EyeNet - American Academy of Ophthalmology

Ophthalmic Pearls

Diagnosis and Management of Superior Ophthalmic Vein Thrombosis

By Jaya Badhwar Kumar, MD, Betsy Colón-Acevedo, MD, and Jason Liss, MD
Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH

Although rare, SOVT can have serious visual consequences. Learn how to diagnose it promptly and manage it appropriately.

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Views 4238

Clinical Update

Easy Calculation Evaluates Post-LASIK Ectasia Risk

By Linda Roach, Contributing Writer
Interviewing Kevin M. Miller, MD, Marcony R. Santhiago, MD, PhD, and George O. Waring IV, MD, FACS

Post-LASIK ectasia is one of the most feared complications in laser refractive surgery. However, refractive surgeons are reacting positively to a proposed new formula—the “percent tissue altered” (PTA) metric—for identifying at-risk eyes.

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Updated IVT Injection Guidelines Incorporate 10 Years of Evidence, Experience

By Gabrielle Weiner, Contributing Writer
Interviewing Emmett T. Cunningham Jr., MD, PhD, MPH, Harry W. Flynn Jr., MD, Julia A. Haller, MD, and George A. Williams, MD

Back in 2004, the original intravitreal injection guidelines on injection technique and monitoring were published. Ten years and many studies later, an expert panel convened to review the literature, discuss various approaches to the procedure, and update the original guidelines. Web Extra: A step-by-step protocol from the new guidelines.

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Morning Rounds

The Nuisance Protuberance That Grew and Grew

By Jeremy Tan, MD, and Annie Moreau, MD
Edited by Steven J. Gedde, MD

She first noticed the bump on her eyelid a year earlier. Initially small, it had grown and grown. Adding injury to insult, it was now starting to hurt.

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Blink

A Rare Complication of Emulsified Silicone Oil

By Pooja Bansal, MD, and Amod Gupta, MD, and photographed by Pooja Bansal, MD, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

A 50-year-old woman presented with diminished vision following blunt trauma. In the left eye, there was posterior dislocation of her intraocular lens with rhegmatogenous retinal detachment.

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Journal Highlights

Ophthalmology

Tear fluid production increases in meibomian gland loss. ■ Bevacizumab vs. laser for ROP. ■ AREDS report: lens opacity changes and risk of progression. ■ RVO linked to increased stroke risk.

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American Journal of Ophthalmology

One-year results of aflibercept treatment of AMD. ■ Effect of pupil dilation on biometry. ■ Risk factors for progressive myopia with atropine therapy. ■ Ocriplasmin for vitreomacular traction and macular holes.

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JAMA Ophthalmology

Retinal nerve fiber layer loss and quality of life in glaucoma. ■ Assessment of online patient education materials. ■ Changes in microperimetry and low luminance VA in AMD.

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Roundup of Other Journals

Genetics of exfoliation syndrome: new locus identified. ■ GATT for primary congenital and juvenile open-angle glaucomas. ■ Optic neuritis and presence of selected autoantibodies. ■ Cell differentiation by OCT in anterior uveitis.

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News in Review

DME Trial Compares 3 Anti-VEGF Drugs

Patients with mild visual loss from diabetic macular edema benefit similarly from intravitreous injections containing any of three anti-VEGF medications. But in eyes with best-corrected acuity of 20/50 or worse, the visual gains at 12 months were significantly greater with aflibercept.

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Evidence for Tx in CRVO Macular Edema

Numerous studies have shed light on the safety and efficacy of therapies for macular edema related to central retinal vein occlusion. Recently, the Academy’s OTA committee reviewed the literature on treatment of ME linked with CRVO and encapsulated high-level evidence for clinicians.

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Shining a Light on Payments to Eye M.D.s

A retrospective review of data released to the public by the CMS found that most individual payments by industry to ophthalmologists are fairly small, with the largest dollar amounts going to relatively few recipients.

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Mitral Valve Prolapse Linked With Glaucoma

In the first published report on the relationship between mitral valve prolapse (MVP) and open-angle glaucoma (OAG), researchers showed that preexisting MVP is a significant predictor for the development of OAG.

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Academy Notebook

News, Tips, Resources

What’s Happening: Ophthalmology named a top medical specialty in submitting accurate Medicare claims. ■ June 1 deadline for PQRS reporting via EHR. ■ D.C. Report: CMS plans to improve EHR meaningful use. ■ And more.

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Practice Perfect

Physician Advocacy—Three Easy Ways to Build Relationships With Your Legislators

By Stephanie D. Vance, Advocacy Consultant

Three easy steps you can take that will go a long way toward building a positive relationship with your legislators.

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Savvy Coder

10 Retina Tips for ICD-10

By Sue Vicchrilli, COT, OCS, Director of Coding and Reimbursement, E. Joy Woodke, COE, OCS, and Rajiv Rathod, MD, MBA

From laterality to type of retinal tear, ICD-10 codes frequently go into greater detail than their ICD-9 counterparts. Here’s what you need to know.

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Opinion

Career Disruption: Can You Reinvent Yourself?

Richard P. Mills, MD, MPH, Chief Medical Editor, on job stability.

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Current Perspective

Reference-Based Pricing

David W. Parke II, MD, Executive Vice President/CEO, on alternative payment models.

The Affordable Care Act's Impact on Ophthalmology