Program - Orthoptics Conference · The program will explore all ... planned an exciting and...

Program71st orTHoPTICS aUSTraLIa

aNNUaL SCIENTIFIC CoNFErENCE

Sunday 23rd - Wednesday 26th November 2014Brisbane Convention and Exhibition Centre

www.orthoptics2014.com.au

71st ORTHOPTICS AUSTRALIA ANNUAL SCIENTIFIC CONFERENCE2

CONFERENCE CONVENORS WELCOME

It is our great pleasure as Convenors to welcome you to the 71st Annual Scientific Conference of Orthoptics Australia in Brisbane at The Convention Centre from 23rd to 26th November 2014.

The RANZCO Congress will also be held at the Convention Centre and we are pleased to extend reciprocal registration which will enable all delegates to attend both meetings.

Our scientific committee Louise Brennan and Stephanie Crofts are guiding the development of a first class scientific program. The program will explore all aspects of Advancing Research, Upgrading Practice, Improving Participation, thus providing outstanding content which will enable all delegates to leave with new scientific skills and clinical knowledge. It will also be an opportunity for sharing ideas and experiences.

Queensland is world famous for the Great Barrier Reef, pristine beaches, and the catch cry “beautiful one day perfect the next”. It is renowned for its relaxed lifestyle, warm sunny days, rainforest, beautiful lakes, islands, bays and beaches. Please take time to discover these delights.

The social venues are top class. The dinner will be held at the Queensland Art Gallery Museum around the Watermall and fountains. Room Three Sixty will welcome our delegates to a stunning panoramic view of the city, river, the historic Old Government House and city Botanical Gardens. A customised pre-conference tour around North Stradbroke Island will also be available.

The high standard of this 71st conference would not be possible without the generous support of our sponsors Bayer, Novartis, Abbott, Optimed and MSD.

We look forward to meeting you in Brisbane where our motto is Meloira Sequimur meaning “We aim for the best.”

Julie Hall

Paul Cawood

Keren Edwards

Conference Convenors

Kathleen Poon & Esther Gmelig

Professional Conference Organisers


SCIENTIFIC COMMITTEE

Louise BrennanLouise graduated from the University Of Sydney with a Bachelor of Applied Science in Orthoptics with Honours in 1994. She is a Senior Clinical Orthoptist at The Children’s Hospital at Westmead where she has enjoyed working since graduation. During her time at CHW she has undertaken other roles involving herself in paediatric low vision, private practice, clinical education and project officer for the eyeplaysafe project. Louise has published research in international journals and has presented at various scientific meetings nationally. She was awarded the Paediatric Orthoptic award in 2013.

Stephanie CroftsStephanie graduated from the University Of Sydney with a Bachelor of Applied Science in Orthoptics with Class 1 Honours in 2005. She began her orthoptics career as a new graduate Orthoptist at The Children’s Hospital at Westmead in 2006 and continues to work there as a Senior Clinical Orthoptist. Stephanie has undergone specialised training in visual electrophysiology at Great Ormond Street Hospital and Moorefields Eye Hospital in London and Sick Kids Hospital in Canada and runs the electrophysiology service at the Children’s Hospital at Westmead. Stephanie is a clinical associate lecturer for Sydney Medical School at the University of Sydney and has published research in international journals and presented at various scientific meetings nationally.


PRESIDENT’S WELCOME

On behalf of Orthoptics Australia I am pleased to welcome you to the 71st Annual Scientific Conference.

In addition to being an “Eco friendly, minimal footprint” conference we have planned an exciting and informative scientific meeting.

Our special guest speakers include Patricia Dunlop, an orthoptist with 65 years of clinical experience who will deliver the Patricia Lance Lecture and Bruce Wolf, the architect of the new Lady Cilento Children’s Hospital in Brisbane who will give the opening address.

Furthermore, we are offering a fantastic social program which will include a Welcome Reception at Room Three Sixty (Queensland University of Technology), Conference Dinner at the Watermall in Queenland’s spectacular Art Gallery and an optional day trip to Stradbroke Island.

Welcome again to what will be a premier event on the orthoptic continuing education and scientific calendar!

Dr Meri Vukicevic

President, Orthoptics Australia

aojournal.com.auTHE JOURNAL NOW ONLINE

FEATURING

online First – read the latest articles before they are published to print

Current Issue –as well as an archive of previous issues

Full articles – freely accessible to OA members and AOJ subscribers

abstracts – for public access and full text PDFs for purchase

advanced Searching – search by author, title, keywords and more

article alerts – receive an email as soon as a new article is posted

Sign in – with your OA Site login


CONFERENCE VENUES MAP

1. Welcome Reception: Room Three Sixty, QUT 21A Gardens Point Rd, Brisbane

2. Brisbane Convention & Exhibition Centre (BCEC), South Bank

3. Bayer Symposium: Rydges South Bank, Level 12, 9 Glenelg St, South Bank

4. Conference Dinner: Watermall, Queensland Art Gallery, Stanley Place, South Bank, Brisbane

5. Bayer Continuing Education Day, Queensland Eye Institute, 140 Melbourne St, South Brisbane

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CONFERENCE PRIZES

Eligibility for conference prizes is restricted to Orthoptics Australia members presenting ten minute oral presentations.

Paediatric Orthoptic AwardThe Paediatric Orthoptic Award was established to commemorate the work and commitment to paediatric orthoptics of three Orthoptists from Western Australia: Bev Balfour, Megan Lewis and Alison Terrill. It is awarded to the best paediatric paper presented at the Scientific Conference.

Emmie Russell PrizeThe Emmie Russel Prize was initiated by Emmie Russell, one of Australia’s first and most highly regarded Orthoptists. She wanted to encourage excellence in research by younger Orthoptists and so initiated the prize in 1975. The award is presented to the best presentation at the Scientific Conference. The presentation will be judged on its value to the profession, scientific content and integrity, clarity and presentation.

PRIZE NOMINEES

Nicole Carter

Understanding ocular motor apraxia

Allanah Crameri

Orthoptist-led clinics: investigating the effectiveness and efficiency of Orthoptists in diabetic retinopathy screening and cataract assessment

Melanie Cortes

Management of visual impairment in paediatric patients – the role of the Orthoptist.

What is our scope of practice?

Suzy Edwards

Retinal haemorrhages in infants and children – abuse or not?

Lindley Leonard

Evaluation of an Orthoptist led strabismus screening clinic

Emmie Russell Prize proudly sponsored by


GUIDE FOR PRESENTERS & CHAIRPERSONS

PresentersPrior to your session

Please review the conference program so you are aware of the date, time and location of your presentation, and whether you are presenting an oral paper or rapid fire.

Presentation Format Please ensure that you are familiar with the following recommendations for presenters from the conference venue audio-visual technicians;

1. PC preferred presentation, if you require a MAC you will need to supply your own with a VGA adaptor

2. Screens in the room are 4:3 aspect ratio so please make your presentations in the 4:3 format

Upload your PowerPoint presentation as soon as possible after your arrival at the Brisbane Convention and Exhibition Centre. Proceed to the RANZCO speakers prep room (M10). This is where presenters can go and check, change and upload their presentations with a BCEC technician who will network it to the OA conference room. This can be done at any time from 7.30am on the first day of the conference but please ensure you upload well before the session in which you will present.

An audio-visual technician will be present at the back of the presentation room during the OA conference to ensure that the presentations run smoothly, however they will not be available to upload presentations.

Please arrive ahead of the session starting time to meet the session chair.

Spend some time familiarising yourself with operating the podium, microphone and laptop/PC.

It is best to bring a copy of your presentation on 2 USB drives so that you have a backup. It is also advisable to email yourself a copy that you can access while at the conference should you lose your USB.

During your session

Please sit in the front row so the change over between presentations is quick.

The session chair will introduce you, read your biography and the title of your presentation.

Make sure that you speak clearly and slowly into the microphone at all times when presenting.

Questions will follow a group of similar presentations. Therefore following your presentation, sit in the front row until after the chair has called for questions from your session. Remember to use the microphone when responding.

People enter and leave at different stages and although it is preferred that they are seated during each presentation, this doesn’t always happen. Try not to get distracted by people entering or leaving your presentation — focus on the delegates attending who are interested in listening to you.

The conference sessions are busy and running late means other presenters are kept waiting and delegates may miss the start of concurrent sessions. As a presenter it is your responsibility to keep to time – practice your presentation with timekeeping prior to the conference. Time passes very quickly on the podium so be mindful of how long you have to present — aim to be under the time limit rather than right on time.

The session chair will inform you 2 minutes before the end of your speaking time if you are presenting an Oral paper or 1 minute if you are presenting a Rapid Fire. The time allowance for an oral presentation is ten minutes and five minutes for rapid fire.

In the event that you run over time despite notifications from the session chair, the chair will stand and move towards you — this is when you must finish. Running over time may mean that there is no time left for questions which is frustrating for you and the audience.

Time is allocated for questions, if there are no questions from the floor don’t feel bad – it may mean that everyone has enjoyed and understood your presentation. Often people will approach you afterwards to discuss issues – remember they may feel shy about asking a question.

When your presentation is over please resume the seat you had quickly and quietly.

Good luck! Thank you for sharing your knowledge and expertise with members of our profession.


GUIDE FOR PRESENTERS & CHAIRPERSONS

Chairpersons

Prior to your session

Please arrive at the venue in good time for the session to start on schedule.

Your most important tasks are to:

✔ Make the speaker(s) feel as comfortable as possible in their session;

✔ Keep the session to time; and

✔ Facilitate any question time.

Make sure all speakers are aware of the timings. The time allotted for speakers in each session may vary. Please make sure you have checked your program regarding the times allocated to each of the speakers in your session.

Timing of presentations is as follows:

Rapid fire: 5 min

Oral presentation: 10 min

Invited speakers: 20 min (this includes 5 min for questions)

The chair is responsible for making sure these times are adhered to.

Advise the audience of when question time is for your session

You may want to adopt the practice of giving a warning a few minutes before the presenter should conclude their talk. Warnings are structured as follows:

5 min rapid fire — warning 1 minute before end

10 min oral presentation — warning 2 minutes before end

15 min invited speaker presentation — warning 2 minutes before end

A timer and bell (or similar) will be made available to you to help keep time and for warnings.

Feedback from previous conferences indicates that delegates wanted speakers to adhere to their speaking times with session chairs ensuring that this happens.

The scientific committee has informed speakers about the importance of keeping to time and the warning system.

Check the biography of the speaker in your program book and make a short summary of this when introducing your speaker.

Make note of possible questions from papers presented in your sessions – you may need to get the ball rolling in question time by asking a starter question.

A roving microphone will be available for use during question time.

You will be informed of any late changes to the program due to unforeseen circumstances by the scientific committee.

Thank you for contributing to your professional conference.


IMPORTANT CONFERENCE DETAILS

Registration DeskRegistration desk will be located on P3-5, Brisbane Convention & Exhibition Centre.

Registration Desk Hours

Monday 24th November 7.45am - 4.00pm

Tuesday 25th November 7.45am - 4.00pm

Wednesday 26th November 8.30am - 12.00pm

Name BadgesDelegates are required to wear their name badges at all times.

You will not be authorised to enter any conference sessions, trade displays or gain access to morning and afternoon tea or lunch without your name badge.

If you misplace your name badge, please to go the registration desk to arrange a replacement.

Continuing Professional Education for AOB registrationTo claim CPD points for this conference, please supply the following details to the Australian Orthoptic Board:

Reference is OA2014

Category 2.2, 5 points per day

OUR SPONSORS

Orthoptics

Come and visit our booth at the RANZCO

trade display!


SCIENTIFIC PROGRAM MONDAY 24TH NOV Room P3-P5

TIME SPEAKER TITLE

INTRODUCTORY SESSION Session chair: Meri Vukicevic

9.00 – 9.20 Conference Convenors Official opening and Welcome

9.20 – 9.40 Mr Bruce Wolfe Opening Address

9.40 – 10.00 Julie Heraghty Macular Disease Foundation Australia and Diabetic Retinopathy

10.00 – 10.30 Morning tea

FUTURE DIRECTIONS OF ORTHOPTICS Session chair: Val Tosswill

10.30 – 11.10 Patricia Dunlop Pat Lance Lecture

11.10 – 11.20 Nicole JohnstonNovartis – Platinum Sponsor Presentation “ViaOpta Patient Support Program”

11.20 – 11.30Dr Meri Vukicevic & Dr Connie Koklanis

Engaging contemporary methods to improve teaching and assessment of orthoptics

11.30 – 11.50 Neryla Jolly & Sue SilveiraThe professions response to the Tasmanian challenge – What is our profile? What can we do better?

11.50 – 11.55 Dr Stephen Best RANZCO President

11.55 – 12.05 Presentation of the Zoran Georgievski and Mary Wesson Awards

12.05 – 1.00 Orthoptics Australia AGM

1.00 – 2.00 Lunch

PAEDIATRICS AND OCULAR MOTILITY Session chair: Linda Santamaria

2.00 – 2.20 Dr Amanda French Current trends in the treatment and prevention of myopia in children Invited Speaker

2.20 – 2.30 Melanie CortesManagement of visual impairment in paediatric patients – the role of the Orthoptists. What is our scope of practice? Prize nominee

2.30 – 2.40 Dee Garland Improving patching outcomes using an app

2.40 – 2.50 A/Prof Kerry Fitzmaurice Efficacy of null point training: A pilot study

2.50 – 3.00 Kristen Saba The answer is ductions, what is the question?

3.00 – 3.15 Pyrawy Sivarajah & Rhiannon Bellotti Differential diagnosis of up gaze disorders

3.15 – 3.25 Melanie Cortes Foundations are the key: Differential diagnosis in Neuro-Ophthalmology

3.25 – 3.30 Question time

3.30 – 4.00 Afternoon tea

MODELS OF EYE SERVICE Session chair: Pamela Walton

4.00 – 4.20 Dr Deepa Taranath My Myanmar Experience Invited Speaker

4.20 – 4.30 Angelique AntonioThe role of Orthoptists in delivering ophthalmic care to developing countries

4.30 – 4.40 Lindley Leonard Evaluation of an Orthoptist led strabismus screening clinic Prize nominee


4.45 – 4.55 Allanah CrameriOrthoptist-led clinics: Investigating the effectiveness and efficiency of Orthoptists in diabetic retinopathy screening and cataract assessment Prize nominee

4.55 – 5.05 Faten QunqarOpportunities for models of eye service delivery in the Ophthalmology Department at the Royal Children’s Hospital

5.05 – 5.10 Question Time


SCIENTIFIC PROGRAM TUESDAY 25TH NOV Room P3-P5

TIME SPEAKER TITLE

BAYER Symposium: Rydges South Bank, Level 12, 9 Glenelg St, South Bank. Breakfast to be served.

7.00 – 7.30 Registration

7.30 – 7.55 Carey-Ann JacksonA Small Matter of Patients: Insights From Qualitative Patient-Journey Research

7.55 – 8.15 Dr Meri Vukicevic The Psychosocial Impact of Treatment on wAMD Patients

8.15 – 8.30 Peter Said SmartSight The 1 Year Journey

RETINA Session chair: Catherine Mancuso

9.00 – 9.20 Dr Daniel Polya Diabetic Retinopathy Update Invited Speaker

9.20 – 9.30 Emily Caruso AMD progression through the eyes of Optical Coherence Tomography

9.30 – 9.40 Tanya Pejnovic Beyond eye drops; treatment of refractory uveitis

9.40 – 9.50 Stuart KeelInfluence of modifiable lifestyle factors on the retinal microvasculature in children and adolescence with type 1 diabetes


9.55 – 10.05 Sue Adams Bayer Platinum Sponsor Presentation “CRVO Update”


PAEDIATRICS Session chair: Neryla Jolly

10.30 – 10.50 Dr Michael Jones Retinoblastoma - an update Invited Speaker

10.50 – 11.00 Nicole Carter Understanding Ocular Motor Apraxia Prize nominee

11.00 – 11.10 Rachel Elliott Loss of vision without pathologic cause: A complex case study

11.10 – 11.20 Kylie Gouliotis The developmental implications of optic nerve hypoplasia

11.20 – 11.30 Suzy EdwardsRetinal haemorrhages in infants and children – abuse or not? Prize nominee

11.30 – 11.35 Question Time

11.35 – 11.55 Dr Maree Flaherty Congenital Cranial Dysinnervation Disorders – an update Invited Speaker

11.55 – 12.15 Sandra Staffieri Googling Dr Google: Leukocoria, Retinoblastoma and the World Wide Web Invited Speaker

12.15 – 1.00 SYMPOSIUM: Challenges in Paediatric Ophthalmology Dr Frank Martin, Connie Koklanis, Michael Sleep

1.00 – 2.00 Lunch

LOW VISION Session chair: Connie Koklanis

2.00 – 2.20 Dr Nathan Clunas The story of my life Invited Speaker

2.20 – 2.30 Sue SilveiraDo indicators grounded in clinical results fairly represent the severity of childhood vision impairment?

2.30 – 2.40 Rosa Wright Assessing a child with Cerebral Vision Impairment in a clinical setting

2.40 – 2.50 Neryla Jolly The new Australian standard for peripheral vision and driving

2.50 – 3.00 Neryla Jolly How does occlusion help this patient?

3.00 – 3.10 Kylie GouliotisThe effects of temporal-occipital recession on functional vision in a child with cortical vision impairment

3.10 – 3.20 Damian McMorrowUsing adaptive technology in the workplace to overcome barriers for people with low vision


3.30 – 4.00 Afternoon tea

CATARACT & REFRACTIVE SURGERY Session chair: Stuart Keel

4.00 – 4.10 Dr Jay Yohendran The Orthoptist’s role in optimising cataract surgery outcomes

4.10 – 4.20 Dr Jit B Ale MagarPrevalence of corneal astigmatism in Australian cataract patients and predicting the rate of Toric IOL implantation


SCIENTIFIC PROGRAM TUESDAY 25TH NOV Room P3-P5

TIME SPEAKER TITLE

CATARACT & REFRACTIVE SURGERY Session chair: Stuart Keel CONT...

4.20 – 4.30 Ana Alexandratos Calculating IOL powers in post RK patients


4.35 – 4.45 Bree MooreCorrection of high astigmatism with Toric IOLS, and a refractive surprise outcome

4.45 – 4.55 Lilian Farag IOL power predictability post laser refraction surgery

4.55 – 5.05 Sutha Sanmugasundram The Glaucoma Initial Treatment Study (GITS) – Methodology


7.00 – 11.00 Conference Dinner – Watermall, Queensland Art Gallery

WEDNESDAY 26TH NOV Room P3-P5

TIME SPEAKER TITLE

GENETICS Session chair: Sue Silveira

9.00 – 9.20 A/Prof Robyn Jamison Clinical genetics, genomics and management issues for patients with genetic eye disease Invited Speaker Invited Speaker

9.20 – 9.40 Seyhan Yazar The application of genome-wide association studies to ophthalmic disease: Insights from the Raine Study Invited Speaker

9.40 – 10.00 Lisa Kearns Not just circles and squares in family tree drawing Invited Speaker


RAPID FIRE CASES Session chair: Lindley Leonard

10.30 – 10.40 Pamela Walton Why No Diplopia?

10.40 – 10.45 Jodie Attard I woke up with double vision…help?

10.45 – 10.50 Kirsty Somerville McAlester Here’s one for the students

10.55 – 11.00 Susan Downing An unusual case of optic neuritis

11.00 – 11.05 Sally Steenbeck A good glasses case

11.05 – 11.10 Keren Edwards Dragged Fovea Diplopia Syndrome

11.10 – 11.15 Cindy Dykes Being a patient and all the things you should remember


11.25 – 12.00 OA Awards and Presentation Ceremony

12.00 Conference Close

Exhibition Displays

Lunchtime Presentations

• The evolution of paediatric and adult cataract surgery from ancient methods of couching to current phacoemulsification

• Videos of 1927 cataract surgery and capsulotomy• The history of Orthoptics from its early understanding of amblyopia traced through a fascinating display of

diagnostic instruments.• Historical poster exhibit

museumSharing our heritage

Date Time Presentations

Sunday 23 November

1.15pm iPad Presentation, Kyla GarftKyla is a final year medical student at Monash university and will be discussing productivity, social and entertainment Apps, such as iBooks, Keynote, Skype, YouTube, BBC iplayer and TED talks.

Monday 24 November

1.15pm Art, Dr Grahame ReadshawRetired Fellow and artist, Grahame Readshaw, will be bringing in a number of his works and discussing watercolour technique and art more broadly. Two of Grahame’s books will also be on display in the Senior and Retired Fellows lounge.

Tuesday 25 November

1.15pm Ophthalmic Curiosities and using the museum website, Dr David Kaufman and Ms Kirsten CampbellDavid is a RANZCO Fellow and curator of the Museum and will be presenting on Ophthalmic Curiosities and using the museum website.

The Senior and Retired Fellows lounge will play host to lunchtime presentations on Sunday, Monday and Tuesday. Seating will be available in the lounge. Remember to also check out the Museum display, which includes posters submitted by orthoptists and ophthalmic trainees.


SPEAKER ABSTRACTS MONDAY 24TH NOV

INTroDUCTorY SESSIoN: 9.00am – 10.00amOfficial Opening and Welcome

Conference Convenors: Keren Edwards, Julie Hall, Paul Cawood

Opening Address: Mr Bruce Wolfe

Since being appointed managing director of Conrad Gargett in 1998, Bruce has worked on some of Queensland’s largest building projects and significant design awards with roles ranging from Project Architect, to Project Director. This has included the design of many facilities for Universities, Health Sector and Defence, demonstrating an understanding of the inter-relationships between client, user groups, facility management and procurement. He also had teaching commitments at the Schools of Architecture at the University of Queensland and Queensland University of Technology.

In leading Projects, Bruce has been project director for the $1.4 B Queensland Children’s hospital which has recently won the International Academy of Design and Health’s award for Future Hospital Buildings and was leader of the master planning team for the $2.5B Sunshine Coast University Hospital. He was also a leader in The Brisbane Group, responsible for the design of a 100HA redevelopment near the centre of Tripoli in Libya prior to the recent civil conflict in that country.

Earlier in his career, he designed buildings for universities and hospital campuses and was involved in Conrad and Gargett’s high-rise office buildings of the 1980’s and 1990’s.

Bruce contributes to projects with complex and competing social sector interests effectively dealing with political sensitivities, integrated design and urban issues. His key role is in managing and coordinating large multi-disciplinary teams on significant projects, providing smooth delivery of service, commitment and innovative thinking. Bruce is a member of the Queensland Board for Urban Places, the Business South Bank Board, The Society of College & University Planners, is a Council Member of the Australian Youth Orchestra and Adjunct Professor at the School of Architecture at University of Queensland.

He has won awards in the field of design, construction and master planning.



macular Disease Foundation australia & Diabetic retinopathy: Julie Heraghty BA, Assoc MAPS

ABSTRACT

Over the last 7 years awareness of macular degeneration has increased to levels that have placed Australia as a world leader. The call to action to have your eyes tested and macula checked has not only resulted in 2 out of 3 people over 50 having had an eye test and macula check in the last 2 years but also, inadvertently, captured other eye diseases. However in relation to diabetic eye disease more needs to be done.

The Foundation now embarks on a journey to ensure those with diabetes have an eye test and understand the importance of eye health.

Julie Heraghty joined MDFA as CEO in 2004. Under her leadership the activities of the Foundation have resulted in Australia becoming a world leader in awareness of macular degeneration.

Julie has worked as a policy advisor and served as a director and manager in major government departments. Her career began as a secondary school teacher and she is also a registered psychologist.

In 2013 Julie was awarded the prestigious Harvard Club of Australia Nonprofit Fellowship.

FUTUrE DIrECTIoNS oF orTHoPTICS: 10.30am – 12.05Pm

Patricia Lance Lecture Patricia Dunlop

Patricia Dunlop trained as an Orthoptist in London from 1947-1949. She trained under the tutelage of Sheila Mayou at Moorfields on City Road in London. Sixty five years later she is still practising as an Orthoptist but is now based in, New South Wales. At graduation, Patricia was the first ever recipient of the Maddox Prize which was awarded to the top student of the British Orthoptic Society (now the British and Irish Orthoptic Society). Her first Orthoptic position was in the Moorfields Orthoptic Training School where she worked up until the time she married and came to live in Australia.

Patricia’s other notable achievements include receiving the Charles Leonoard Gimblett Memorial Prize for dyslexia research in 1975, receiving a Demonstrator’s Certificate to add to her Orthoptic Diploma in 1978 and was Orthoptics Australia president in 1987-8.

In addition to her work running a busy private practice, Patricia raised six children who are all doctors, including 3 ophthalmologists and an Ear Nose & Throat Specialist, who are all successful in their own right.



Viaopta Patient Support Program Platinum Sponsor Presentation – NovartisNicole Johnston

Senior Product Manager-Lucentis AMD, Novartis Pharmaceuticals Australia

BIOGRAPHY

Nicole has been working with Novartis since 2006 working in Primary Care and Neurology before moving to Ophthalmology in 2012. Nicole is the Senior Product Manager for Lucentis wAMD and has been involved in the Pre Filled Syringe roll out and the recent launch of the ViaOpta Patient Support Program.

Engaging contemporary methods to improve teaching and assessment of orthoptics Dr Meri Vukicevic, PhD

Dr Connie Koklanis, PhD

Leigh Blackall, Dip Ed, PhD Candidate

Faculty of Health Sciences, La Trobe University

ABSTRACT

La Trobe University has been developing a range of skills and methods in their teaching and assessment work, aimed at improving flexibility for people studying subjects in the degree program.

Many of the methods are Internet and media based, and seek to engage professional and consumer communities online.

Major websites like Wikipedia, Youtube, Yahoo Answers, Google+ and others are sites that offer a gateway to information for professionals and consumers alike - certainly for students and some academics. It is these sites we are seeking to develop appropriate teaching and assessment methods around.

This paper outlines a range of methods tested so far, discusses issues from teacher, student and institution perspectives, and asks questions overall about the possible relationship between sites of formal and informal learning, and the prospects for orthoptics and other health professions.

BIOGRAPHY

Meri and Connie are academics in the Department of Clinical Vision Sciences, La Trobe University. They work closely with Educational Designer Leigh Blackall.

Meri is also President of Orthoptics Australia and Connie is Head of Department of Clinical Vision Sciences, and Chief Orthoptist at Royal Children’s Hospital, Melbourne.



The professions response to the Tasmanian Challenge – What is our profile? What can we do better?Neryla Jolly MA (macq) DOBA (T)

Sue Silveira Master Health Science (Education), PhD Candidate

Renwick Centre, Royal Institute for Deaf and Blind Children

Sydney University

ABSTRACT

At the 2013 conference in Tasmania members of the Orthoptic Profession were asked to spend time discussing and then recording their thoughts about the Profile of Australian Orthoptists and how we could move forward as a profession.

The comments gathered from the session have been analysed and will be presented as feedback to the profession.

Areas raised include: personal characteristics of Orthoptists, diverse areas of employment, concerns facing the profession, an improved future profile for the profession.

Things we can do better include: promotion, networking, working at a higher level with other professions.

Further opportunity will be provided to respond to the outcome as we move to becoming a more vital profession in the eye care field.

BIOGRAPHY

Neryla Jolly has extensive experience as an orthoptist, an academic and supporting drivers with vision defects to return to safe driving practice.

Sue is the chief investigator on the project which has established the Australian Childhood Vision Impairment Register. Sue is currently a research fellow with the Renwick Centre, RIDBC, teaches into the master’s programs offered by the Renwick Centre I the area of vision impairment, and is a PhD candidate.



PaEDIaTrICS aND oCULar moTILITY: 2.00Pm – 3.30Pm

Current Trends in the Treatment and Prevention of myopia in ChildrenDr Amanda French, PhD

A/Prof Kathryn Rose, PhD

University of Technology Sydney

ABSTRACT

Myopia is a potentially sight-threatening condition and the prevalence is rising internationally, with some evidence of a rise in Australia as well. In addition, onset is frequently occurring at a younger age, thus presenting a greater risk of progression to high myopia and development of pathology. A number of environmental factors have been linked to myopia onset, most notably, a lack of time outdoors via reduced exposure to high intensity light. This is the focus of a number of outdoor intervention trials in children, currently being conducted in Asia. Preliminary results suggest that increased time spent outdoors effectively prevents myopia development in children while, its impact on the progression of myopia is less certain. Other types of interventions for myopia progression have been, or are currently under investigation, with variable results. These include optical treatments either targeting accommodation (myopic undercorrection, bifocals or progressive addition lenses) or to reduce relative peripheral hyperopic defocus (orthokeratology and multifocal contact lenses). In addition, pharmacologic treatment using atropine (most recently low-dose atropine) has also been trialled. Randomised control trials (RCT) of interventions for myopia were identified through database searches of PubMED and MEDLINE. Search terms included; myopia, refractive errors, interventions, progression, eyeglasses, atropine, contact lenses, orthokeratology, time outdoors. Further relevant studies were identified by searching citations and reference lists of included studies. The current evidence for the impact of outdoor light exposure on the onset and progression of myopia will be reviewed and the effectiveness of other interventions to slow progression discussed.

Amanda French graduated from orthoptics in 2007 with class 1 honours and the university medal. She was awarded an APA for her research studies and completed her PhD in 2013. She is a lecturer at UTS, has published research in peer-reviewed international journals and presented at national and international meetings.



management of Visual Impairment in Paediatric Patients – The role of the Orthoptist. What is our scope of practice?Melanie Cortes BAppSc (Orthoptics) Hons

The Prince of Wales Hospital / Sydney Children’s Hospital Lion’s Eye Clinic for Children

ABSTRACT

At The Sydney Children’s Hospital Lion’s Eye Clinic For Children all paediatric patients reviewed by Ophthalmologist are also assessed by an Orthoptist. With increasing demand for eye services in the public health system, current workflow processes of paediatric eye services were reviewed with the aim to improve patient journeys through better allocation of resources.

METHOD:

A retrospective study was undertaken to review the roles of the multidisciplinary team in the management of paediatric patients with for reduced vision. More specifically the input of the Ophthalmologist and Orthoptist into management decisions regarding glasses and or patching was reviewed.

RESULTS:

The role of the Orthoptist and Ophthalmologist in the management decisions of paediatric patients with visual impairment will be discussed.

BIOGRAPHY

Melanie has been working at The Prince Of Wales Hospital Eye Clinic as a clinical Orthoptist since graduating in 2007. This service involves providing complex Orthoptic assessments and Ophthalmic investigations to adult patients and paediatric patients via the shared service with Sydney Children’s Hospital. Melanie’s interests include Paediatrics and Neuro-ophthalmology.

Improve Patching outcomes Using an appDee Garland BSc(Hons) DBO

ABSTRACT

Using the app “Patching Pirate” is a method of combining patching and technology! In the future we may be held more accountable for patching treatment and this is method of obtaining data which can be held in a patients records. It can also be a tool for research into patching and amblyopia.

The app was launched in July 2014 and it is hoped there may be some data to present at the conference in November. Google analytics data will show how the app has been taken up around the world.

BIOGRAPHY

Graduated from Moorfields Orthoptic School 1982. Previously worked in Sweden, South Africa, Germany, Saudi Arabia and the UK.



Efficacy of Null Point Training: A Pilot StudyAssociate Professor Kerry Fitzmaurice PhD

Dr Norliza Fadzil, PhD

Dr Linda Malesic, PhD

La Trobe University

ABSTRACT

Nystagmus is associated with reduced visual acuity. Null point strategy is a non-surgical intervention observed clinically to reduce the impact of nystagmus. A pilot study has been conducted with children with nystagmus to evaluate the efficacy of null point training to improve visual performance and to reduce reliance on a compensatory head posture. Nineteen participants aged between 12 and 19 years with reduced vision due to nystagmus were recruited. Participants were trained in null point technique. Outcome measures were print size, reading speed and performance of ADLs measured at three time points – pre training, post training and 6 months follow up. Results indicated print size decreased and self-perceived performance of ADLs improved between pre and post training and maintained at follow up. Reading speed increased between post training and follow up. These performance changes were significant p = 0.001. Actual performance of ADLs demonstrated gradual improvement at each test time with change being significant (p = 0.001) between pre training and follow up. Abnormal head posture was eliminated or reduced in 12 participants. These results support the efficacy of null point training as a strategy to reduce the impact of nystagmus and support the need for further study.

BIOGRAPHY

Associate Professor Kerry Fitzmaurice has worked as a low vision rehabilitation practitioner, teacher and researcher for 30+ years.

‘The Answer is Ductions…What is the Question?’Kristen SabaB.App.Sci Orthoptics

Dr Ross Fitzsimmons FRANCO

Marsden Eye Specialists

ABSTRACT

Many Orthoptists, independent of their level of experience, find the assessment and recording of ocular movements challenging. Inter-observer reliability for this clinical test is low.

We have looked at the ocular motility recordings of a random group of Orthoptists, ophthalmologists and eye registrars. All subjects were asked to record ocular movements for the same patients. There is considerable variation in the results which I will present.

Why is it so varied and how could we make it more consistent? Perhaps, we are asking the wrong question in the first place…

BIOGRAPHY

Graduated from Orthoptics 2005. Has worked in the Strabismus Clinic at Marsden Eye Specialists ever since and also has experience in refractive surgery.



Differential Diagnosis of Up gaze DisordersMs.Pyrawy Sivarajah (Orthoptics & Ophthalmic Sciences)

Miss.Rhiannon Bellotti (Orthoptics & Opththalmic Sciences)

Victoria Parade Eye Consultants

ABSTRACT

Working in a busy ophthalmic practise, Orthoptists are often exposed to many complex and unique cases of strabismus. The Orthoptists role is primal in helping to differentiate and diagnose these anomalies. Up gaze palsies usually result from mid brain lesions, tumours and infarcts. This presentation will focus on a selection of up gaze palsies and the orthoptic tests required in differentially diagnosing these conditions.

BIOGRAPHY

Rhiannon Bellotti (5th year) & Pyrawy Sivarajah(4th year) both completed their bachelors degree at La Trobe University. They currently work at Victoria Parade Eye Consultants in East Melbourne, where they are experienced in dealing with a multitude of eye conditions.

Foundations are the Key: Differential Diagnosis in Neuro-ophthalmologyMelanie Cortes BAppSc (Orthoptics) Hons

The Prince of Wales Hospital / Sydney Children’s Hospital Lion’s Eye Clinic for Children

ABSTRACT

An unusual and complex Neuro-Ophthalmic case of an intracranial aneurysm and third nerve palsy will be presented.

The importance of sound knowledge in neuro-anatomy for differential diagnosis will be highlighted in the presentation of this case.

BIOGRAPHY

Melanie has been working at The Prince Of Wales Hospital Eye Clinic as a clinical Orthoptist since graduating in 2007. This service involves providing complex Orthoptic assessments and Ophthalmic investigations to adult patients and paediatric patients via the shared service with Sydney Children’s Hospital. Melanie’s interests include Paediatrics and Neuro-ophthalmology.



moDELS oF EYE SErVICE: 4.00Pm – 5.10Pm

my myanmar experienceDeepa Taranath FRANZCO

ABSTRACT

Numerous Orthoptists have been a part of the “Sight for All” ophthalmic team who volunteer their time for educational, research and health promotion projects in Asia. I will share with you their role in establishing the first paediatric ophthalmology unit at Yangon Eye Hospital, Myanmar.

Dr.Than Htun Aung is the first and only trained paediatric ophthalmologist in this country of 60 million. He completed his yearlong fellowship in Adelaide under the sponsorship of SFA in 2010. I took part in 2 trips to Yangon: the initial visit in 2008 and then a follow up visit in 2013 accompanied by Australian Orthoptists.

Deepa is a consultant Paediatric Ophthalmologist with public appointments at Flinders Medical Centre and Women’s and children’s hospital, Adelaide and private clinics at Kent town and Mawson lakes.

She finished her basic medicine and ophthalmology training in India followed by a Fellowship in Paediatric Ophthalmology in Sydney from 2003-4. Subsequently she was awarded FRANZCO (Fellow of Royal Australia New Zealand College of Ophthalmology) in 2007.

Her areas of subspecialty interests include ROP (retinopathy of prematurity), ocular genetics and ocular metabolic diseases.

Deepa has volunteered for the last 7 years through “Sight for All” for establishing Paediatric Ophthalmology services in the Asian countries; Myanmar, Vietnam, Laos and Cambodia.



The role of orthoptists in delivering ophthalmic care to developing countriesAngelique Antonio (Master of Clinical Vision Sciences)

Donna Ha (Bachelor of Applied Sciences Orthoptics)

Mitchell Bagley (Master of Clinical Vision Sciences)

Gordon Eye Surgery

ABSTRACT

PURPOSE

To determine the level and type of contribution made by Orthoptists in delivering ophthalmic care to developing countries.

METHOD

An observational study was performed investigating the role of Orthoptists in delivering community ophthalmic care in Myanmar, the Philippines and Vietnam. Information and statistics concerning each clinic were gathered. Pre and postoperative orthoptic investigations involved VA, biometry, keratometry, auto-refraction, intra-ocular pressure and recommendation of intraocular lens (IOL).

In Myanmar the orthoptist was also involved in triaging, subjective refraction, slit lamp examination and diagnosis, binocularity assessment and treatment and training of the local ophthalmic workforce. The Orthoptist in the Philippines assessed a range of ophthalmic conditions and assisted in training ophthalmic screening techniques.

The Orthoptist who contributed to the Vietnam Vision Project counselled suitable patients regarding surgical risks and complications, enabling informed consent.

RESULTS

Over a 19 day period, the total number of patients seen in Myanmar was 1542. There were 455 operations performed including cataract, pterigium, oculoplastic, strabismus and trabeculectomy surgeries.

Over a 14 day period in Philippines, 157 cataract surgeries and 1 corneal repair was completed. During the two weeks in Vietnam, 353 free cataract operations were completed and an additional 170 consults were performed by Orthoptists and optometrists.

CONCLUSION

Orthoptists are a valuable and unique asset when delivering ophthalmic care to developing countries. Their broad ophthalmic knowledge and skills reduce the clinical burden on surgeons, enabling the surgeon to utilize their time and expertise in performing vital surgery leading to improved efficiency and patient care.

BIOGRAPHY

Angelique Antoniou, Mitchell Bagley and Donna Ha are Orthoptists who within the last 12 months have volunteered their time and skills in differing international ophthalmic aid programs across South East Asia. Since returning from the Philippines, Angelique has developed an interest in how Orthoptists are utilised in developing countries and has become an advocate for Orthoptists volunteering in aid programs.



Evaluation of an orthoptist led strabismus screening clinicLindley Leonard BAppSc Orth (Hons)

Orthoptic Department, The Children’s Hospital at Westmead

ABSTRACT

Since the initial pilot project in 2009 the strabismic screening clinic at The Children’s Hospital at Westmead has seen close to 700 children. Developed as part of our triaging protocol five years on we evaluate how this Orthoptic led clinic has served the community, our referral base and the eye clinic.

BIOGRAPHY

Lindley Leonard graduated from the University of Sydney in 2001 with first class honours. She has been working in the area of paediatrics and strabismus since graduation. In 2006 she was the recipient of the Paediatric Orthoptic Award.

Orthoptist led clinics: investigating the effectiveness and efficiency of Orthoptists in diabetic retinopathy screening and cataract assessmentAllanah Crameri BHSc/MOrth(Hons)

Dr Konstandina Koklanis PhD

Zeina Dayoub BOrth & OpthSc

Jana Gazarek B.Pod(Hons

Department of Clinical Vision Sciences, La Trobe University, Melbourne Australia

The Ballarat Eye Clinic

ABSTRACT

Northern Health in Melbourne, Australia has been active in expanding its Orthoptic services to cater for the changing population and increase in chronic eye disease. It is one of the first public health services in Australia to introduce Orthoptist-led diabetic retinopathy (DR) screening and cataract assessment clinics whereby the Orthoptist manages the care of a patient with low acuity disease in accordance with clinic protocols or guidelines.

The aim of this study was to (i) investigate the effectiveness of Orthoptist-led diabetic retinopathy screening clinics and cataract assessment clinics at Northern Health in terms of clinic efficiency and (ii) to investigate the diagnosis agreement between Orthoptists and Ophthalmologists. Data was retrospectively collected from the medical histories of patients who attended the DR screening clinic and/or cataract assessment clinic at the Northern Health service in Victoria. The information collected included patient demographics (age & gender), appointment and referral details and clinical data. Clinical data included visual acuity, diagnosis by the Orthoptist and diagnosis by the Ophthalmologist. The classification and stage of the ophthalmic condition was also documented. Strong agreement was found between the Orthoptists and Ophthalmologists when detecting and diagnosing DR and/or cataract for patients attending the Northern Health Orthoptist-led clinics. Orthoptists were able to improve efficiencies in the care of patients. This study indicates that there is the potential for the extended role of Orthoptists in hospital outpatient settings to improve efficiencies in clinics whilst maintaining a high level of care.

BIOGRAPHY

Allanah has recently graduated from La Trobe University after completing her degree with Honours. Her presentation is based on her Honours research, which was accepted & presented at the World Ophthalmology Congress in Tokyo in April this year. Allanah currently works at The Ballarat Eye Clinic as a full-time Orthoptist.



opportunities for models of eye service delivery in the ophthalmology Department at the Royal Children’s HospitalFaten Qunqar BHSc/MOrth(Hons)

Dr Connie Koklanis PhD

Cathy Lewis BAppSc(Orth)

Cameron Palmer GradDip(ClinEpi), BOrth(Hons)

Department of Clinical Vision Sciences, La Trobe University

Department of Ophthalmology, Royal Children’s Hospital, Melbourne

ABSTRACT

AIM

To audit the outpatient eye clinic at the Royal Children’s Hospital (RCH) in order to address the issue of increasing demand for paediatric eye services, via reviewing processes and proposing extensions in and/or innovative models of service delivery.

METHODS

Service encounters scheduled to be delivered at the RCH outpatient eye clinic during December 2012 – February 2013 were retrospectively reviewed. For each occasion of service, eleven points of data were collected. Analysed data related to areas of patient demographics, appointment details and clinical documentation. Pivot tables, vlookups, chi-squared and t-tests were utilised, with statistical significance set at p < 0.05.

RESULTS

1,566 service encounters were scheduled during the study period and of these, data was available for 1,547 (98.79%) occasions. Of these, 221 (14.29%) did not attend their appointment. No significant relationship was found between attendance rate and appointment scheduling. A significant difference was found between the suggested review and scheduled review (t(1832) = –2.97, p = 0.002), however was not considered clinically significant. Inflow was greater than outflow with 21.53% of appointments being scheduled for new patients and 7.39% documented to be discharged. A significant number of patients (36.36%) presented with concomitant strabismus and/or amblyopia. Less than half (44.42%) presented with a medical condition that complicated their care.

CONCLUSIONS

There is opportunity to extend current services and/or implement new, innovative models of care. Although introducing new models can address the issue of increasing demand for services, further research must be undertaken to ensure their efficiency and safety.

BIOGRAPHY

Faten Qunqar graduated with a Bachelor of Health Science and Master of Orthoptics (BHSc/MOrth(Hons), 2013) and completed her honours in the research field ‘shared models of eye service delivery’, namely paediatrics. She currently works as an Orthoptist in a general Ophthalmology practice, specialising in cataracts. She has an interest in ocular movement.


SPEAKER ABSTRACTS TUESDAY 25TH NOV

rETINa: 9.00am – 10.05am

Diabetic retinopathy UpdateDr Daniel Polya MBBS MPH FRCSC FRANZCO

Sydney Ophthalmic Specialists

ABSTRACT

Diabetic retinopathy (DR) is the commonest cause of blindness in our working age population. Orthoptists play an important role in evaluating the risk factors for DR, documenting the clinical features of DR, and assisting in the management of DR. The presentation will provide an overview of key aspects in the diagnosis and management of DR.

The clinical features of diabetic retinopathy include non-proliferative and proliferative diabetic retinopathy, and diabetic macular oedema. Important investigations in DR include optical coherence tomography and fluorescein angiography. Major treatment modalities are panretinal and focal laser, intravitreal therapy and pars plana vitrectomy.

Dr Polya is a Sydney based Ophthalmologist who specialises in vitreoretinal surgery and medical retina. A University of Melbourne graduate, his Ophthalmology training was at the Royal Victorian Eye and Ear Hospital.

His fellowship in diseases and surgery of the retina and vitreous was at the University of Toronto. Dr Polya is in private practice in Sydney, and works at the Royal North Shore Hospital.



amD Progression through the eyes of optical Coherence TomographyEmily Caruso BOrth, OpthSc, AOBR, MOA

Centre for Eye Research Australia

ABSTRACT

OCT has become a crucial diagnostic tool, in many ocular diseases, especially in retinal diseases such as AMDSpectral –Domain OCT (SD-OCT) technology allows us to obtain high resolution images which enables us to diagnose and monitor signs of progression in AMD at much earlier stages. This presentation will discuss the risk factors and the early signs of progression that can be identified on SD-OCT

BIOGRAPHY

Emily is an Orthoptist from Melbourne.

She currently works at the Centre for Eye Research Australia in the Macular Research Unit, and is currently the Clinical Trial coordinator of the Laser intervention in Early AMD study.

Beyond eye drops; Treatment of refractory uveitisTanya Pejnovic (B Orth)

Centre for Eye Research Australia

ABSTRACT

Although intermediate, posterior and pan uveitis are relatively uncommon conditions, they are a significant cause of visual impairment.

The mainstay of treatment is corticosteroids, however, there can be serious side effects from their long-term use. Other agents are utilised to allow the tapering of corticosteroids and so minimise these complications. The use and action of some of these steroid-sparing agents including the most recently developed drugs, TNF inhibitors, will be discussed.

BIOGRAPHY

Tanya Pejnovic is a Clinical Trials Coordinator at the Centre for Eye Research Australia, University of Melbourne. She moved to her new role last year after many years working in the fields of surgical retina and ocular oncology. Current research projects include uveitis, diabetic retinopathy and macular degeneration.



Influence of modifiable lifestyle factors on the retinal microvasulature in children and adolescence with type 1 diabetesStuart Keel (BOrth & Ophthal Sci (Hons)/PhD Candidate)

La Trobe University Alfred Health

ABSTRACT

PURPOSE

To examine the associations of diet, sedentary behaviours and physical activity with retinal vascular calibre in children and adolescence with type 1 diabetes.

METHODS

A total of 83 participants with known type 1 diabetes, recruited from the Royal Children’s Hospital, were evaluated in this cross-sectional study. Retinal vascular calibres were measured from digital retinal photographs using the semi-automated computer program. Self-reported dietary, sedentary and physical activity information was obtained using a semi-quantitative Food Frequency Questionnaire (FFQ).

RESULTS

After controlling for age, gender and ethnicity wider retinal venules was significantly associated with decreased physical activity level (p = 0.036). Multivariate analysis also revealed participants who spent more time engaged in sedentary behaviours displayed narrower arteriolar calibre (p = 0.001) and wider venular calibre (p=0.015). Furthermore, an increased intake of fruit/vegetables and protein rich foods loaded significantly with narrower retinal venules on principal components analysis.

CONCLUSIONS

These findings suggest that lifestyle factors may influence microcirculation early in life. Our research proposes that exposure to modifiable risk factors may affect systemic physiology, which is reflected in microvascular structure.

BIOGRAPHY

Stuart is a lecturer at La Trobe University, where he is currently undertaking a PhD. He also works as an Orthoptist in the Glaucoma Monitoring Clinic at the Alfred Hospital.

Sponsor Presentation – CrVo UpdateSue Adams, Medical Science Liaison, Ophthalmology, Bayer



PaEDIaTrICS: 10.30am – 1.00Pm

Congenital Cranial Dysinnervation Disorders – an updateDr Maree Flaherty FRANZCO, FRACS, FRCOphth

The Children’s Hospital at Westmead

ABSTRACT

Congenital Cranial Dysinnervation Disorders are any group of congenital non progressive eye movement disorders which include the strabismic syndromes of Duane and Moebeius syndrome and Congenital Fibrosis (CFEOM). The unifying feature of these disorders is a lack of development of the cranial nerves innervating the extraocular muscles (and at times the facial muscles)

This lack of the normal innervation to these muscles allows for aberrant innervation to occur, which is why miswiring patterns are so frequently seen in these conditions.

An overview of the relevant features of each disorder will be given.

Dr Maree Flaherty is a Senior Consultant Ophthalmologist at The Children’s Hospital at Westmead with particular interests in genetics. She runs a monthly combined genetics/ophthalmology clinic at the CHW with Associate Professor Robyn Jamieson and together they have contributed to identifying 2 out of the 4 known CFEOM genes.

Dr Flaherty also runs a very busy private Paediatric Ophthalmology practice in Western Sydney.



Understanding ocular motor apraxiaNicole Carter (Masters of Clinical Vision Science)


ABSTRACT

Ocular Motor Apraxia (OMA), also known as Saccadic Initiation Failure, is a rare condition that affects a person’s horizontal eye movements.

OMA is a neurological condition, which occurs when there is a defect in any of the numerous structures within the brain that are used to control horizontal eye movements. It can be acquired or congenital. This presentation will focus on congenital OMA.

The most recognisable clinical feature of OMA is a jerky head thrust which is used to compensate for the lack of horizontal saccades. This movement utilises the intact vestibular ocular reflex in order to change fixation from one object to another without the need to saccade. In this presentation OMA will be discussed in detail and case studies of the condition will be presented.

BIOGRAPHY

Nicole Carter graduated from the University of Sydney in 2012 and is currently working as the new graduate orthoptist at The Children’s Hospital Westmead.

Loss of vision without pathologic cause: a complex case studyRachel Elliott BAppSc (Orth), Master SpecEd(Sensory Disability)

Royal Institute for Deaf & Blind Children

ABSTRACT

This case study describes a student’s vision loss in the absence of pathologic cause and highlights the value of a collaborative transdisciplinary team approach in achieving a good outcome. The Orthoptist has an important role in careful assessment of visual function and observation of visual behaviours. A holistic approach to management, an awareness of associated factors and appropriate referral pathways is needed. In collaboration with educators, a psychologist, paediatrician, speech pathologist, occupational therapist and parents, the needs of a young woman with possible conversion disorder were identified and addressed.

BIOGRAPHY

Rachel has worked at RIDBC for 15 years with children who have vision impairment and additional needs in her role as a low vision Orthoptist. She enjoys working with a team of specialist educators and health professionals to provide support to children with vision impairment and their families.



The developmental implications of optic nerve hypoplasiaKylie Gouliotis BAppSc (Orthoptics)

Royal Institute for Deaf and Blind Children

ABSTRACT

Optic nerve hypoplasia is one of the most common causes of congenital vision impairment. While it can occur in isolation, it is commonly associated with abnormalities of the corpus collosum, pituitary gland and cerebellum. As a result, children with optic nerve hypoplasia may also face developmental delay, intellectual impairment, language disorders, learning difficulties, growth and endocrine abnormalities and behavioural disorders. In the past, it was thought that the behavioural and language anomalies could be attributed to the vision loss and so called “blindisms”. However, optic nerve hypoplasia and vision loss as a whole has gained more understanding and as a result more children with optic nerve hypoplasia are now being diagnosed with autism.

This presentation outlines the journey of a child with optic nerve hypoplasia and the developmental progression that lead to a diagnosis of autism and developmental delay. The issue of autism in vision impaired children and the implications of this will be discussed.

BIOGRAPHY

Kylie graduated from the University of Sydney in 2003 and worked as an Orthoptics in both public and private clinics. In 2012 she moved into education and works as a Consultant teaching students 0-18 with vision impairment at the Royal Institute for Deaf and Blind Children.

Retinal Haemorrhages in Infants and Children –Abuse or not?Suzy Edwards (Bachelor Health Science/ Masters in Clinical Vision Science)


ABSTRACT

Retinal haemorrhages are one of the most common findings for Shaken Baby Syndrome or Abusive Head Trauma as it is otherwise known. However they may also be associated with other accidental traumas or systemic illness.

There is a significant amount of information in the literature discussing retinal haemorrhages associated with child abuse with less of a focus on the other possible causes of retinal haemorrhages in children including accidental trauma, birth trauma, convulsions, systemic illness and CPR.

Any sign of retinal haemorrhages in a child or infant, prompts thorough investigation but there are many differential diagnoses that must be considered.

The purpose of this presentation is to discuss a variety of possible causes for retinal haemorrhages and identify the differences in clinical presentation. A few interesting cases will also be discussed.

BIOGRAPHY

Suzy Edwards graduated from Sydney University in 2010 with a Bachelor of Health Science and Master of Clinical Vision Sciences. She commenced working at the Children’s Hospital in 2011 as the New Graduate and has continued work in the busy paediatric Eye Clinic since.



retinoblastoma - an updateDr Michael Jones MBBS, PhD, FRANZCO


ABSTRACT

The purpose of this session is to cover the clinical aspects of retinoblastoma from diagnosis to treatment. Retinoblastoma is the commonest primary intraocular malignancy in childhood often poses difficult management decisions. It provides a model for patient-centred family care and multidisciplinary care.

Michael undertook sub-specialty fellowship training at the Hospital for Sick Children and University of Toronto (Toronto, Canada), where he received the Morin Award for most outstanding fellow. Michael undertook further subspecialty training in retinoblastoma with Brenda Gallie. He is a consultant Ophthalmologist at Sydney Eye Hospital and The Children’s Hospital at Westmead where he is head of the Department. Michael is active in advancing new surgical techniques including small-incision squint surgery. His keen interest in research has led to the completion of a Doctor of Philosophy. Michael is clinical lecturer at The University of Sydney and contributes to the Royal Australian and New Zealand College of Ophthalmology as secretary and treasurer of the strabismus society.

googling Dr google: Leukocoria, retinoblastoma and the World Wide WebSandra E Staffieri BAppSci(orth)

Dr Alex W Hewitt, PhD FRANZCO

Lisa S Kearns, BOphalmic and Visual Sciences, GradDipGenetic Counselling

Prof. David A Mackey MD, FRANZO

Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia

Department of Ophthalmology, Royal Children’s Hospital, Parkville, Australia

ABSTRACT

With leukocoria being the most common presenting sign, it is often seen in photographs – all too often retrospectively. A web-based questionnaire was developed to determine the public perception of leukocoria as seen in photographs, as well as examine the free text search words people would use to seek more information. The most commonly used search terms, websites visited and on-line search behaviours were identified. The use of social media as a method of obtaining data for health research is a growing area that health care providers need to interact with and utilise. Such data can be used to inform awareness campaign strategies about childhood eye diseases.

Sandra Staffieri is a Clinical and Research Orthoptist at the Centre for Eye Research Australia (CERA). Sandra has developed the unique role as the Retinoblastoma Care Co-ordinator at the Royal Children’s Hospital over the last 20 years. She is active in Retinoblastoma research and public awareness of the disease.



SYmPoSIUm:Challenges in Paediatric ophthalmologyProfessor Frank Martin AM, MBBS, FRANZCO, FRACS

Dr Martin was head of the Department of Ophthalmology at the Children’s Hospital at Westmead for 22 years and is currently a Visiting Medical Officer in Ophthalmology. He is also Visiting Medical Officer to the Sydney Eye and Sydney Children’s Hospitals.

Dr Martin is Clinical Professor in the Department of Paediatrics and Ophthalmology at the University of Sydney. He is President of the Board of the Children’s Medical Research Institute, the Asia Pacific Society of Paediatric Ophthalmology and Strabismus and the International Strabismological Association.

Dr Martin has received several distinguished awards including the Distinguished Service Award from the Asia Pacific Academy of Ophthalmology (1999) and the Award for Distinguished and Invaluable Contribution towards Ophthalmology in the World – International, the RANZCO College Medal, the Jose Rizal Medal and Michelle Beets Memorial Award.

Dr Martin has published over 40 articles, has written several text book chapters, and has been actively involved in clinical teaching.

Dr Connie Koklanis PhD

Connie is an orthoptist and academic in the Department of Clinical Vision Sciences, La Trobe University.

Connie is Head of Department of Clinical Vision Sciences, and Chief Orthoptist at Royal Children’s Hospital, Melbourne. She was Orthoptics Australia President from 2011 to 2013 and is the International Orthoptic Association Australian representative, a role she has held since 2011.

Michael Sleep Bachelor of Orthoptic and Ophthalmic Sciences (Hons)

Michael Sleep is the sole Orthoptist at the Royal Children’s Hospital in Brisbane.

He graduated with honours from La Trobe University in 2002 and commenced work in a general Ophthalmology practice in Redcliffe on the north side of Brisbane. In 2010, Michael joined Dr Glen Gole and his team at The Royal Children’s Hospital where he has since faithfully reported for duty to dabble in the art of Paediatric Orthoptics.



LoW VISIoN: 2.00Pm – 3.30Pm

The Story of my Life

ABSTRACT

Whilst working as an orthoptist at a Sydney ophthalmology clinic, Nathan Clunas had no idea that the study he was helping to coordinate, the ANCHOR trial, would produce the same drug that he would be Global Medical Affairs Director of a decade later in Switzerland. A diverse path has led to this role based in Basel, from clinical orthoptist to study coordinator, Doctor of Philosophy researcher, lecturer, clinical research associate, medical scientific liaison, medical advisor, regional brand medical expert & now GMA Director, this presentation will highlight the important role of being an orthoptist in this varied career.

Dr Nathan Clunas PhD (Medicine)

Dr Nathan Clunas is Global Medical Affairs Director, Ophthalmology at Novartis Pharmaceuticals AG, Switzerland.

Nathan has worked at Novartis for over 6 years and started his career at The University of Sydney graduating with Honours in the Bachelor of Applied Science (Orthoptics) program. Nathan also holds a PhD in Medicine.



Do indicators grounded in clinical results fairly represent the severity of childhood vision impairment?Sue Silveira Master Health Science (Education), PhD Candidate

Renwick Centre, Royal Institute for Deaf and Blind Children

ABSTRACT

The National Disability Insurance Scheme has been heralded as “a new way of providing community linking and individualised support for people with permanent and significant disability, their families and carers.” (NDIS, 2014). To date the scheme has had limited roll out across Australia, with several trial sites being launched. Individuals seeking support under the NDIS negotiate individualised plans with assessors from the National Disability Insurance Agency (NDIA). However there is growing concern over the cost of these plans, both short and long term, with the average cost of pre-launch projections being exceeded. In examining this cost blowout it has been acknowledged that a lack of alignment exists between the severity of the disability and the support planning. This has the potential for inequitable and unaffordable resource allocation.

This presentation will report on a project that has aimed to initially identify severity indicators for childhood vision impairment, using the clinical results of visual acuity for near and distance and visual fields. These severity indicators are based on the World Health Organization International Classification of Disease, Version 10. The limitations of these severity indicators and an approach to include indicators that reflect the functional impact of childhood vision impairment will be presented. The most current approaches by the NDIS to support childhood vision impairment will also be discussed.

BIOGRAPHY

Sue is the chief investigator on the project which has established the Australian Childhood Vision Impairment Register. Sue is currently a research fellow with the Renwick Centre, RIDBC, teaches into the master’s programs offered by the Renwick Centre in the area of vision impairment, and is a PhD candidate.

assessing a child with Cerebral Visual Impairment in a Clinical SettingRosa Wright BAppSc(Orthoptics)

RIDBC

ABSTRACT

Cerebral Vision Impairment is the most common cause of vision impairment in children in developed countries. As a consequence, various Orthoptists may need to assess a child with neurological vision loss at some point in time. By definition, CVI is caused by damage to the posterior visual pathways and/or the occipital lobes of the brain, and affects the processing and perception of what is seen. The health of the eyes may still be normal. There are various characteristics specific to CVI that are not seen in children without damage to the visual areas of the brain. With this in mind, some simple considerations and strategies can be implemented into the orthoptic workup in a clinical setting to optimize the child’s ability to respond, and to offer the parents a bigger picture of how their child may be using their vision.

BIOGRAPHY

Rosa Wright has worked as an Orthoptist at the Royal Institute for Deaf and Blind Children in Sydney for the past 10 years. She regularly carries out functional vision assessments with children, and enjoys educating families about the day to day implications of the assessment findings.



The New australian Standard for peripheral vision and drivingNeryla Jolly MA (macq) DOBA (T)

Sydney University

ABSTRACT

In 2012 the vision standard for driving changed to a risk based analysis. In NSW this is being very strictly translated with recall of licenses for drivers currently driving with peripheral vision loss.

The current standard and its translation will be discussed. Cases will be presented that demonstrate appropriate application of the revised guidelines as well as unfair application of the guidelines.

Strategies to support driers will be discussed.

BIOGRAPHY

Neryla Jolly has extensive experience as an Orthoptist, an academic and supporting drivers with vision defects to return to safe driving practice.

How does occlusion help this patient?Neryla Jolly MA (macq) DOBA (T)

Sydney University

ABSTRACT

A 17 year old learner driver presented with a peripheral vision standard that did not meet the licensing requirements, until occlusion was introduced, then she did. What happened?

BIOGRAPHY

Neryla is experienced in orthoptic practice, academic activities and vision standards for drivers. Sometimes she needs help!



The effects of temporal-occipital recession on function vision in a child with cortical vision impairmentKylie Gouliotis BAppSc (Orthoptics)

Royal Institute for Deaf and Blind Children

ABSTRACT

Lobectomy and recession are procedures to reduce seizure activity in people who are unresponsive to medication or have severe seizure disorders. This surgery carries risks of damage to surrounding structures in the brain and associated loss of function. In the occipital temporal region, there is a risk of damage to the visual pathway. While the pattern of visual field loss can be predicted, the impact of this can be difficult to ascertain in the case of pre-existing neurological visual loss.

This case outlines the pre and postoperative assessments of an 8 year old girl with cortical vision impairment and severe seizure disorder. Cortical vision impairment affects the way in which one is able to functionally use their vision and process visual information. In this case, it was essential to understand the way in which the child is able to use and process her vision in order to ascertain if surgery will effect visual functioning.

BIOGRAPHY

Kylie graduated from the University of Sydney in 2003 and worked as an Orthoptics in both public and private clinics. In 2012 she moved into education and works as a Consultant teaching students 0-18 with vision impairment at the Royal Institute for Deaf and Blind Children.

Using adaptive Technology in the workplace to overcome barriers for people with low visionDamian McMorrow Adaptive Technology Consultant

Vision Australia

ABSTRACT

This presentation demonstrates through a series of case studies, the ways in which adaptive technology can be used to overcome barriers to employment for people who are blind or have low vision. The presentation outlines a number of specific barriers to employment experienced by Vision Australia clients, and the adaptive technology and equipment which was used to overcome these barriers.

BIOGRAPHY

Damian McMorrow has spent over 23 years in the I.T. industry in a variety of roles, from running his own Adaptive Technology business, through to managing technical and service delivery teams across the Education sector. During this time, he has relied upon Adaptive technology and equipment to help overcome a wide range of barriers and issues. Damian now brings his experience and passion for Technology to his current role as an Adaptive Technology Consultant with Vision Australia, where he assists clients to gain or maintain employment by implementing technology solutions to overcome specific barriers and challenges in the workplace.



CaTaraCT/gLaUComa: 4.00Pm – 5.10Pm

The Orthoptist’s role in optimising cataract surgery outcomesDr Jay Yohendran FRANZCO

Royal Prince Alfred Hospital, Sydney

ABSTRACT

Orthoptists play a critical role in ensuring that patients refractive outcome post cataract surgery is optimised. I will present tips to ensure that biometry is performed accurately, including appraising the different techniques and machines currently available. Correcting corneal astigmatism with toric IOLs is now standard of care. I will discuss obtaining reliable keratometry readings, and how they can be validated with corneal topography. Toric IOL calculations will be presented, including the importance of knowing your surgeons personal Surgically Induced Astigmatism (SIA). I will also discuss the importance of auditing post-operative refractive outcomes. Cases with difficult biometry and IOL choices will be presented.

BIOGRAPHY

Dr Jay Yohendran graduated with Honours from Sydney University in 2001.

After completing ophthalmology training in Melbourne, he returned to Sydney Eye Hospital and undertook a twelve-month Glaucoma Fellowship.

Dr Yohendran has a special interest in refractive cataract surgery, and has completed a Graduate Diploma in Refractive Surgery at Sydney University.



Prevalence of corneal astigmatism in australian cataract patients and predicting the rate of Toric IoL implantationDr Jit B Ale Magar PhD, MOA, FAAO

Moreton Eye Group, Redcliffe, QLD

ABSTRACT

BACKGROUND

Prevalence of preoperative corneal astigmatism in cataract patient is a predictor of toric intraocular lens (IOL) implantation rate. Better prediction requires consideration of incision-induced changes to the astigmatism. This study documents preoperative keratometric astigmatism prevalence, and estimates the toric IOL implantation rate for various incision positions in an Australian cohort based on estimated postoperative corneal astigmatism.

SAMPLES

1790 eyes (1454 subjects).

METHOD

Preoperative keratometry data of patients undergoing routine cataract surgery were examined. This was adjusted for surgically induced astigmatism for various surgical incision positions to estimate postoperative astigmatism. The toric IOL implantation rate was calculated for each incision position.

RESULTS

Mean preoperative corneal astigmatism of all eyes was 0.98±0.80D. At a 1.0D astigmatism threshold, 34.9% of eyes would require a toric IOL when no surgically induced alteration in astigmatism is expected. Allowing for the keratometric effect of the incision, the toric implantation rate would reduce to 16.8% by positioning the incision on the steeper meridian. When the incision is placed independently of keratometry, the rate increased (up to 46.2%, depending on incision location). In the sample population, an independent incision on the horizontal meridian had least impact on toric IOL implantation rate (39.2%).

CONCLUSION

Preoperative keratometric astigmatism among this Australian cataract cohort is comparable to reports from other countries. Strategic positioning of the surgical incision on the steeper corneal meridian has potential to greatly reduce the rate of toric IOL requirement

BIOGRAPHY

Dr. Ale Magar works as Orthoptist and Clinical Researcher in Moreton Eye Group, Redcliffe Queensland. Dr Ale Magar completed his PhD from UNSW, Sydney in the Vision Science discipline. With special clinical interest in paediatric Orthoptics and Low Vision, Dr Ale Magar has research interest in Cataract and IOL



Calculating IoL powers in post rK patientsAna Alexandratos Dip. App Sc., DOBA

FOCUS Eye Centre, Sydney

ABSTRACT

It is now a weekly occurrence that we are faced with calculating IOL for patients who have undergone LASIK and PRK. Whilst most formulas these days give accurate results, calculating implant powers for patients who have undergone 8-12 cut radial keratotomy (RK) is a more challenging process. The current recommendations for calculating this special group are presented in this session. A short case study with immediate and long term results demonstrates the accuracy of these suggested theories.

BIOGRAPHY

Ana has worked in the field of Cataract and Refractive Surgery for nearly 20 years. She has been involved in both the clinical and surgical setting of FOCUS Eye Centre’s Day theatre. She has been a student mentor, tutor and casual lecturer in the field of Anterior Segment and Ocular Surface Disorders.

Correction of high astigmatism with Toric IoLs, and a refractive surprise outcomeBree Moore B.App.Vision.Sc (Orthoptics)

FOCUS Eye Centre

ABSTRACT

Since 2006, we have had the introduction of Toric implants to correct corneal astigmatism at the time of surgery. Focus Eye Centre has been using Toric IOL implants since mid-2006. Our rate of Toric IOL usage is around 60%, with 40% of the total being T2 & T3 IOLs. The amount of astigmatism correction in IOLs has increased over the years. Today we are able to correct from 0.75D up to 4 dioptres of Cyl as a standard Toric lens. Even with all our experience, this case study looks at a patient who underwent cataract surgery with Toric implantation in both eyes, and the refractive surprise that occurred despite all our technology. Our management and outcome is discussed.

BIOGRAPHY

Bree Moore graduated from Sydney University as an Orthoptist in 2008. After clinical placement at Focus Eye Centre, she was offered a full time position. She has been currently working there for 5 years. Bree is involved in cataract and laser assessments, as well as surgically assisting in these procedures.

IoL power predictability post laser refraction surgeryLilian Farag B.App.Sc (orth), Penny Chow Master of Orthoptics

FOCUS Eye Centre

ABSTRACT

How do we choose IOL powers for post refractive patients using hagis-L predictability

BIOGRAPHY

Lilian Farag is a Sydney University graduate with 6 years Orthoptic expertise in laser refractive surgery. She currently works at the Focus Eye Centre refractive clinic. Lilian takes a keen interest in the effect of laser surgery with IOL powers.


SPEAKER ABSTRACTS WEDNESDAY 26TH NOV

The glaucoma Initial Treatment Study (gITS) – methodologySutha Sanmugasundram Bachelor of Orthoptic and Ophthalmic Sciences

Marios Constantinou BSc (Hons), BOrth

Professor Jonathan Crowston BSc, MBBS, FRCOphth, FRANZCO, PhD

Dr Brian Ang MBChB, MRCSEd (Ophth), FRCOphth, FRANZCO

Jessica Brennan Bachelor of Orthoptic and Ophthalmic sciences

Professor Ecosse Lamoureux PhD; Mas. Appl. Sci; Grad. Dip; B.Ed.

The Centre for Eye Research Australia

ABSTRACT

Glaucoma is the leading cause of irreversible blindness in the world, the most common type of glaucoma being Open Angle Glaucoma (OAG). Currently treatment for OAG is to lower intraocular pressure by treating with topical medical therapy; however eye drops can have both ocular and systemic side effects resulting in reduced quality of life and can also be costly. Selective laser trabeculoplasty (SLT) has been shown in randomised clinical trials to be as effective in lowering intraocular pressure as eye drops, however despite this demonstrated equivalence in clinical efficacy and reduced long-term side effects, SLT is still not commonly used as a first line treatment for OAG.

The Glaucoma Initial Treatment Study (GITS) is a multicentre (both national and international), randomised controlled trial, comparing SLT with topical medical therapy for the initial treatment of OAG. This trial aims to determine the most appropriate initial treatment for OAG, based not only on clinical efficacy and safety outcomes, but also on patient reported outcomes (including quality of life) and cost effectiveness.

The primary outcomes of this trial are the comparison between groups of Patient Reported Outcomes and also the Cost effectiveness of the two treatments. Other secondary outcomes include Intraocular pressure reduction, predictors of success for the two treatments, incidence or progression of ocular surface disease, and adverse event rates.

BIOGRAPHY

Sutha Sanmugasundram completed a bachelor of orthoptic and ophthalmic sciences and is currently working as a Clinical Trials Coordinator at the Centre for Eye Research Australia, University of Melbourne. Over the last four years she has worked in several research areas, including diabetic retinopathy, glaucoma, AMD uveitis and cornea.



gENETICS: 9.00am – 10.00am

Clinical genetics, genomics and management issues for patients with genetic eye disease.Associate Professor Robyn Jamieson FRACP, PhD

University of Sydney, The Children’s Hospital at Westmead &

Children’s Medical Research Institute

ABSTRACT

There are many ocular diseases where there are strong underlying causative genetic factors. These diseases affect children and adults and include conditions which affect all parts of the eye including congenital and hereditary cataracts, anterior segment abnormalities and glaucoma, retinitis pigmentosa and other retinal dystrophies, and abnormalities of eye size. While a clear-cut inheritance pattern in the family may indicate the genetic nature of the condition, there are many patients and families where an individual may apparently be the first affected person in their family with a genetic disease. In any patient where ocular genetic disease is suspected, first degree and other relatives should be examined to gain as much information as possible about the likely inheritance pattern in the patient and family. This informs discussion about possible recurrence risk, management options, and the value of application of new next-generation sequencing (NGS) and genomic testing strategies for molecular genetic diagnosis. Recurrence risk information varies between family members depending on their position in the pedigree and the underlying inheritance pattern. Genetic information is now significantly improved with the advent of an increased capacity for molecular genetic diagnosis for these conditions in Australia. Genetic information for patients and family members is informed by the improved molecular testing, and needs to be tailored to each individual’s personal health and family situation event rates.

Associate Professor Robyn Jamieson is the Lead Clinical Geneticist at Eye Genetics Clinics at The Children’s Hospital at Westmead, and the Westmead Adult Hospital, Sydney. She heads Eye Genetics Research at the Children’s Medical Research Institute, The Children’s Hospital at Westmead, and the Save Sight Institute, University of Sydney.



The application of genome-wide association studies to ophthalmic disease: Insights from the raine Study.Seyhan Yazar, MOrth

University of Western Australia Centre for Ophthalmology and Visual Science, Lions Eye Institute Department of Clinical Genetics and Epidemiology

ABSTRACT

Genome-wide association studies (GWAS) are powerful tools for identifying genes associated with disease and disease-related quantitative traits. We have collected detailed ocular phenotypic data during the 20-year Raine Study follow-up which includes over 300 variables. This has provided us with the unique opportunity to study multiple outcomes. Our work has shown that studying disease-associated continuous traits in healthy individuals through genome-wide approaches enables new insights into the understanding of many ophthalmic diseases. In this presentation, we will review some of our GWAS publications on refractive error, astigmatism and keratoconus and discuss application of this method to other ophthalmic diseases including strabismus and other ocular movement disorders.

Seyhan is a PhD student within the Centre for Ophthalmology and Vision Science at the University of Western Australia. In her thesis, she is exploring genetic and environmental influences on ocular disease development and progression with a particular interest in myopia, corneal dystrophies and glaucoma.



Not just circles and squares in family tree drawingLisa Kearns B Orth and Ophthalmic Sci (Hons), Grad Dip Genet Counselling

Dr Alex W Hewitt PhD FRANZCO

Ms Sandra E Staffieri BAppSci(orth)

Professor David A Mackey MD, FRANZO

Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria

Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria.

ABSTRACT

Family tree information is typically obtained from the patient, parent or close family member who has attended the appointment and it is critical to use standardized symbols. Yet, clinicians should think outside the box as this information is an integral aspect of clinical care and if not considered meaningfully information may be overlooked. Using Leber’s Hereditary Optic Neuropathy, Retinitis Pigmentosa and Cone Dystrophy case studies, the importance of enquiring beyond first degree relatives, identifying consanguineous relationships, revisiting old family trees to add additional generations and/or potentially linking families will be presented.

Lisa Kearns is an Orthoptist and Associate Genetic Counsellor with both clinical and research commitments in the area of Genetic Eye Disease. Lisa works at the Centre for Eye Research Australia working on genetic studies of optic neuropathies and retinal dystrophies. She also co-ordinates the Ocular Diagnostic Clinic at the Royal Victorian Eye and Ear Hospital providing electrophysiology testing and genetic counselling.



raPID FIrE CaSES: 10.30am – 11.25am

Sydney/Sydney Eye Hospital Overview and why no diplopia case study?Pamela Walton B. App Sc (Hons) Orthoptics

Sydney/Sydney Eye Hospital

ABSTRACT

Mr W was a 60 year old man who presented to Sydney Eye Hospital Emergency Department on the advice of his optometrist. The patient was a vague historian. His main complaint seemed to be that of the uncosmetic appearance of his worsening left exotropia. The patient denied any diplopia. The resultant orthoptic assessment, diagnosis and follow-up are discussed.

BIOGRAPHY

Graduated from Cumberland College of Health Sciences in 1982 with Orthoptics Diploma, and upgraded to an Honours Degree from Sydney University in 1992. Upon graduation in 1982 Pam commenced work at a private orthoptic practice and travelled to Young Base Hospital with an Ophthalmologist. In 1984 Pam moved to Solleftea in Northern Sweden and worked as the sole Orthoptist in the district hospital for 2 years. She then returned to Australia and gained the position of Chief Orthoptist at Westmead Hospital where she worked for 10 years. Following this she worked for a private ophthalmologist in western Sydney for another 10 years. Pam commenced at Sydney Eye Hospital in 2012, and is currently Acting Head of Department.

I woke up with double vision..help!Jodie Attard B. App Sc Orthoptics


ABSTRACT

A 27 year old male presented to Sydney Eye Hospital Emergency Department with sudden onset horizontal diplopia, short episodes of right sided periorbital pain, dizziness and gradually worsening visual acuity. The orthoptic investigation, ancillary testing and diagnosis will be presented and discussed.

BIOGRAPHY

Graduated from Sydney University with a Honours Degree in 2009 and commenced work at both a private retinal practice and Sydney Eye Hospital. In 2013 she was appointed to the Student Educator locum position and thus became full-time at Sydney Eye Hospital. She continues full-time at Sydney Eye Hospital, including part-time as the Student Educator.



Here’s one for the students…Kirsty Somerville McAlester B.Med.Sci. (Hons) Orthoptics


ABSTRACT

A case presentation of patient with a plethora of motility issues following surgery for insertion of a Baerveldt device surgery, including possible IR toxicity following anaesthesia.

BIOGRAPHY

Graduated from Sheffield University 1999. Moved to Australia in 2000 and has worked at multiple sites in Sydney before accepting the role of student educator at Sydney Eye Hospital in 2002.

an unusual Case of optic neuritisSusan Downing BSc (Env Bio), MOrth

Sydney/Sydney Eye and St George Hospital

ABSTRACT

A 47 year old female presented to Sydney Eye Hospital Eye Emergency complaining of a 5 day history of blurred vision and pain in the left eye. Taking a thorough history revealed the likely cause of optic neuritis and a plan for future prevention.

BIOGRAPHY

Originally studied Environmental Biology and worked in this field for two years, then joined Ambulance Service of NSW in 1997 as a Paramedic. A career change saw Susan complete the first Masters Orthoptics Course at Sydney University in 2005. She then worked for 2 years for an ophthalmologist on NSW North Coast, then at Vision Australia for 5 years (at both Coffs Harbour and then Sydney). Susan commenced at Sydney Eye Hospital in 2011, and continues there today in a full-time capacity, sharing her time between Sydney Eye Hospital and St George Hospital.

a good glasses caseSally Steenbeck Dip App Sc (Orth)


ABSTRACT

Protective eyewear is not worn as frequently as it should be and injuries can be devastating in numerous ways. A good case for wearing protective eyewear will be presented.

BIOGRAPHY

Sally graduated from Cumberland College of Health Sciences in 1987 with a Diploma in Applied Science and has worked in numerous private ophthalmology practices since in Australia and the UK. Sally has worked in roles ranging from Orthoptist and ophthalmic assistant to theatre scrub and assistant and currently works two days a week at Sydney Eye Hospital, two days at St Vincent’s clinic and locums in her spare time.



Dragged Fovea Diplopia SyndromeKeren Edwards DOBA .Post Grad Mgment.

Mater Children and Caloundra Hospital

ABSTRACT

Case Study diagnosing and managing a patient with binocular diplopia resulting from macular pucker.

BIOGRAPHY

Keren Edwards trained at the RVEEH practiced in Canada and London and Victoria before working for Qld Health Mater Hospital and private practice .

She enjoys using the many skills demanded in paediatric, general and rehabilitation clinics.

Being the patient and all the things you should rememberCynthia (Cindy) Dykes Assoc Dip in Orthoptics

ACT Health and I work for an Ophthalmologist in the ACT

ABSTRACT

I finally agreed to having adjustable suture surgery for a large secondary exotropia whose diplopia was troubling me. Knowing a bit about eyes and surgery what could possibly go wrong! The things I may have been dismissive about in relation to patient complaints and their fears about surgery, I will be more sympathetic about in the future. Before and after shots of squint and how things are going, has it made a difference?

BIOGRAPHY

Worked as an Orthoptist for 30 years in several different Ophthalmological practises, worked for ACT Health for 15 years screening 0 to 5 year old kid’s vision.

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