Ocular Disease in the Older Population: Age-Related Macular Degeneration

A conversation between Robert Goldberg, MD, and Roger Dailey, MD, FACS. Since the FDA approved Restylane in 2003, the popularity of dermal fillers has grown steadily. As the use of such fillers increases, the likelihood a clinician may face an associated complication is also higher. Dr. Roger Dailey of the Oregon Health and Science University shares his approach for preventing and addressing these complications, which include granulomas, infections, and the most worrisome, vascular necrosis. (February 2012)

A conversation between Lisa B. Arbisser, MD, and Wayne Knox, PhD. Dr. Lisa Arbisser talks with Wayne Knox, professor of optics at the University of Rochester. Dr. Knox shares his experience with the latest experimental use of the femtosecond laser, using the laser to adjust the power of an IOL after it has been implanted in the eye. Unlike the light adjustable lens, this noninvasive technique of shaping the refractive index could be used on standard acrylic hydrophobic IOLs to correct for residual refractive errors, astigmatism, and higher order aberrations. It may even be used to produce multifocality on the lens after implantation. (January 2012)

An interview with Mildred M. G. Olivier, MD, and Eydie G. Miller-Ellis, MD. Drs. Mildred Olivier and Eydie Miller review the Annual Meeting symposium they hosted on glaucoma treatment in a multicultural world. Discussion focuses on how cultural diversity and ethnicity can affect patient encounters and the physician-patient relationship. Drs. Olivier and Miller offer several examples of how cultural awareness, especially in patient communication and cooperation with the primary care provider, can improve health literacy and compliance with treatment recommendations. (November 2011)

Host Andrew Lee, MD, interviews Nicholas Volpe, MD. Drs. Andrew Lee and Nicholas Volpe discuss ischemic oculomotor cranial nerve palsy, including the importance of history taking and workup, as well as the follow-up protocol for suspected third, fourth, and sixth nerve palsies. (November 2011)

Host Andrew Lee, MD, interviews Alfredo Sadun, MD, and Neil Miller, MD. Dr. Andrew Lee leads a discussion on nonarteritic anterior ischemic optic neuropathy (NAION). The topics range from workup in the presence and absence of classic risk factors for NAION to various controversial treatment options. Finally, the participants discuss prognosis and the likelihood of a second attack on the same or fellow eye. (November 2011)

Host Neil Bressler, MD, interviews Jennifer Lim, MD, and Judy Kim, MD. Dr. Neil Bressler leads a discussion on the management of patients with age-related macular degeneration. The participants consider a range of issues, including their approach to antibiotic use, the real-world implication of the published CATT outcomes, and the challenge of motivating patients who may be discouraged by a long-term regimen of intravitreal injections. (November 2011)

An interview between Thomas Oetting, MD, and James P. Dunn, MD. Dr. JP Dunn, Residency Program Director at the Wilmer Eye Institute, shares his experience—both the pleasures and challenges—in leading a large body of faculty and students. Throughout the discussion, he offers advice on how his program develops a curriculum, enables a positive learning environment, and manages the current generation of ophthalmologists in training. (November 2011)

An interview with David Hardten, MD. Dr. David Hardten, program director for the 2011 Refractive Surgery Subspecialty Day, discusses the highlights of this ISRS-sponsored Annual Meeting, including hotly debated topics on detecting forme fruste keratoconus and wave-front guided ablation, updates on corneal cross-linking and presbyopia correction as well as advice on using femtosecond lasers for astigmatic keratotomy. (November 2011)

A conversation with Andrew P. Doan, MD, PhD, and Robert F. Melendez, MD, MBA. As the Academy’s ONE Network approaches its fourth anniversary, editors and staff are preparing for major changes to the site to address the needs of membership and evolving standards in technology, continuing medical education, and content delivery. In today’s interview, Editor-in-Chief Dr. Robert Melendez and Deputy Editor Dr. Andrew Doan discuss their shared goals for the site and long-term vision of online news and education in ophthalmology. (August 2011)

A conversation between Patricia Chevez-Barrios, MD, and Mathew Wilson, MD, FACS. Since intra-arterial chemotherapy for retinoblastoma reemerged five years ago, the procedure has been performed successfully in more than 25 countries, with high rates of globe salvage. But as the procedure has gained traction, significant complications and unanswered questions have also surfaced. Drs. Matt Wilson and Patricia Chevez-Barrios discuss those questions and the potential risks of treating the eye first rather than the patient. (June 2011)