Cornea Subspecialty Day 2019 Keeping Disease at Bay
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Cornea Subspecialty Day 2019 Keeping Disease at Bay Program Directors Jennifer Y Li MD, Sanjay V Patel MD FRCOphth, and Sophie X Deng MD PhD In conjunction with the Cornea Society Moscone Convention Center San Francisco, CA Saturday, Oct. 12, 2019 Presented by: The American Academy of Ophthalmology Cover photo courtesy of Sophie X Deng MD PhD Supported by an unrestricted educational grant from Dompé. 2019 Cornea Planning Group 2014 William Barry Lee MD Subspecialty Day Advisory Committee Jennifer Y Li MD Elmer Y Tu MD Daniel S Durrie MD Program Director Stephen C Kaufman MD PhD Associate Secretary Sanay V Patel MD FRCOphth 2013 Kathryn A Colby MD PhD Julia A Haller MD Program Director William Barry Lee MD Michael S Lee MD Elmer Y Tu MD Shahzad I Mian MD Sophie X Deng MD PhD 2012 Anthony J Aldave MD Program Director R Michael Siatkowski MD Natalie A Afshari MD Kuldev Singh MD Kathryn A Colby MD PhD Former Program Directors 2011 Christopher J Rapuano MD Maria M Aaron MD 2018 Carol L Karp MD Natalie A Afshari MD Secretary for Annual Meeting Jennifer Y Li MD Anthony J Aldave MD Sanay V Patel MD FRCOphth 2010 Michael W Belin MD Staff 2017 Bennie H Jeng MD David B Glasser MD Melanie R Rafaty CMP, Director, Scientific Carol L Karp MD Christopher J Rapuano MD Meetings Jennifer Y Li MD 2008 Michael W Belin MD Ann L’Estrange, Subspecialty Day Manager 2016 Shahzad I Mian MD David B Glasser MD Debra Rosencrance CMP CAE, Vice Bennie H Jeng MD Mark J Mannis MD President, Meetings & Exhibits Carol L Karp MD 2007 Michael W Belin MD Patricia Heinicke Jr, Copy Editor 2015 Stephen C Kaufman MD PhD David B Glasser MD Mark Ong, Designer Bennie H Jeng MD R Doyle Stulting MD PhD Gina Comaduran, Cover Design Shahzad I Mian MD ©2019 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 2019 Subspecialty Day | Cornea 2019 Cornea Subspecialty Day Planning Group On behalf of the American Academy of Ophthalmology and the Cornea Society, it is our pleasure to welcome you to San Francisco and Cornea Subspecialty Day 2019: Keeping Disease at Bay. Jennifer Y Li MD Sanjay V Patel MD FRCOphth Sophie X Deng MD PhD Program Director Program Director Program Director None None California Institute for Regenerative Medicine: S National Eye Institute, Inc.: S Kowa Research Institute, Inc.: C W L Gore & Associates: C 2019 Subspecialty Day | Cornea Planning Group iii 2019 Subspecialty Michael S Lee MD AAO Staff (Neuro-Ophthalmology) Day Advisory Evolvemed: C Ann L’Estrange National Eye Institute: S None Committee Quark Pharmaceuticals: S Springer: P Daniel S Durrie MD, Chair Melanie Rafaty UptoDate: P (Refractive Surgery) None Vindico: C AcuFocus, Inc.: C,O Alcon Laboratories, Inc.: C Debra Rosencrance Alphaeon: O Shahzad I Mian MD (Cornea) None National Eye Institute: S Avedro: C,L,O Concierge Key Health: O,C Beth Wilson Eyegate Pharma: C R Michael Siatkowski MD None Hoopes Durrie Rivera Research (Pediatric Ophthalmology) None Center: C iOR Holdings: O iOR Partners: O Kuldev Singh MD Johnson & Johnson Vision: C,L (Glaucoma) Aerie: C Strathspey Crown LLC: O Aerpio: C Alcon Laboratories, Inc.: C Maria M Aaron MD Allergan: C (Secretary for Annual Belkin Laser Ltd.: C Meeting) Glaukos Corp.: C None Graybug: C InjectSense: C Julia A Haller MD (Retina) Ivantis: C Aura Biosciences: C Johnson & Johnson: C Celgene: O Mynosys: C KalVista: C National Eye Institute: S Lowy Medical Research Novartis Institute for Biomedical Institute: C Research: C Novartis Pharmaceuticals Ocular Therapeutix, Inc.: C Corp.: C Santen, Inc.: C Shire: C Thieme Medical Publishers: C U.S. Food and Drug Administration: C,S 2019 Subspecialty Day | Cornea Contents v Cornea 2019 Contents Cornea 2019 Subspecialty Day Planning Group ii CME vi Faculty Listing viii How to Use the Audience Interaction Application xii Program Schedule xiii Section I: Bent Out of Shape—Ectasia Update 1 Section II: Dry Eye/Ocular Surface Disease 11 Are You AT the Table or ON the Menu? 22 Section III: Infectious Keratitis 24 Section IV: Keratoplasty and Keratoprosthesis 32 Section V: Anterior Segment Tumors 41 Section VI: Inflammatory Diseases of the Cornea 51 Faculty Financial Disclosure 59 Presenter Index 62 vi CME Credit 2019 Subspecialty Day | Cornea CME Credit Academy’s CME Mission Statement Control of Content The purpose of the American Academy of Ophthalmology’s The American Academy of Ophthalmology considers present- Continuing Medical Education (CME) program is to present ing authors, not coauthors, to be in control of the educational ophthalmologists with the highest quality lifelong learning content. It is Academy policy and traditional scientific publish- opportunities that promote improvement and change in physi- ing and professional courtesy to acknowledge all people con- cian practices, performance, or competence, thus enabling such tributing to the research, regardless of CME control of the live physicians to maintain or improve the competence and profes- presentation of that content. This acknowledgement is made in sional performance needed to provide the best possible eye care a similar way in other Academy CME activities. Though they for their patients. are acknowledged, coauthors do not have control of the CME content and their disclosures are not published or resolved. 2019 Cornea Subspecialty Day Meeting Learning Objectives 2019 Cornea Subspecialty Day CME Credit Upon completion of this activity, participants should be able to: The American Academy of Ophthalmology is accredited by the Accreditation Council for Continuing Medical Education ■ Understand current best practices for the management of (ACCME) to provide CME for physicians. corneal infections The Academy designates this live activity for a maximum ■ Discuss the role of keratoplasty in the management of of 7 AMA PRA Category 1 Credits™. Physicians should claim patients with corneal disease only the credit commensurate with the extent of their participa- ■ Understand the role of imaging and in-office diagnostics tion in the activity. in the treatment of corneal disorders ■ Provide a rationale for treatment of dry eye and other ocular surface diseases and inflammatory disorders Attendance Verification for CME Reporting ■ List management strategies for patients with keratoconus Before processing your requests for CME credit, the Academy must verify your attendance at AAO 2019 and/or Subspecialty 2019 Cornea Subspecialty Day Meeting Target Day. Badges are no longer mailed before the meeting. Picking up Audience your badge onsite will verify your attendance. The intended audience for this program is cornea surgeons, comprehensive ophthalmologists with an interest in anterior Badge Scanning and CME segment, and allied health personnel who are performing or Getting your badge scanned does not automatically grant CME assisting with cornea surgery. credit. You still need to record your own educational activities. NOTE: You should claim only the credit commensurate with Teaching at a Live Activity the extent of your participation in the activity. Teaching instruction courses or delivering a scientific paper or poster is not an AMA PRA Category 1 Credit™ activity and CME Credit Reporting should not be included when calculating your total AMA PRA Onsite, report credits earned during Subspecialty Day and/or Category 1 Credits™. Presenters may claim AMA PRA Cat- AAO 2019 at CME Credit Reporting kiosks located in South egory 1 Credits™ through the American Medical Association. Lobby, West Lobby, and in the Academy Resource Center, West To obtain an application form please contact the AMA at Booth 7337. www.ama-assn.org. Registrants whose attendance is verified at AAO 2019 will receive an email on Monday, Oct. 14, with a link and instruc- Scientific Integrity and Disclosure of Conflicts of tions on how to claim credit online. Attendees can use this link Interest to report credits until Wednesday, Oct. 30. Starting Thursday, Nov. 14, attendees can claim credits The American Academy of Ophthalmology is committed to online through the Academy’s CME web page, aao.org/ ensuring that all continuing medical education (CME) informa- cme-central. tion is based on the application of research findings and the implementation of evidence-based 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 financial interests. The Acad- emy has mechanisms in place to resolve all conflicts of interest prior to an educational activity being delivered to the learners. 2019 Subspecialty Day | Cornea CME Credit vii Academy Members Proof of Attendance The CME credit reporting receipt is not a CME transcript. The following types of attendance verification are available dur- CME transcripts that include AAO 2019 credits entered at the ing AAO 2019 and Subspecialty Day for those who need it for American Academy of Ophthalmology’s annual meeting will reimbursement or hospital privileges, or for nonmembers who be available to Academy members through the Academy’s CME need it to report CME credit: web page beginning Thursday, Nov. 14. ■ CME credit reporting/proof-of-attendance letters The Academy transcript cannot list individual course atten- ■ Onsite registration receipt dance. It will list only the overall credits claimed for educational ■ Instruction course and session verification activities at Subspecialty Day and/or AAO 2019. You must have obtained your proof of attendance at the CME Credit Reporting kiosks onsite located in South Lobby, West Nonmembers Lobby, and in the Academy Resource Center, West Booth 7337. The American Academy of Ophthalmology provides nonmem- bers with verification of credits earned and reported for a single Academy-sponsored CME activity. To obtain a printed record of your credits, claim CME credits onsite at the CME Credit Reporting kiosks.