Pediatric Ophthalmology 2018 Winds of Change in the Windy City
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Pediatric Ophthalmology 2018 Winds of Change in the Windy City Program Directors Jonathan M Holmes MD and Scott A Larson MD In conjunction with the American Association for Pediatric Ophthalmology and Strabismus and the American Academy of Pediatrics McCormick Place Chicago, Illniois Saturday, Oct. 27, 2018 Presented by: The American Academy of Ophthalmology Pediatric Ophthalmology Subspecialty Day Advisory Committee Staff 2018 Planning Group Daniel S Durrie MD Melanie R Rafaty CMP DES, Director, Jonathan M Holmes MD Associate Secretary Scientific Meetings Program Director Julia A Haller MD Ann L’Estrange, Subspecialty Day Manager Scott A Larson MD Michael S Lee MD Carolyn Little, Presenter Coordinator Program Director Francis S Mah MD Debra Rosencrance CMP CAE, Vice President, Meetings & Exhibits Erick D Bothun MD R Michael Siatkowski MD Kuldev Singh MD MPH Patricia Heinicke Jr, Copy Editor Yasmin S Bradfield MD Mark Ong, Designer Michael F Chiang MD Maria M Aaron MD Gina Comaduran, Cover Designer Nils K Mungan MD Secretary for Annual Meeting Serena X Wang MD Tammy L Yanovitch MD ©2018 American Academy of Ophthalmology. All rights reserved. No portion may be reproduced without express written consent of the American Academy of Ophthalmology. ii Planning Group 2018 Subspecialty Day | Pediatric Ophthalmology 2018 Pediatric Ophthalmology Subspecialty Day Planning Group On behalf of the American Academy of Ophthalmology, the American Association for Pediatric Ophthalmology and Strabismus (AAPOS), and the American Academy of Pediatrics (AAP), it is our pleasure to welcome you to Chicago and Pediatric Ophthalmology 2018: Winds of Change in the Windy City. Jonathan M Holmes MD Scott A Larson MD Program Director Program Director National Institutes of Health: S None Erick D Bothun MD Yasmin S Bradfield MD Michael F Chiang MD None None Clarity Medical Systems (unpaid Board): C Inteleretina: O National Eye Institute: S National Science Foundation: S Novartis Pharmaceuticals Corp.: C 2018 Subspecialty Day | Pediatric Ophthalmology Planning Group iii No photo No photo available available Nils K Mungan MD Serena X Wang MD Tammy L Yanovitch MD None None None 2018 Subspecialty Francis S Mah MD Kuldev Singh MD MPH (Cornea) (Glaucoma) Day Advisory Abbott Medical Optics Aerie: C Inc.: C,L,S Alcon Laboratories Inc.: C Committee Aerie: C | Alcon: C Allergan: C Allergan: C Belkin Laser Ltd.: C Daniel S Durrie MD, Chair Avedro, Inc.: C Glaukos Corp.: C (Refractive Surgery) Avellino Labs: C InjectSense: C | Ivantis: C AcuFocus Inc.: C,L,O Bausch Lomb: C,L Johnson & Johnson: C Alcon Laboratories Inc.: S CoDa: C | EyePoint: C Mynosys: C Alphaeon: C,O inVirsa: C | iView: C National Eye Institute: S Avedro: C,L,O KALA: C Novartis Institute for Biomedical Concierge Key Health: C,O Mallinckrodt Pharmaceuticals: C Research: C Eyedetec Medical Inc.: C NovaBay: C Ocular Therapeutix Inc.: C Eyegate Pharma: C Novartis, Alcon Pharmaceuticals: Santen Inc.: C | Shire: C Hoopes Durrie Rivera Research C,L Thieme Medical Publishers: C Center: C Ocular Science: C,O U.S. Food and Drug Johnson & Johnson Vision: C,L Ocular Therapeutix: C,S Administration: C,S Strathspey Crown LLC: C,O Okogen: C,O Omeros Corporation: C Julia A Haller MD PolyActiva: C (Retina) AAO Staff RxSight: C Aura Biosciences: C Senju: S | Shire: C,L Celgene: O | KalVista: C Ann L’Estrange Slack Publishing: C,P Lowy Medical Research None Sun Pharma: C,L Institute: C Sydnexis: C,O Novartis Pharmaceuticals Carolyn Little TearLab: C Corp.: C None Spark Therapeutics: C R Michael Siatkowski MD Melanie Rafaty Michael S Lee MD (Pediatric Ophthalmology) None National Eye Institute: S (Neuro-Ophthalmology) National Eye Institute: S Debra Rosencrance Quark Pharmaceuticals: S None Springer: P Uptodate: P Beth Wilson None 2018 Subspecialty Day | Pediatric Ophthalmology Contents v Pediatric Ophthalmology 2018 Contents Program Planning Group ii CME vi Faculty Listing viii How to Use the Audience Interaction Application xii Program Schedule xiii Section I: Weathering the Storm—Surgical Approaches to Vertical Strabismus 1 Section II: Sudden Showers—Late Breaking RCTs and Observational Studies 13 Section III: Raining Cats and Dogs—Challenges of Applying Evidence-Based Medicine 19 Section IV: Ice Breaker—What Our Adult Specialty Colleagues Can Teach Us 27 Advocating for the Profession and Patients 35 Section V: Here Comes the Sun—Myopia Prevention 35 Section VI: London Fog—What Am I Doing Differently in Pediatric Anterior Segment 44 Section VII: Electrical Storm—Imaging in Pediatric Ophthalmology 49 Faculty Financial Disclosure 55 Presenter Index 58 vi CME 2018 Subspecialty Day | Pediatric Ophthalmology CME Credit The Academy’s CME Mission Statement Scientific Integrity and Disclosure of Conflicts of Interest The purpose of the American Academy of Ophthalmology’s Continuing Medical Education (CME) program is to present The American Academy of Ophthalmology is committed to ophthalmologists with the highest quality lifelong learning ensuring that all CME information is based on the application opportunities that promote improvement in physician practices, of research findings and the implementation of evidence-based resulting in the best possible eye care for their patients. medicine. It seeks to promote balance, objectivity, and absence of commercial bias in its content. All persons in a position to control the content of this activity must disclose any and all 2018 Pediatric Ophthalmology Subspecialty Day financial interests. The Academy has mechanisms in place to Learning Objectives resolve all conflicts of interest prior to an educational activity This meeting will enable attendees to: being delivered to the learners. The Academy requires all presenters to disclose on their first ■ Improve their ability to diagnose and manage pediatric slide whether they have any financial interests from the past 12 ophthalmology and strabismus conditions months. Presenters are required to verbally disclose any finan- ■ Improve their outcomes in the management of pediatric cial interests that specifically pertain to their presentation. ophthalmology and strabismus conditions ■ Integrate new and existing clinical trial results into their management of childhood eye disease Control of Content ■ Apply new adult ophthalmology subspecialty develop- The American Academy of Ophthalmology considers present- ments to the care of children ing authors, not coauthors, to be in control of the educational ■ Apply the recent developments in therapeutic approaches content. It is Academy policy and traditional scientific pub- to reducing myopia progression lishing and professional courtesy to acknowledge all people ■ Use emerging developments in childhood anterior seg- contributing to the research, regardless of CME control of ment disease the live presentation of that content. This acknowledgment ■ Apply new imaging and testing modalities in their care of is made in a similar way in other Academy CME activities. children with eye conditions and patients with strabismus Though coauthors are acknowledged, they do not have control of the CME content, and their disclosures are not published or 2018 Pediatric Ophthalmology Subspecialty Day resolved. Target Audience The intended target audience for this program is pediatric Attendance Verification for CME Reporting ophthalmologists, comprehensive ophthalmologists, medical Before processing your requests for CME credit, the American professionals, visual physiologists, and orthoptists who are Academy of Ophthalmology must verify your attendance at involved in maintaining high-quality health care for the pediat- Subspecialty Day and/or AAO 2018. In order to be verified for ric and strabismus populations. CME or auditing purposes, you must either: ■ Register in advance, receive materials in the mail, and 2018 Pediatric Ophthalmology Subspecialty Day turn in the Subspecialty Day Syllabi exchange voucher(s) CME Credit onsite; The American Academy of Ophthalmology is accredited by ■ Register in advance and pick up your badge onsite if the Accreditation Council for Continuing Medical Education materials did not arrive before you traveled to the meet- (ACCME) to provide CME for physicians. ing; The American Academy of Ophthalmology designates this ■ Register onsite; or live activity for a maximum of 7 AMA PRA Category 1 Cred- ■ Scan the barcode on your badge as you enter an AAO its™. Physicians should claim only the credit commensurate 2018 course or session room. with the extent of their participation in the activity. CME Credit Reporting Teaching at a Live Activity South Building Level 2.5 and Academy Resource Center Teaching instruction courses or delivering a scientific paper or Attendees whose attendance has been verified (see above) at poster is not an AMA PRA Category 1 Credit™ activity and AAO 2018 can claim their CME credit online during the meet- should not be included when calculating your total AMA PRA ing. Registrants will receive an email during the meeting with Category 1 Credits™. Presenters may claim AMA PRA Cat- the link and instructions on how to claim credit. egory 1 Credits™ through the American Medical Association. Onsite, you may report credits earned during Subspecialty To obtain an application form please contact the AMA at Day and/or AAO 2018 at the CME Credit Reporting booth. www.ama-assn.org. 2018 Subspecialty Day | Pediatric Ophthalmology CME vii Academy Members Proof of Attendance The CME credit reporting receipt is not a CME transcript. The following types of attendance verification