe that ACOs will “improve quality and slow spending growth.” Skeptics are concerned that ACOs “will focus narrowly on their bottom line and either stint on needed care or... demand unreasonable prices from payers.” This course will describe the evolution of the ACOs and provide a better understanding of what’s to come in the very near future.

EHR: Where We Are and Where Are We GoingSaturday, February 11, 5:15 – 6:15 PMThis workshop gives a detailed view into the recent trends in the EHR industry and marketplace. Attendees will better understand the current government actions, vendor and software trends and its use in practice.

DSEK for beginners: Techniques and Tips Saturday, February 11, 5:15 – 6:15 PMThis workshop will provide attendees with the latest surgical tips and techniques for DSEK. Emphasis will be placed techniques that minimize complications and maximize donor endothelial survival. Donor tissue prep, insertion, unfolding and positioning will also be discussed.

Please register in advance for EMR Chart Documentation, Ethics, EHR, and DSEK. There are limited seats.

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New Orleans & Activity InformationAll of the Big Easy’s spectacular sights are still available and open to the public. Now’s the time to re-acquaint yourselves with the city you fell in love with. New to the city? Then check out some of the sights listed below.

The French Quarter: This 12-block area, also called the Vieux Carré (Old Square), is the heart of the city and borders the Mississippi River. The narrow streets of two-and three-story French and Spanish inspired buildings have a unique look. If historic sites interest you, see the Gallier House Museum (www.gnofn.org/~hggh), the Hermann-Grima House (www.gnofn.org/~hggh), the Old Ursuline Convent, and the Beauregard-Keyes House (504-523-7257). You’ll find everything from fabulous jazz and five-star restaurants to strip clubs on world-famous Bourbon Street.

Cities of the Dead: A high water table and an elevation below sea level resulted in the practice of building aboveground tombs. There are 42 cemeteries in the metropolitan New Orleans area. Metairie, the most beautiful, and St. Louis Number One, the oldest, are worth a visit. Tour companies such as Save Our Cemeteries (504-525-3377) and Haunted History Tours (504-861-2727) offer guided tours.

Plantations and Historic Homes: The Garden District, minutes from the French Quarter, features many stately mansions, including the

pristine post-Civil War Van Benthuysen-Elms Mansion and Gardens (504-895-5493, www.elmsmansion.com). The Longue Vue House (504-488-5488, www.longuevue.com) in Old Metairie is a spectacular 45-room mansion designed in a Classical Revival style.

by Land or by River: For a different view of the Mardi Gras City, take a riverboat cruise on the Mississippi River. Sightsee by day or go on a dinner jazz cruise. The Cajun Queen Riverboat (504-523-0814, www.neworleanspaddlewheels.com), the Steamboat Natchez (504-586-8777, www.steamboatnatchez.com) and the John James Audubon Riverboat (504-586-8777, www.aquariumzoocruise.com) all accept passengers. For landlubbers, the Riverfront streetcars are a great and economical way to sightsee.

For Families: The Crescent City boasts one of the top 5 Aquariums and Zoos in the in the United States. The Audubon Aquarium of the Americas (504-581-4629, www.auduboninstitute.org) features the largest collection of sharks and jellyfish and a

rare white alligator. Located next to the French Quarter and beautiful Woldenberg Park, the Aquarium is sure to please young and old alike. The Audubon Zoo (504-212-5452, www.

auduboninstitute.org) has more than 2,000 animals in their natural habitat settings, including the Louisiana Swamp.

Registration Form61ST ANNUAL SYMPOSIUM

’ROUND THE GLObEJOURNEYS IN RETINA, ORbIT AND ANTERIOR SEGMENT

February 10–12, 2012 Sheraton New Orleans Hotel

Name (please print) Degree

Address

City/State/Zip/Country

Telephone Fax

E-mail

Are there any conference-related topics that would better assist you in practice that you would add? Please list:

Registration Fees (please check one): Postmarked after Postmarked by 1/9/12 1/9/12 - onsite NOAO member o No charge if dues are paid by 1/9/12 o $475.00

Physician o $495.00 o $595.00

Allied Health Professional o $195.00 (NEW: $25 if employed by NOAO member, with letter) o $295.00

Resident/Fellow o No charge with letter from chief of service

* Workshop Registration (check only one per day)

o EMR Chart Documentation o DSEK for Beginners Friday, Feb. 11, 5:15–6:15 pm Saturday, Feb. 12, 5:15–6:15 pmo Ethics: ACO’s/Physicians as Employees o EHR: Where are We Going Friday, Feb. 11, 5:15–6:15pm Saturday, Feb. 12, 5:15–6:15 pm

Payment Informationo Personal Check o Visa o MasterCard o Discover

Card Number Exp. Date CVC

$__________ Total Amount Enclosed

Please detach and mail this form with payment to: New Orleans Academy of Ophthalmology7733 Maple Street, New Orleans, LA 70118

504-861-2550 | 504-861-2549 fax ~or~ register on-line at www.noao.org

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