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Pediatric cataracts: Issues and answers
106
Abstracts
Workshops Rationale and technology for vision screening: Hands-on demonstration. Robert W. Arnold, Sean P. Donahue, Robert W. Hered The VIPS studies ranked 11 available preschool vision screening methods with respect to sensitivity in HeadStart children. PEDIG has demonstrated marked improvement in many cases of refractive amblyopia treated with spectacles alone. Very early photoscreening can markedly reduce anisometropic amblyopia. These important recent studies will be critically compared. Many available objective and sensory vision screening technology will be on hand and compared. Efficiency, Interpretation, Cost, Funding, Validation, and Limitations of each will be discussed. Objective Screening will be emphasized. The emphasis will be on individual pediatric ophthalmologists, orthoptists, and their colleagues who are contemplating coordination of a vision screening program in their region. Really caring for patients: Humanism, professionalism, and advocacy. Carol D. Berkowitz Physicians are challenged by a plethora of new research and clinical information concerning patient management. There is however more to caring for patients than data. This workshop will explore the challenges of returning humanism and professionalism to patient care and discuss the links between humanism, professionalism, and advocacy. Difficult problems, nonstrabismus workshop. Stephen P. Christiansen, John D. Baker, Deborah K. Vanderveen, Monte D. Mills, David T. Wheeler, Erick D. Bothun In this workshop, we will discuss five to six patients with primary ocular disease processes, other than strabismus, whose diagnosis, findings, or treatment present a clinical dilemma to the pediatric ophthalmologist. The goal of the discussion will be to elucidate basic lines of thinking that should direct the clinician toward appropriate diagnostic and therapeutic solutions. The audience is encouraged to participate in the discussion. Pediatric cataracts: Issues and answers. Earl R. Crouch Jr., Monte A. DelMonte, Edward G. Buckley, David A. Plager, M. Edward Wilson Purpose: To discuss major issues in the management of pediatric cataracts. Objectives and Synopsis: Pediatric cataract surgery continues to evolve. However, major issues persist: best method of optical correction, management of posterior capsule opacification (PCO), and aphakic glaucoma. Issues regarding myopic shift and unilateral cataract management will be presented with a balanced approach. Difficult patient cases with solutions developed by the panel will be presented. Surgical techniques for common pediatric oculoplastic procedures. Forrest J. Ellis, Gregg Leuder, David Plager, Forrest D. Ellis Ophthalmic plastics and orbital conditions are common in the field of pediatric ophthalmology. The correction of these problems often involves surgery. This workshop reviews surgical techniques for common ophthalmic plastic procedures performed by the pediatric ophthalmologist. Covered topics will include the following: congenital ptosis, entropion, ectropion,
Volume 11 Number 1 February 2007
and congenital eyelid abnormalities; eyelid and canalicular lacerations; nasolacrimal probing, intubation, balloon catheter dilation, dacryocystorhinostomy; excision of periocular lesions; and injection and surgical management of hemangiomas. The goal is for the participant to gain knowledge and comfort in the performance of common pediatric ophthalmic plastic procedures. Hot topics in ROP. Anna L. Ells, Graham Quinn, Alistair Fielder, Clare Gilbert, Michael Chiang, Brian Darlow This workshop will address current international hot topics in retinopathy of prematurity (ROP). Presentations will include extensive retinal images of ROP including examples of atypical disease and aggressive disease that requires early identification and treatment. This workshop will be both didactic and interactive and involve international leaders in the field. Topics: Telemedicine approach to screening for ROP: Technical advances permit an innovative approach to remote ROP evaluation. Advantages and limitations of this evolving practice will be discussed including new work in areas of nonphysician readers and nonphysician users. Maternal and neonatal factors in ROP: Emerging evidence will be presented regarding critical neonatal management (early oxygen curtailment) and maternal risk factors in contributing to ROP. Plus disease: Quantification of preplus and plus changes will be discussed and the plethora of exciting research in this area will be presented. Emerging science of ROP: New research in the areas of angiogenesis and vasculogenesis will be discussed by leading basic scientists. New treatment options in ROP: Both pharmacological (anti-VEGF) and laser treatment options will be presented. International aspects of ROP: There is an epidemic of blindness in children due to ROP in middle income countries. This is occurring as a result of increased survival of premature babies due to the expansion of neonatal care services. Worldwide ROP epidemiology and implications will be discussed. What’s new and important in pediatric ophthalmology and strabismus for 2007? Douglas R. Fredrick, Graham Quinn, Debby Alcorn, Jytka Zobal-Ratner, Bruce Schnall, Darron Bacal The purpose of this workshop is to review the scientific literature concerning the topics of pediatric ophthalmology and strabismus. Members of the AAPOS Professional Education Committee review the ophthalmic and pediatric literature from March 2006 until March 2007, selecting articles which contain information important to all pediatric ophthalmologists. The content is summarized in written form and presented by the members of the committee. The amblyopia treatment studies—a 2007 perspective. Jonathan M. Holmes, Michael X. Repka, Richard W. Hertle, David K. Wallace Background: The Amblyopia Treatment Studies (ATS) are randomized, multicenter clinical trials or prospective data collection studies. We have compared atropine to patching for moderate amblyopia, patching regimens for moderate and severe amblyopia, glasses versus additional therapy for older children 7 to 17 years of age, weekend to daily atropine, and patching to continued glasses wear. Prospective studies have included monitoring for regression after cessation of therapy and treating with glasses alone for anisometropic amblyopia and bilateral refractive amblyopia. Workshop objectives: The panelists will discuss the most recent results of these studies, including the following: longer term follow-up of the
Journal of AAPOS
Abstracts
Workshops Rationale and technology for vision screening: Hands-on demonstration. Robert W. Arnold, Sean P. Donahue, Robert W. Hered The VIPS studies ranked 11 available preschool vision screening methods with respect to sensitivity in HeadStart children. PEDIG has demonstrated marked improvement in many cases of refractive amblyopia treated with spectacles alone. Very early photoscreening can markedly reduce anisometropic amblyopia. These important recent studies will be critically compared. Many available objective and sensory vision screening technology will be on hand and compared. Efficiency, Interpretation, Cost, Funding, Validation, and Limitations of each will be discussed. Objective Screening will be emphasized. The emphasis will be on individual pediatric ophthalmologists, orthoptists, and their colleagues who are contemplating coordination of a vision screening program in their region. Really caring for patients: Humanism, professionalism, and advocacy. Carol D. Berkowitz Physicians are challenged by a plethora of new research and clinical information concerning patient management. There is however more to caring for patients than data. This workshop will explore the challenges of returning humanism and professionalism to patient care and discuss the links between humanism, professionalism, and advocacy. Difficult problems, nonstrabismus workshop. Stephen P. Christiansen, John D. Baker, Deborah K. Vanderveen, Monte D. Mills, David T. Wheeler, Erick D. Bothun In this workshop, we will discuss five to six patients with primary ocular disease processes, other than strabismus, whose diagnosis, findings, or treatment present a clinical dilemma to the pediatric ophthalmologist. The goal of the discussion will be to elucidate basic lines of thinking that should direct the clinician toward appropriate diagnostic and therapeutic solutions. The audience is encouraged to participate in the discussion. Pediatric cataracts: Issues and answers. Earl R. Crouch Jr., Monte A. DelMonte, Edward G. Buckley, David A. Plager, M. Edward Wilson Purpose: To discuss major issues in the management of pediatric cataracts. Objectives and Synopsis: Pediatric cataract surgery continues to evolve. However, major issues persist: best method of optical correction, management of posterior capsule opacification (PCO), and aphakic glaucoma. Issues regarding myopic shift and unilateral cataract management will be presented with a balanced approach. Difficult patient cases with solutions developed by the panel will be presented. Surgical techniques for common pediatric oculoplastic procedures. Forrest J. Ellis, Gregg Leuder, David Plager, Forrest D. Ellis Ophthalmic plastics and orbital conditions are common in the field of pediatric ophthalmology. The correction of these problems often involves surgery. This workshop reviews surgical techniques for common ophthalmic plastic procedures performed by the pediatric ophthalmologist. Covered topics will include the following: congenital ptosis, entropion, ectropion,
Volume 11 Number 1 February 2007
and congenital eyelid abnormalities; eyelid and canalicular lacerations; nasolacrimal probing, intubation, balloon catheter dilation, dacryocystorhinostomy; excision of periocular lesions; and injection and surgical management of hemangiomas. The goal is for the participant to gain knowledge and comfort in the performance of common pediatric ophthalmic plastic procedures. Hot topics in ROP. Anna L. Ells, Graham Quinn, Alistair Fielder, Clare Gilbert, Michael Chiang, Brian Darlow This workshop will address current international hot topics in retinopathy of prematurity (ROP). Presentations will include extensive retinal images of ROP including examples of atypical disease and aggressive disease that requires early identification and treatment. This workshop will be both didactic and interactive and involve international leaders in the field. Topics: Telemedicine approach to screening for ROP: Technical advances permit an innovative approach to remote ROP evaluation. Advantages and limitations of this evolving practice will be discussed including new work in areas of nonphysician readers and nonphysician users. Maternal and neonatal factors in ROP: Emerging evidence will be presented regarding critical neonatal management (early oxygen curtailment) and maternal risk factors in contributing to ROP. Plus disease: Quantification of preplus and plus changes will be discussed and the plethora of exciting research in this area will be presented. Emerging science of ROP: New research in the areas of angiogenesis and vasculogenesis will be discussed by leading basic scientists. New treatment options in ROP: Both pharmacological (anti-VEGF) and laser treatment options will be presented. International aspects of ROP: There is an epidemic of blindness in children due to ROP in middle income countries. This is occurring as a result of increased survival of premature babies due to the expansion of neonatal care services. Worldwide ROP epidemiology and implications will be discussed. What’s new and important in pediatric ophthalmology and strabismus for 2007? Douglas R. Fredrick, Graham Quinn, Debby Alcorn, Jytka Zobal-Ratner, Bruce Schnall, Darron Bacal The purpose of this workshop is to review the scientific literature concerning the topics of pediatric ophthalmology and strabismus. Members of the AAPOS Professional Education Committee review the ophthalmic and pediatric literature from March 2006 until March 2007, selecting articles which contain information important to all pediatric ophthalmologists. The content is summarized in written form and presented by the members of the committee. The amblyopia treatment studies—a 2007 perspective. Jonathan M. Holmes, Michael X. Repka, Richard W. Hertle, David K. Wallace Background: The Amblyopia Treatment Studies (ATS) are randomized, multicenter clinical trials or prospective data collection studies. We have compared atropine to patching for moderate amblyopia, patching regimens for moderate and severe amblyopia, glasses versus additional therapy for older children 7 to 17 years of age, weekend to daily atropine, and patching to continued glasses wear. Prospective studies have included monitoring for regression after cessation of therapy and treating with glasses alone for anisometropic amblyopia and bilateral refractive amblyopia. Workshop objectives: The panelists will discuss the most recent results of these studies, including the following: longer term follow-up of the
Journal of AAPOS