OCULOPLASTICS AND OPTOMETRIC COORDINATION OF CARE

Alan G. Kabat, OD, FAAO  (215) 276-6019 Cherry Hill, NJ  [email protected]

Course description: The course underscores the importance of medical oculoplastics and the substantial role that optometry plays in recognition, referral and comanagement. Case examples highlight the discussion of oculoplastic surgical management.

Learning Objectives/Outcomes: At the conclusion of this lecture, the attendee will be able to: 1. Specify the common pathologies that warrant oculoplastic consultation and management. 2. Understand the role of the optometrist and the oculoplastic surgeon in the management of chronic . 3. Understand the role of the optometrist and the oculoplastic surgeon in the management of trichiasis and . 4. Understand the role of the optometrist and the oculoplastic surgeon in the management of lagophthalmos and lid retraction. 5. Recognize best practices when coordinating care with the oculoplastic specialist.

• Overview – Common Oculoplastic Pathologies ─ “Lumps & Bumps” ─ Punctal stenosis & Nasolacrimal duct obstruction ─ ─ Entropion & ─ dermatitis ─ Prolapsed orbital fat ─ Benign orbital tumors

• Case study I – Dry syndrome/conjunctivochalasis ─ Optometric consultation . Examination . Assessment . Reason for oculoplastic referral ─ Oculoplastic consultation and assessment . Examination . Assessment . Reason for surgical procedure ─ Surgical video ─ Postoperative management

• Case study II – Trichiasis ─ Optometric consultation . Examination . Assessment . Reason for oculoplastic referral ─ Oculoplastic consultation and assessment . Examination . Assessment . Reason for surgical procedure ─ Surgical video ─ Postoperative management

• Case study III – Lower lid retraction/lagophthalmos ─ Optometric consultation . Examination . Assessment . Reason for oculoplastic referral ─ Oculoplastic consultation and assessment . Examination . Assessment . Reason for surgical procedure ─ Surgical video ─ Postoperative management

• Conclusion ─ Potential pitfalls to coordinating optometric and oculoplastic care . Poor communication of referral notes . Incorrect type of VF performed . Patient expecting to have procedure performed day of consultation ─ Ideas for improvement . Do not rely on fax or snail mail; email or EMR “faxing” is better . Discuss preferred VF type . Manage patient expectations and explain reasons (insurance issues, blood thinners, etc) ─ Summary