News

Chicago—Glaucoma patients whose condition is nonresponsive to traditional therapies may have another treatment option, the gold microshunt (GMS) from SOLX. Outcomes of a study of the novel implant placed in the supraciliary space, which were conducted at sites in Israel and Spain, showed that 61% of patients had achieved IOP reduction of 30% or more by 6 months, with a mean reduction of 34% at 18 months after implantation.

New York—Endoscopic cyclophotocoagulation (ECP) performed in patients with medically controlled glaucoma who are undergoing phacoemulsification is extremely safe and associated with long-term reduction in the need for glaucoma medications, said Stanley J. Berke, MD.

Chicago—Douglas H. Johnson, MD, discussed several aspects of his research into aqueous outflow that could lead to a better understanding of the cause of glaucoma and ultimately contribute to a cure. He delivered the American Glaucoma Society lecture at the American Academy of Ophthalmology's glaucoma subspecialty day program.

Chicago—While epidemiologic studies indicate that only one-third of glaucoma damage is attributable to an excessive IOP over the normal distribution, the good news is that, nevertheless, much of the remainder is also pressure-dependent and, therefore, preventable.

Newark, NJ—Optimal medical therapy for most patients needing IOP-lowering treatment may be as simple as one bottle or two, said Robert D. Fechtner, MD.

Chicago—The Heidelberg Retina Tomograph II (HRT II, Heidelberg Engineering GmbH), the most widely available generation of this technology, creates a two-dimensional picture of a three-dimensional structure, such as the optic nerve, by acquiring images in a manner similar to that of computed tomography. Jeffrey D. Henderer, MD, explained the basics of this technology and its relevance to glaucoma at the American Academy of Ophthalmology annual meeting.

Chicago—Similar IOP-lowering outcomes were attained in eyes that underwent trabeculectomy or received the Ex-PRESS miniature glaucoma shunt (Optonol) placed under a partial-thickness scleral flap. Hypotony was less frequent in eyes that received the implant, according to the results of a comparison study.

Chicago—Examining the optic disc using the direct ophthalmoscope is a preferred method among some glaucoma specialists, including George Spaeth, MD, who spoke at the American Academy of Ophthalmology annual meeting.

Chicago—Results of a study including more than 1,000 eyes followed for up to 3 years show that selective laser trabeculoplasty (SLT) performed with the Q-switched frequency-doubled 532-nm Nd:YAG laser (Selecta II, Lumenis) is a safe and effective option for lowering and maintaining IOP across a spectrum of glaucoma patients, reported Lawrence F. Jindra, MD, at the annual meeting of the American Academy of Ophthalmology.

Chicago—A consortium of German researchers is making considerable progress toward development of an implantable device for 24-hour monitoring of IOP, according to Peter Walter, MD.

Rochester, NY—Bausch & Lomb will work with two biopharmaceutical companies on the development of angiogenesis-inhibiting compounds to treat retinal disorders.

Hunenberg, Switzerland—The Australian Therapeutics Goods Administration has approved Alcon Inc.'s anecortave acetate suspension 15 mg (RETAANE) for the treatment of subfoveal choroidal neovascularization caused by exudative age-related macular degeneration (wet AMD) where there is a classic component.

The burden of diabetes in 2002 was 132 billion. The prevalence of diabetes in all age groups may be increasing, reflecting the surging rates of obesity. In terms of vision impairment, diabetes is the leading cause of blindness in the working population that is preventable with timely application of photocoagulation.

American ophthalmologists have a number of meetings each year they can choose to attend to hear the latest advances in the practice of eye care.

Practice administrators will learn more about dealing with staff and employees, including how to find and keep personnel.

Chicago—Clinicians should use a systematic approach when confronted with the complaint of double vision. Knowing the possible symptoms and signs associated with diplopia can help with the diagnosis, explained Kimberly Cockerham, MD, FACS, at the neuro-ophthalmology subspecialty day meeting during the American Academy of Ophthalmology annual meeting.

Chicago—A careful history followed by a complete workup may be key to understanding and treating the cause of vision loss in patients with malignancy, explained Nicholas J. Volpe, MD.

With Medicare payments to physicians projected to decrease, treating patients will pose more challenges to ophthalmologists who are already experiencing decreased payments.

Chicago—The patterns of childhood blindness and visual impairment have been changing throughout the world over time. As socioeconomic status improves in many developing countries the major causes are changing, according to Clare Gilbert, MD, MSc, FRCOphth.

Chicago—Observations of patients in the Age-Related Eye Disease Study (AREDS) after they had cataract surgery did not seem to show an accelerated progression to neovascular age-related macular degeneration (AMD) compared with patients matched for severity of AMD who did not have cataract surgery, reported Frederick L. Ferris III, MD, during retina subspecialty day at the American Academy of Ophthalmology annual meeting.

In conjunction with the American Academy of Ophthalmology (AAO) meeting in Chicago last October, there was a musical performance tobenefit Research to Prevent Blindness (RPB). The show was titled "Doc Henry's Second Career" and was the first official "gig" of Henry I. Meisels, MD.

Chicago—The patterns of childhood blindness and visual impairment have been changing throughout the world over time. As socioeconomic status improves in many developing countries the major causes are changing, according to Clare Gilbert, MD, MSc, FRCOphth.

The Neuro-Ophthalmology Virtual Education Library (NOVEL) is a digital library produced through collaboration between the Spencer S. Eccles Health Sciences Library (EHSL) at the University of Utah, Salt Lake City, and the North American Neuro-Ophthalmology Society (NANOS), Minneapolis.

Though always discussed in a tongue-in-cheek fashion, the old adage "see one, do one, teach one" is essentially the closest thing most ophthalmology residency programs have to a surgical training curriculum.

The future of ophthalmology and patient care may well lie in patient education. According to a new study by the National Consumers League (NCL), many consumers—including those who wear glasses and contact lenses—are confused about the differences among various eye-care providers, the services they perform, and the training and education they must complete.

Chicago-Painful ophthalmoplegia may be a benign condition, such as microvascular ocular motor neuropathy, most commonly seen in the elderly with head and/or face pain, not requiring neuroimaging. On the other hand, it may be more serious with a combination of signs/symptoms that indicate a problem originating in the brain stem, cavernous sinus, or elsewhere, requiring a complete work-up, explained Gregory P. Van Stavern, MD.

With the widespread availability of OCT, clinical can easily examine the vitreous interface.

Chicago-"When is a lid laceration not just a lid laceration?" When it is occult penetrating orbito-cranial trauma, explained Roger E. Turbin, MD, assistant professor of ophthalmology and associate director of neuro-ophthalmology, University of Medicine and Dentistry of New Jersey-New Jersey Medical School.

One of the best things that ever happened to me was getting involved with the American Academy of Ophthalmology (AAO). Committees that I've been on include ones that help write exam questions, select papers and abstracts to be presented at the annual meeting, and that established the refractive surgery subspecialty day courses.

Columbus, OH—Performing radial optic neurotomy with adjunctive intraocular triamcinolone seems to be a feasible procedure for treating patients with central retinal vein occlusion (CRVO). The clinical resolution of the CRVO and the improved vision were similar when compared with the outcomes in patients who underwent radial optic neurotomy alone, according to E. Mitchel Opremcak, MD.