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December 2015

The Heart and the Eye: Seeing the Links

Some cardiovascular and eye diseases share underlying mechanisms. Recognizing and responding to these interlinking “root systems” may have broad and far-reaching implications for many patients. Web Extra: Information on potential side effects.

Ophthalmic Pearls

Primary Vitreoretinal Lymphoma

By Nikolas N. Raufi, BA, Thomas J. Cummings, MD, and Prithvi Mruthyunjaya, MD
Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH

PRVL can masquerade as many other types of intraocular inflammation. Learn how to recognize and treat this serious malignancy.

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Clinical Update

Why and How to Enhance Physician-Patient Communication

By Annie Stuart, Contributing Writer
Interviewing Laura K. Green, MD, Richard A. Harper, MD, Andreas K. Lauer, MD, and Laura L. Wayman, MD

Beyond improving diagnostic accuracy, patient satisfaction, and adherence to treatment, Good physician communication been shown to influence many types of patient outcomes, including pain control, day-to-day functioning, and physiologic measures such as blood pressure.

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MD Roundtable: Diagnosing and Treating Photophobia

By Leah Levi, MD
With Kathleen B. Digre, MD, and Randy H. Kardon, MD, PhD

This article is part of an occasional series of MD Roundtables, in which a group of experts discuss a topic of interest in their field. This is the second part of a conversation on photophobia. Web Extra: Additional thoughts.

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Morning Rounds

The Patient Who Couldn’t See Red

By Mary Labowsky, BS, Morgan Godin, MD, and M. Tariq Bhatti, MD
Edited by Steven J. Gedde, MD

The 26-year-old first noticed problems in her right eye—vision was “grayed out” and blurry. Weeks later, similar problems developed in her left eye. Web Extra: A table of the discussed syndromes.

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Blink

Intraorbital Foreign Body Accompanied by Sclopetaria

By Sanket U. Shah, MD, and F. Ryan Prall, MD, and photographed by Tom Egnatz, CRA, Eugene and Marilyn Glick Eye Institute, Indiana University School of Medicine, Indianapolis

A 12-year-old otherwise healthy boy presented following a BB pellet injury to the right eye, which had visual acuity of 20/400 and a relative afferent pupillary defect.

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Journal Highlights

Ophthalmology

SD-OCT shows progressive glaucomatous damage undetected by conventional methods. CATT trials: VA response at week 12 is a good predictor of 2-year outcomes. HIV-related neuroretinal disorder and vision-specific quality of life. HPV infection in OSSN tumors and the response to interferon.

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American Journal of Ophthalmology

Soft contact lens wear–related limbal stem cell deficiency. Corneal cross-linking to halt progression of keratoconus and ectasia. Retained lens fragments in the anterior chamber after phaco. Chorioretinal biopsy in the diagnosis of intraocular lymphoma.

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JAMA Ophthalmology

Treatment effect and corneal light scattering in 2 CXL regimens. Vaccinations and retinal hemorrhage in children. Exacerbation of chronic health conditions by visual impairment.

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Roundup of Other Journals

Outdoor recess helps prevent myopia in schoolchildren. Retinal and choroidal folds in IIH and papilledema. Smartphone-based retinal photography for diabetic retinopathy screening.

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News in Review

MUST Shows Success In Uveitis Steroid Tx

Patients with uveitis can achieve similarly favorable results with either fluocinolone acetonide implants or systemic corticosteroids, often supplemented with immunosuppressive agents.

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NSAIDs Linked to Reduced Postop Macular Edema

The risk of acute clinically significant macular edema after cataract surgery can be cut in half by adding a topical nonsteroidal anti-inflammatory drug to the patient’s postoperative regimen of steroid eyedrops.

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10-Year Transplant Trends

In the years spanning 2005 to 2014, the number of corneal transplants in the United States stayed relatively constant. But indications for keratoplasty, as well as the types of surgical procedures performed, changed considerably over that time.

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AMD: Long-term Data

At 15 years after enrollment, 22.7% of the participants in the Blue Mountains Eye Study had developed early age-related macular degeneration, and another 6.8% had late-stage AMD.

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Academy Notebook

News, Tips, Resources

What’s Happening: Cataract Surgery—Telling It Like It Is! Fireworks safety campaign wins national honors. PQRS—Enter your data by Jan. 15. D.C. Report: Medicare’s new physician payment program. And more.

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Savvy Coder

Best Coding Tips of 2015: Part 2, Lessons Learned From Costly Errors

By David B. Glasser, MD, Chair of the Academy Health Policy Committee, Michael X. Repka, MD, MBA, Academy Medical Director for Health Policy, and Sue Vicchrilli, COT, OCS, Academy Director of Coding and Reimbursement

Presbyopia-correcting IOLs, testing services, and CCI edits.

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Opinion

Please Allow Me to Unintroduce Myself

Richard P. Mills, MD, MPH, Chief Medical Editor, on stepping down and moving forward.

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Letters

Thoughts From Your Colleagues

New refractive technology.

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