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FEBRUARY 15-17, 2019

SHERATON NEW ORLEANS HOTEL

NEW ORLEANS, LA

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Program Committee ChairJonathan D. Nussdorf, MD

Program CommitteeLena Al-Dujaili, MDJohn Boyle, MDBrandon Davis, MDKevin Kirchner, MD

Needs AssessmentThis program is designed to improve the management of both common and uncommon medical diseases of the eye. Attendees will gain a better understanding of the diagnosis and medical and surgical management of a diverse range of conditions, such as glaucoma, optic neuropathy, idiopathic intracranial hypertension and endophthalmitis. Program participants will also be updated on cutting-edge surgical techniques, such as minimally invasive glaucoma surgery.

PurposeThe focus of this meeting will be to update the comprehensive ophthalmologist as well as the retinal and neuro-ophthalmology specialist on the latest in diagnosis, medical management, preoperative evaluation, surgical techniques, clinical outcomes, and postoperative complications management in the fields of glaucoma, neuro-ophthalmology, and retina, as well as research on future developments in these disciplines.

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

n Analyze glaucoma surgical management techniquesn Appraise the latest diagnostic tools in neuro-ophthalmology n Apply the latest techniques and pearls to successfully manage complex cataract surgery in

glaucoma patients/combined cataract and glaucoma surgery approachesn Assess the evolving techniques on low tension glaucoma/optic neuropathy evaluationn Create a plan to manage endophthalmitisn Evaluate the current medical options for vitreo-retinal diseasen Identify, evaluate and manage various optic neuropathiesn Identify ocular manifestations of cerebrovascular diseasen Interpret glaucoma progression analysis printouts for various OCT devicesn Review advances in vitreal injectable TX for posterior-segment disease n Review the neuro-ophthalmic side effects of medications

O. Jay LaCour, MDAndrew Lawton, MDAlejandro Leon, MDAnthony Mazzulla, MD

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Hans K. Bruhn, MHS Risk Manager, OMIC San Francisco, CA

Jeffery DaigrepontSenior Vice President, Coker GroupAlpharetta, GA

Davinder Grover, MDPrivate PracticeGlaucoma Associates of TexasDallas, TX

L. Jay Katz, MDProfessor of OphthalmologySidney Kimmel Medical CollegePhiladelphia, PA

Andrew Lee, MD Chair, Department of OphthalmologyJack S. Blanton Eye InstituteHouston Methodist HospitalHouston, TX

William Mieler, MDDirector of Ocular Oncology ClinicUniversity of IllinoisChicago, IL

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 20.00 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity.

Faculty

It is the policy of the New Orleans Academy of Ophthalmology to ensure balance, independence, objectivity and scientific rigor in all its educational programs. All faculty participating as speakers in this program are required to disclose any relevant financial relationship(s) they have with a commercial interest that benefits the individual in any financial amount that has occurred within the past 12 months; and the opportunity to affect the content of CME about the products or services of the commercial interests. The New Orleans Academy of Ophthalmology will ensure that any conflicts of interest are resolved before the activity occurs.

Peter Netland, MD, PhD Professor and Chairman Department of OphthalmologyUniversity of Virginia, Charlottesville, VA

Valerie Purvin, MDClinical Professor of Ophthalmology and NeurologyIndiana University Medical CenterIndianapolis, IN

Joseph Rizzo, MDProfessor of OphthalmologyHarvard Medical School, Boston, MA

Hady Saheb, MDAssistant Professor of OphthalmologyMcGill UniversityMontreal, QC

Steven Sarkisian, MDClinical Professor of OphthalmologyUniversity of OklahomaOklahoma City, OK

Joel Schuman, MDProfessor and Chair, Department of OphthalmologyNYU Langone Eye Center, New York, NY

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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AGENDA

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Friday, February 15, 2019

6:30 – 7:55 AM Registration

7:55 – 8:00 AM President’s Remarks

Session I

8:00 – 8:15 AM Screening for Glaucoma: New Approaches L. Jay Katz, MD

8:15 – 8:30 AM Corneal Hysteresis: A Diagnostic Test to Help Aid in the Management of Glaucoma Davinder Grover, MD

8:30 – 8:45 AM Fundamentals of OCT for Glaucoma Peter Netland, MD

8:45 – 9:00 AM Measuring Progression with OCT Joel Schuman, MD

9:00 – 9:15 AM Is Glaucoma Reversible? L. Jay Katz, MD

9:15 – 9:45 AM Roundtable: Glaucoma Detection and Progression Moderator: Peter Netland, MD Panel: Drs. Grover, Katz, Schuman

9:45 – 10:00 AM Q&A

10:00 – 10:30 AM Break and Visit Exhibits

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Session II

10:30 – 10:45 AM Unilateral Disc Edema Valerie Purvin, MD

10:45 – 11:00 AM Update on Giant Cell Arteritis Joseph Rizzo, MD

11:00 – 11:15 AM Update on Non-arteritic Anterior Ischemic Optic Neuropathy Joseph Rizzo, MD

11:15 – 11:30 AM Retina vs. Optic Nerve: Who you gonna Call? Andrew Lee, MD

11:30 – 11:45 AM Normal Tension Glaucoma Evaluation L. Jay Katz, MD

11:45 – 12:15 PM Roundtable: Optic Atrophy Work Up for the General Ophthalmologist Moderator: Andrew Lee, MD Panel: Drs. Grover, Katz, Netland, Purvin, Rizzo, and Schuman

12:15 – 12:30 PM Q&A

12:30 – 1:45 PM Lunch and Visit the Exhibits

Session III

1:45 – 2:00 PM Medical Treatment for Glaucoma L. Jay Katz, MD

2:00 – 2:15 PM Drug Delivery Update to the Posterior Segment William Mieler, MD

2:15 – 2:30 PM Five medications that can blind your patient Andrew Lee, MD

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2:30 – 2:45 PM The Impact of Systemic Medications on Retinal Function William Mieler, MD

2:45 – 3:15 PM Roundtable: Drugs, All that Jazz and Pass the Weed, Man Moderator: William Mieler, MD Panel: Drs. Grover, Katz, Lee, and Schuman

3:15 – 3:30 PM Q & A

3:30 – 4:00 PM Break and Visit Exhibits

Session IV

4:00 – 4:15 PM Ocular Manifestations of Cerebrovascular Disease Joseph Rizzo, MD

4:15 – 4:30 PM Idiopathic Intracranial Hypertension: Management Decisions Valerie Purvin, MD

4:30 – 4:45 PM A Primer on Nystagmus Joseph Rizzo, MD

4:45 – 5:00 PM Photophobia: Common and Uncommon Causes Valerie Purvin, MD

5:00 – 5:15 PM Neuro-ophthalmology Testing CT and MRI: Which is which, when to order, and why? Andrew Lee, MD

5:15 – 5:30 PM Q&A

5:30 – 6:30 PM Workshops Security Risk Assessment for Meeting MIPS/MACRA Compliance Jeffery Daigrepont

Informed Consent (OMIC Presentation) Hans Bruhn

5:30 – 8:00 PM President’s Wine and Cheese Reception

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Saturday February 16, 2019

7:15 – 7:50 AM Registration

7:50 – 8:00 AM President’s Remarks

Session V

8:00 – 8:15 AM Beyond Gonioscopy: Anterior Segment OCT and Angle Closure Hady Saheb, MD

8:15 – 8:30 AM Glaucoma Therapy and Compliance Steven Sarkisian, MD

8:30 – 8:45 AM Beyond Hypotensive Drops: Glaucoma Toolbox Hady Saheb, MD

8:45 – 9:00 AM Laser Peripheral Iridotomy as Prophylaxis L. Jay Katz, MD

9:00 – 9:15 AM Update on SLT Steven Sarkisian, MD

9:15 – 9:45 AM Roundtable: How I Perform Laser: Patient Selection, Treatments, Etc. Moderator: L. Jay Katz, MD Panel: Drs. Saheb and Sarkisian

9:45 – 10:15 AM Break and Visit Exhibits

Session VI

10:15 – 10:30 AM Top 5 Pearls for Cataract Surgery in Glaucoma Patients Hady Saheb, MD

10:30 – 10:45 AM Small Pupils/IFIS in Cataract-Glaucoma Surgery Peter Netland, MD

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10:45 – 11:00 AM Cataract-Glacuoma-MIGS Peter Netland, MD

11:00 – 11:15 AM MIGS: An Update on the Space and My General Surgical Algorithm Davinder Grover, MD

11:15 – 11:45 AM Roundtable: Phaco-MIGS Clinical Dilemmas: Case Presentations on MIGS Choice Moderator: Hady Saheb, MD Panel: Drs. Grover, Katz, Netland, Sarkisian, and Schuman

12:00 – 12:15 PM Q & A

12:15 – 1:30 PM Lunch and Visit Exhibits

Session VII

1:30 – 1:45 PM History Taking in Neurological Disorders Valerie Purvin, MD

1:45 – 2:00 PM Five Neuro-ophthalmic Diagnoses you cannot Afford to Miss Andrew Lee, MD

2:00 – 2:15 PM Top 10 Mistakes in the Diagnosis of Neurologic Visual Loss Valerie Purvin, MD

2:15 – 2:30 PM Visual Hallucinations Joseph Rizzo, MD

2:30 – 2:45 PM Intermittent Diplopia Valerie Purvin, MD

2:45 – 3:00 PM Q&A

3:00 – 3:30 PM Break and Visit Exhibits

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Session VIII

3:30 – 3:45 PM Future of Glaucoma Treatment Steven Sarkisian, MD

3:45 – 4:00 PM The Future in Neuro-ophthalmology and Testing Andrew Lee, MD

4:00 – 4:15 PM Regenerative Ophthalmology and Whole Eye Transplants Joel Schuman, MD

4:15 – 4:30 PM The Future for Retinal Implants William Mieler, MD

4:30 – 4:45 PM Tele-Ophthalmology Joel Schuman, MD

4:45 – 5:15 PM Roundtable: Most Exciting Innovations for our Patients Moderator: Joel Schuman, MD Panel: Drs. Grover, Katz, Lee, Mieler, Sarkisian, and Saheb

5:30 – 6:30 PM Workshops Practical and Cutting Edge OCT; OCT Clinical Dilemmas Drs. Hady Saheb and Joel Schuman

The Ethics and Compliance Concerns of Using Artificial Intelligence Jeffery Daigrepont

Sunday, February 17, 2019

7:45 – 8:25 AM Registration

8:25 – 8:30 AM Housekeeping remarks

Session IX

8:30 – 8:45 AM Current Surgical Approaches for Glaucoma Peter Netland, MD

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8:45 – 9:15 AM The Pressure’s Up and There’s No Cataract… can I still do MIGS? Steven Sarkisian, MD

9:15 – 9:30 AM Trab-Bleb revision techniques Davinder Grover, MD

9:30 – 9:45 AM Managing NVG and Silicone Oil Peter Netland, MD

9:45 – 10:00 AM Prevention and Treatment of Endophthalmitis 2019 William Mieler, MD

10:00 – 10:30 AM Roundtable: Surgical Approaches to MIGS Moderator: Steven Sarkisian, MD Panel: Drs. Grover, Katz, Netland, Saheb, and Schuman

10:30 – 10:45 AM Q&A

10:45 – 11:00 AM Break

Session X

11:00 – 11:20 AM Uvetic Glaucoma Peter Netland, MD

11:20 – 11:35 AM Cyclo-destructive Procedures Following Failed Tubes: Significantly Decreasing the Need for Second Tubes Davinder Grover, MD

11:35 – 11:50 AM Management of Tube Related Hypotony Davinder Grover, MD

11:50 – 12:10 PM GATT: A Novel Ab Interno 360 Degree Trabeculotomy Davinder Grover, MD

12:10 – 12:30 PM Open Globe Repair William Mieler, MD

12:30 – 12:45 PM Q&A

12:45 PM Closing

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WorkshopS

The following workshops are available at no charge to attendees of the 2019 Annual Symposium:

Security Risk Assessment for Meeting MIPS/MACRA Compliance Instructor: Jeffery Daigrepont Friday, February 15, 5:30 – 6:30 PMOn April 27, 2016, CMS released the proposed rule for “MACRA,” which repeals the Medicare Part B Sustainable Growth Rate (SGR) reimbursement formula and replaces it with a new value-based reimbursement system called the Quality Payment Program (QPP). The QPP consists of two tracks: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). This lecture will cover the following: What are the financial and reputational impacts of MIPS; what is the timeline for MIPS and penalties for non-compliance; what are advance alternative payment models in relationship to MIPS, and what are the eligibility and exception requirements.

Informed Consent Instructor: Hans K. Bruhn, MHS Saturday, February 15, 5:30 – 6:30 PMOMIC insureds earn a 10% discount on their OMIC premium if they are current, paid members of the ALAO, LAEPS, and MAEPS. A one-time 10% discount will apply for current NOAO members.OMIC insureds who are not member of these state societies will receive a 5% discount on their OMIC policy upon renewal.

The Forum will address informed consent issues that plaintiff attorneys raise in lawsuits. This course will present the basics of the informed consent, offer studies on how well this process is completed, discuss the surgeon’s and patient’s perspective on obtaining consent. To illustrate the importance of informed consent in a medical malpractice lawsuit, OMIC closed claims will be presented for discussion with participants.

The Ethics and Compliance Concerns of Using Artificial Intelligence Instructor: Jeffery Daigrepont Saturday, February 16, 5:30 – 6:30 PMThe adoption of artificial intelligence (AI) in healthcare is on the rise and solving a variety of problems for patients and providers. This session will take a closer look at how AI is solving problems and what’s on the horizon for the industry. As AI advances, we will need to consider the creation of ethical standards which are applicable anytime patient data is being used. To that end, this presentation will also address the possible downsides and risk of AI for medical professionals and examine the basic knowledge about how AI works in a medical setting.

Practical and cutting edge OCT; OCT Clinical Dilemmas Instructor: Drs. Hady Saheb and Joel Schuman Saturday, February 16, 5:30 – 6:30 p.m.Optical coherence tomography (OCT) is a commonly used imaging modality in the evaluation of glaucomatous damage. The commercially available spectral domain (SD)-OCT offers benefits in glaucoma assessment over the earlier generation of time domain-OCT due to increased axial resolution, faster scanning speeds and has been reported to have improved reproducibility but similar diagnostic accuracy. This workshop reviews the utility of OCT in glaucoma and the clinical dilemmas you may encounter while using this imaging modality.

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The French QuarterThis 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 DeadA 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 HomesThe 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 RiverFor 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 FamiliesThe Crescent City boasts one of the top 5 Aquariums and Zoos 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.

New Orleans & Activity Information

All 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.

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Registration and Hotel Information

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

A block of rooms have been reserved for registrants at the special rate of $239.00. 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 of any change in departure date. After January 19, 2019, reservations will be on a space available basis. Please make your reservations well in advance as there will be limited room availability after January 19, 2019.

Registration informationAll 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 $545.00 includes all course materials and refreshments. The deadline for the early registration fee is January 23, 2019. After January 23, 2019 the fee is $645.00. The registration fee of $100.00 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, all course materials and refreshments. There is no charge for residents if letter from chief of service accompanies the reservation form.

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.

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 23, 2019. After January 23, 2019 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.

Registration Form

Name Degree

Address

City/State/Zip/Country

Telephone number Fax

E-mail

Are then any 2019 conference-related topics that would better assist you in practice? Please list:

Registration fees Postmarked after please check one: Postmarked by 1/23/19 1/23/19–onsite

NOAO member q no charge if dues are paid by 1/23/19 q $525.00

Physician q $545.00 q $645.00

Allied Health Professional q $100.00 (physician not an NOAO member)

Allied Health Professional q $25.00 (physician is an NOAO member, letter required)

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

Workshop Registration (check only one per day)

q MIPS/MACRA Compliance Friday, February 15, 5:30 – 6:30 PM

q Informed Consent Friday, February 15, 5:30 – 6:30 PM

Payment Informationq Personal Check q American Express q Visa q MasterCard q Discover

Card Number________________________ Expiration Date_______ Security Code_____

$__________ Total Amount Enclosed

Please detach and mail this form with payment to:New Orleans Academy of Ophthalmology, 8131 Oak Street, Suite 300, New Orleans, LA 70118

504-861-2550 504-861-2549 fax Register on-line at www.noao.org

q Ethics and Artificial Intelligence Saturday, February 16, 5:30 – 6:30 PM

q OCT Workshop Saturday, February 16, 5:30 – 6:30 PM

68TH ANNUAL SYMPOSIUMThe Mind’s Eye: Updates on Glaucoma, Neuro-ophthalmology, and RetinaFebruary 15-17, 2019 PLEASE PRINT