P.O. Box 6136, Chesterfield, MO 63006

Bulletin

P.O. Box 6136, Chesterfield, MO 63006 Barbara Nahlik, Editor

December, 2012 Phone: 314 725-2020

SEND UPDATED E-MAIL ADDRESSES The SLOS monthly newsletter will soon go out on-line only. While many members have included e-mail information with the dues renewal and applications, some have not and some are difficult to decifer. Members are asked to e-mail their updated e-mail address to SLOS at: [email protected]. Thanks. HOLIDAY PARTY!! # # # # # Hosted by Midland Optical

MOA REPORT Tuesday, December 11 Drs. Robert Goerss & Tom Cullinane

Cardwell’s Restaurant Terry Swinger was defeated in the election. Although it was a close race, Brentwood and Maryland Terry was not able to overcome his In Clayton opponent for the senate race. Thank you to all who donated to Terry's campaign 6:00 p.m. Drinks & Hors and for supporting Missouri Optometry. d’Oeurves Please mark your calendars now and plan Dinner to attend the Legislative Conference on January 27 and 28, 2013 held at the Trivia, Prizes, Gifts, Fun!!! Capitol Plaza Hotel in Jefferson City. Please visit www.moeyecare.org for detailed information including the Space is limited schedule of events. We would like to RSVP no later than Wednesday, December 5 have a record number of St. Louis doctors attend this year. [email protected] # # # # # 324 725-2020 # # # # # macular degeneration will benefit from cataract surgery. This is becoming more important as the St. Louis Optometric Society population continues live longer and the Officers: 2011-2012

President Paul A. Whitten, O.D. 314 839-2400 President-Elect Jason Riley, O.D. 573 468-4032 Vice President Scott Tomasino, O.D. 636 272-1444 Secretary Kimberly Layfield, O.D. 314 739-9293 Treasurer Erin Niehoff, O.D. 636 528-2020 Sgt. At Arms Joseph Castellano, O.D. 314 863-0000 Immediate Past President Drs. Qazi and Holekamp Karen Rosen, O.D. 314 843-2020 prevalence of ARMD increases. One out of every MOA Trustees Tom Cullinane, O.D. 100 patients has advanced ARMD, and by the year 314 579-0909 2020 it is estimated that three million people will Robert G. Goerss, O.D. have advanced ARMD. These patients become 636 272-1444 depressed due to their inability to function in their Executive Director daily lives as they once did before onset. A study Barbara Nahlik called a Self-Perception Valuation of Health Phone: 314 725-2020 FAX 314 961-1041 showed that patients rate the severity of advanced e-mail: [email protected] ARMD in between chronic renal failure and Website: www.stlouisoptometricsociety.org symptomatic HIV/AIDS.

Cataract surgery is the single most often performed surgery in the United States. Cataract surgery also FROM THE NOVEMBER MEETING does not make ARMD worse. They both simply Drs. Nancy Holekamp and Mujtaba Qazi from the happen to be occurring at the same time. Pepose Vision Institute presented the continuing Determining the effect of vision loss from both the education for the November SLOS meeting. Dr. cataract and ARMD is of critical importance in Holekamp is a retinal specialist and Dr. Qazi is a deciding on whether or not a patient with ARMD corneal specialist at Pepose Vision Institute. The will benefit from having cataract surgery. History is topic was “Cataract Surgery in Patients with one of the most important factors in this assess- Macular Degeneration.” VisonCare Ophthalmic ment as well as vision testing and examination. Technologies sponsored the meeting. The RAM test and OCT are the most useful tools for pre-cataract surgery determination to rule out Dr. Holekamp presented first and her topic was retinal pathology and to confirm that most of the “Pre-Operative Assessment and Consulting.” Her vision loss is from the cataract. goal is to determine whether or not a patient with Continued on next page mono-vision. One eye therefore is used to help with depth perception and the other eye helps to (Continued don page 4)

focus on the magnified image. A large amount of neuro-adaptation is required over the course of several months. This necessitates a major difference in the counseling and treatment of patients during the post-operative period, which occurs over several months of time. Studies show that at their one year follow-up about 67% of patients showed three or more lines of improvement in best-corrected distance vision and about three lines of improvement in best-corrected near vision. This had led to a significant improvement in overall quality of life assessments. Dr. Qazi with Jason Roberts and Clif Southard Proper patient selection by a low-vision of VisionCare Ophthalmic Technologies optometrist is of critical importance prior to proceeding with surgery for qualified patients. It Next, Dr. Qazi presented his topic “Novel must be a highly motivated patient with proper Intraocular Implants.” The goal of management is expectations and a good support system. Before to improve functionality of the patient. This can be this step however, the candidate must first have done with spectacles, magnifiers, low-vision aids confirmed end-stage dry ARMD, must have a and now a new type of intraocular implant. cataract, must be 75 years or older, and must have VisionCare Ophthalmic Technologies and BCVA from 20/160 to 20/800. The only provider Centrasight have developed the Centrasight that covers the telescope surgery at this point is treatment program for visual rehabilitation for Medicare. The cost of the telescope is $15,000, but patients with end stage ARMD and dry ARMD. The is covered fully by Medicare. unique and innovative implant involved with this # program is the Implantable Miniature Telescope, # # # # which is the smallest telescope available in the world. The telescope provides 2.7* magnification SPECIAL THANKS TO PEPOSE VISION INSTITUTE inside the eye. This enhances the central vision by AND VISION CARE OPHTHALMIC TECHNOLOGIES magnifying the image outside the area of the Pepose Vision Institute sponsored Drs. Qazi and central scotoma. It also provides a larger field of Holekamp for the educational portion of the vision than you would get from an external November SLOS meeting. The reception and telescope alone. The telescope implant has haptics buffet were hosted by VisionCare Ophthalmic like a normal implant, but is 5* wider than a Technologies. Many thanks to all. normal IOL. A portion of the implant actually sits # # # anterior to the iris plane. It is not foldable and is # # very delicate. This requires going back to the old way of performing cataract surgery by making a large incision of about 10mm and inserting the telescope manually. This can lead to one of the major complications of the surgery, which is wound healing and the health of the cornea.

The telescope is implanted monocularly on the better seeing eye, as this is an extreme form of

Drs. Carson, Jones, and Haye

New SLOS member. Jenny Redfern with Drew Biondo & Joe Castellano

CONTACT LENS REPORT Joe Castellano, O.D. Alden Optical Astera Toric – Custom Toric MF

7.7 to 9.8 BC (.10 steps) Drs. Walter, DeLancey, Gelner & Bier 13.0 to 16.90 diameter Power +/ -30.00 Cyl -0.25 to -10.00 (.25 steps) Any Axis Add profile 1 +2.00 Quarterly replacement

Vistakon Oasys 2 week disposable now available in 24 packs Acuvue Advance discontinue date now 2014 (originally was 2011) 1 Day Acuvue (original lens) discontinue date is 12/13 # # #

* * * * * * * * * CALENDAR * * * * * * * * * Dec. 11 Holiday Party Hosted by Midland Optical Cardwell’s in Clayton RSVP by Wed., Dec. 5

HAPPY HOLIDAYS!! 2013 Drs. Secoy, Schroeder and Murphy enjoy the buffet

Jan. 8 St. Louis Marriott West Alcon/CibaVision sponsors

Jan. 27-28 MOA Legislative Conference Capitol Plaza Hotel Jefferson City, MO www.moeyecare.org

Feb. 12 SLOS Meeting

March 12 SLOS Meeting # # # # # Drs. Shea, Davis and Young Emily Pike & Bhumika Patel, Student Liaisons

Drs. Karen Rose, Steven Rosen and Marisa O’Brien