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Latest Issue

June 2015

Grappling With Exfoliation Syndrome

Recent research is elucidating environmental, genetic, and other contributing factors in exfoliation syndrome. An overview of current thinking—plus practical surgical tips.

Ophthalmic Pearls

Diagnosis and Management of Orbital Lymphoma

By Trisha Sharma, MBBS, and M. Manjunath Kamath, MBBS, DOMS, MS
Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH

How to identify and treat this form of non-Hodgkin lymphoma, which accounts for more than 50 percent of orbital malignancies. Web Extra: A chart detailing the distinguishing features of orbital lesions on contrast-enhanced CT/MRI.

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Clinical Update

Strategies for Preventing Intraoperative Miosis

By Linda Roach, Contributing Writer
Interviewing Anders Behndig, MD, PhD, Eric D. Donnenfeld, MD, David B. Glasser, MD, Thomas A. Oetting, MS, MD, and Joshua P. Vrabec, MD

Careful preoperative planning can enable surgeons to maintain mydriasis even in eyes with known risks for intraoperative miosis. But what about eyes in which the pupil constricts without any presurgical red flags?

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Measuring IOP in the Unusual Cornea

By Miriam Karmel, Contributing Writer
Interviewing John Berdahl, MD, Nathan P. Radcliffe, MD, Angelo P. Tanna, MD, and William B. Trattler, MD

To get the best possible pressure readings with irregular corneas, it can help to keep a few factors in mind. Web Extra: How does corneal hysteresis factor into the measurement of IOP?

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Morning Rounds

A Mysterious Iris Mass

By Valentina P. Lozano, MD, Matthew J. Gray, MD, Ahmad Alkhasawneh, MD, and Anup Kubal, MD
Edited by Steven J. Gedde, MD

The 61-year-old had suffered four months of blurry vision, intermittent photophobia, and right conjunctival injection before seeking help.

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Blink

YAG Hyaloidectomy

By Robin A. Vora, MD, and photographed by Pamela Neal, the Permanente Medical Group, Oakland, Calif.

A 40-year-old man presented with acute loss of vision in his left eye after a difficult bowel movement.

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Journal Highlights

Ophthalmology

Aflibercept for myopic CNV. ■ Refractive and nonrefractive visual loss: impact on disability. ■ MMC in excimer laser ablation techniques. ■ Vitreous seeds in retinoblastoma: classification and response to melphalan.

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American Journal of Ophthalmology

Autorefraction-based preschool vision screening. ■ Bleb-related infections after trabeculectomy. ■ Intermediate-stage AMD in patients with AIDS. ■ Reduced corneal endothelial cell density in patients with dry eye disease.

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JAMA Ophthalmology

Telemedicine for diabetic retinopathy. ■ Outcomes of an inner-city vision outreach program. ■ Cost-effectiveness of tube vs. trabeculectomy.

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Roundup of Other Journals

Novel treatment for severe plateau iris syndrome. ■ No topical antibiotics for intravitreal injections. ■ AMD lesion activity and treatment outcomes.

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News in Review

Global Consensus on Keratoconus

It took the participation of cornea specialists from 21 countries; multiple rounds of Delphi-style questions, responses, and revisions; and face-to-face discussions. What emerged was worth the effort: a global consensus on keratoconus and ectatic diseases.

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Bimanual Lid Retraction Is a Comfortable Choice

A group of retina specialists at Wills Eye Hospital recently reported on an eyelid retraction technique for intravitreal injections that appears to increase patient comfort without compromising safety.

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More Strong Evidence for Intracameral Antibiotics

Once more, a research study has concluded that intracameral cefuroxime markedly reduces the incidence of endophthalmitis after cataract surgery. This systematic review of a decade of published studies also looked at the effectiveness of two other prophylactic antibiotic regimens.

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Ancestral Lineage Linked to Ocular Blood Flow

A study of retrobulbar circulation in patients with open-angle glaucoma has found differences suggesting lower blood flow as a possible reason for greater disease severity and faster progression in patients of African descent.

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Academy Notebook

News, Tips, Resources

What’s Happening: 2015 Mid-Year Forum. ■ D.C. Report: The Academy is instrumental in preserving bundled payments for surgery. ■ Michael W. Brennan, MD, receives the Jose Rizal International Medal.

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Destination AAO

Get Ready for Las Vegas: Part 1

Q&A with Jack A. Cohen, MD, about the Skills Transfer labs. Registration dates, deadlines, and tips. Tickets on sale for the Orbital Gala.

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Practice Perfect

#1 Lesson From the Chart-Auditing Service: Get Your History Right

By Sue Vicchrilli, COT, OCS, Academy Director of Coding and Reimbursement, and Jenny Edgar, CPC, CPCO, OCS, Academy Coding Specialist

Ensure that you document the appropriate level of history—here’s how. Web Extra: Download a list of questions pertinent to the Review of Systems.

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Savvy Coder

Five Glaucoma Tips for ICD-10

By Sue Vicchrilli, COT, OCS, Academy Director of Coding and Reimbursement, and Jenny Edgar, CPC, CPCO, OCS, Academy Coding Specialist

From laterality and staging to the importance of Excludes1 notes. Web Extra: Download a cheat sheet of glaucoma-related ICD-10 codes that support the use of SCODI.

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Current Perspective

The SGR Fix: Was It?

David W. Parke II, MD, Executive Vice President/CEO, on H.R. 2 and its impact on ophthalmology.

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Letters

Thoughts From Your Colleagues

The ABO discusses the value of MOC.

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