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What were you thinking? Challenges in inferior oblique muscle surgery
108
Abstracts
Volume 11 Number 1 February 2007
cus not only on the strategies that have proven successful but also on the challenges and difficulties to be avoided.
tiate between the various software programs available now and in the future.
Enhancing strabismus surgery success: Preoperative sensory testing and postoperative manipulations and why they work. James D. Reynolds, Kyle Arnoldi, George Ellis, Cindy Pritchard, Edward Raab Careful attention to the use of appropriate preoperative sensory evaluation and judicious use of preoperative therapies such as antisuppression exercises, prism adaptation, or patching can improve success in strabismus surgery. Additionally, appropriate postoperative manipulations can help turn a borderline surgical result into a success. This panel of orthoptists and ophthalmologists will share tips and pearls to improve your surgical success. The panel will address questions such as: When is antisuppression useful, and when is it dangerous? When is prism adaptation helpful, and when might it be misleading? What is the role of occlusion pre- and postoperatively? When should you expect postoperative diplopia? When is it desirable, and when is it an obstacle? Are fusional amplitudes important and can they help predict surgical outcome? These questions and more will be discussed using case examples. The workshop will feature a panel discussion, with audience participation encouraged.
Where to leave it? Rebecca Sands, Arlene Drack, Ronald Keech, Monte Del Monte, Alexandra Elliot This workshop will provide a guide to strabismus surgeons who find themselves asking the question “Where to leave it?” while performing strabismus surgery and doing postoperative adjustments. Panelists will discuss illustrative cases of situations where the surgical plan and postoperative target may not be straightforward. Topics will include adjustable suture techniques, what to do with residual strabismus following extraocular muscle surgery, inferior rectus surgery, and thyroid eye disease, among others.
Workshop on adult strabismus. Arthur L. Rosenbaum, Edward G. Buckley, David L. Guyton, Burton J. Kushner, David R. Stager Sr. Special topic of the workshop this year is “Torsion: evaluation and surgical decision-making—pearls and pitfalls.” Each panelist will present their approach to measuring and managing the torsional component of strabismus. Surgical techniques will be emphasized. Following this discussion, each one will present a practical topic of their choice. How to choose an EMR: Advice for the pediatric ophthalmologist. Paul J. Rychwalski, K. David Epley Introduction: With CMS requiring more and more electronic capability and the recent formation of the Certification Commission for Healthcare Information Technology (CCHIT ), ophthalmologists will soon be required to transition to an electronic record. Many early adopters have already done so, but not without the aches and pains of both learning new technology and adapting practice styles. Methods: Panel of pediatric ophthalmologists proficient in at least one electronic medical record (EMR) system will present key components to help practicing pediatric ophthalmologists navigate the decision of which EMR best suits their needs. Results: We expect attendees to have a better understanding of how an EMR works and key features needed to suit different practice styles. Following the course, the attendee should have a better knowledge base with which to differentiate between the various software programs available now and in the future. Discussion: A panel of pediatric ophthalmologists who have already adopted an electronic medical record will present pitfalls, integration considerations, useful software features for our specialty, government regulations, and other considerations that the pediatric ophthalmologist needs to be cognizant of in choosing a software package for his or her practice. Conclusions: We expect attendees to have a better understanding of how an EMR works and key features needed to suit different practice styles. Following the course, the attendee should have a better knowledge base with which to differen-
A practical approach to low-vision rehabilitation in children. Terry L. Schwartz, Rebecca R. Coakley, Lynn Schwartz, Steve Barclay Once medical and surgical interventions are exhausted for the child with low vision, often the only recommendation by the eye doctor is the use of large print materials in the classroom. There are few programs that comprehensively address the rehabilitation needs of the visually impaired child. This workshop is designed to introduce the ophthalmologist to a systematic and collaborative approach for the child with visual impairment based on the experiences of The Children’s Vision Rehabilitation Project of West Virginia University (CVRP) and The Children’s Low Vision Project of British Columbia (CLVP). Presentations will be case centered (ie, disease specific) and, for each scenario, an individually tailored plan will be developed to address assessment of “functional vision,” educational planning, and low-vision device and technology evaluation and recommendations. Discussion will include ageappropriate device prescribing, classroom adaptations, developing collaborations between physicians and educators, and how to establish a local vision rehabilitation program. Strain your brain: Take the pediatric neuroophthalmology quiz. R. Michael Siatkowski, Edward G. Buckley, Sean Donahue, Hana Leiba, Michael X. Repka In this workshop, panelists will present unknown cases to the audience and to each other. Interspersed within the cases will be various multiple choice questions regarding history and examination findings, differential diagnosis, workup, management, and pathophysiology of disease. The goal of this workshop is to facilitate the art of topical diagnosis, reinforce standard neuroophthalmologic concepts, and help clinicians avoid common pitfalls in patient management. Due to the nature of this workshop, handouts will not be available. What were you thinking? Challenges in inferior oblique muscle surgery. David Stager Jr., David Guyton, Burt Kushner, David Stager Sr. Recent advances in the understanding of the anatomy and function of the inferior oblique muscle have broadened the surgical options for today’s strabismus surgeon. This workshop will briefly review the anatomy of the inferior oblique muscle and then focus on controversial issues in the decision-making process for treating inferior oblique muscle disorders. A panel of three experienced strabismus surgeons will discuss and defend their preferred approaches in a variety of clinical settings. The program will conclude with a question and answer session.
Journal of AAPOS
Abstracts
Volume 11 Number 1 February 2007
cus not only on the strategies that have proven successful but also on the challenges and difficulties to be avoided.
tiate between the various software programs available now and in the future.
Enhancing strabismus surgery success: Preoperative sensory testing and postoperative manipulations and why they work. James D. Reynolds, Kyle Arnoldi, George Ellis, Cindy Pritchard, Edward Raab Careful attention to the use of appropriate preoperative sensory evaluation and judicious use of preoperative therapies such as antisuppression exercises, prism adaptation, or patching can improve success in strabismus surgery. Additionally, appropriate postoperative manipulations can help turn a borderline surgical result into a success. This panel of orthoptists and ophthalmologists will share tips and pearls to improve your surgical success. The panel will address questions such as: When is antisuppression useful, and when is it dangerous? When is prism adaptation helpful, and when might it be misleading? What is the role of occlusion pre- and postoperatively? When should you expect postoperative diplopia? When is it desirable, and when is it an obstacle? Are fusional amplitudes important and can they help predict surgical outcome? These questions and more will be discussed using case examples. The workshop will feature a panel discussion, with audience participation encouraged.
Where to leave it? Rebecca Sands, Arlene Drack, Ronald Keech, Monte Del Monte, Alexandra Elliot This workshop will provide a guide to strabismus surgeons who find themselves asking the question “Where to leave it?” while performing strabismus surgery and doing postoperative adjustments. Panelists will discuss illustrative cases of situations where the surgical plan and postoperative target may not be straightforward. Topics will include adjustable suture techniques, what to do with residual strabismus following extraocular muscle surgery, inferior rectus surgery, and thyroid eye disease, among others.
Workshop on adult strabismus. Arthur L. Rosenbaum, Edward G. Buckley, David L. Guyton, Burton J. Kushner, David R. Stager Sr. Special topic of the workshop this year is “Torsion: evaluation and surgical decision-making—pearls and pitfalls.” Each panelist will present their approach to measuring and managing the torsional component of strabismus. Surgical techniques will be emphasized. Following this discussion, each one will present a practical topic of their choice. How to choose an EMR: Advice for the pediatric ophthalmologist. Paul J. Rychwalski, K. David Epley Introduction: With CMS requiring more and more electronic capability and the recent formation of the Certification Commission for Healthcare Information Technology (CCHIT ), ophthalmologists will soon be required to transition to an electronic record. Many early adopters have already done so, but not without the aches and pains of both learning new technology and adapting practice styles. Methods: Panel of pediatric ophthalmologists proficient in at least one electronic medical record (EMR) system will present key components to help practicing pediatric ophthalmologists navigate the decision of which EMR best suits their needs. Results: We expect attendees to have a better understanding of how an EMR works and key features needed to suit different practice styles. Following the course, the attendee should have a better knowledge base with which to differentiate between the various software programs available now and in the future. Discussion: A panel of pediatric ophthalmologists who have already adopted an electronic medical record will present pitfalls, integration considerations, useful software features for our specialty, government regulations, and other considerations that the pediatric ophthalmologist needs to be cognizant of in choosing a software package for his or her practice. Conclusions: We expect attendees to have a better understanding of how an EMR works and key features needed to suit different practice styles. Following the course, the attendee should have a better knowledge base with which to differen-
A practical approach to low-vision rehabilitation in children. Terry L. Schwartz, Rebecca R. Coakley, Lynn Schwartz, Steve Barclay Once medical and surgical interventions are exhausted for the child with low vision, often the only recommendation by the eye doctor is the use of large print materials in the classroom. There are few programs that comprehensively address the rehabilitation needs of the visually impaired child. This workshop is designed to introduce the ophthalmologist to a systematic and collaborative approach for the child with visual impairment based on the experiences of The Children’s Vision Rehabilitation Project of West Virginia University (CVRP) and The Children’s Low Vision Project of British Columbia (CLVP). Presentations will be case centered (ie, disease specific) and, for each scenario, an individually tailored plan will be developed to address assessment of “functional vision,” educational planning, and low-vision device and technology evaluation and recommendations. Discussion will include ageappropriate device prescribing, classroom adaptations, developing collaborations between physicians and educators, and how to establish a local vision rehabilitation program. Strain your brain: Take the pediatric neuroophthalmology quiz. R. Michael Siatkowski, Edward G. Buckley, Sean Donahue, Hana Leiba, Michael X. Repka In this workshop, panelists will present unknown cases to the audience and to each other. Interspersed within the cases will be various multiple choice questions regarding history and examination findings, differential diagnosis, workup, management, and pathophysiology of disease. The goal of this workshop is to facilitate the art of topical diagnosis, reinforce standard neuroophthalmologic concepts, and help clinicians avoid common pitfalls in patient management. Due to the nature of this workshop, handouts will not be available. What were you thinking? Challenges in inferior oblique muscle surgery. David Stager Jr., David Guyton, Burt Kushner, David Stager Sr. Recent advances in the understanding of the anatomy and function of the inferior oblique muscle have broadened the surgical options for today’s strabismus surgeon. This workshop will briefly review the anatomy of the inferior oblique muscle and then focus on controversial issues in the decision-making process for treating inferior oblique muscle disorders. A panel of three experienced strabismus surgeons will discuss and defend their preferred approaches in a variety of clinical settings. The program will conclude with a question and answer session.
Journal of AAPOS