Ocular Oncology and Pathology 2018 Hot Topics in Ocular Pathology and Oncology— an Update
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Ocular Oncology and Pathology 2018 Hot Topics in Ocular Pathology and Oncology— An Update Program Directors Patricia Chévez-Barrios MD and Dan S Gombos MD In conjunction with the American Association of Ophthalmic Oncologists and Pathologists McCormick Place Chicago, Illinois Saturday, Oct. 27, 2018 Presented by: The American Academy of Ophthalmology 2018 Ocular Oncology and Pathology Subspecialty Day Advisory Committee Staff Planning Group Daniel S Durrie MD Melanie R Rafaty CMP DES, Director, Patricia Chévez-Barrios MD Associate Secretary Scientific Meetings Program Director Julia A Haller MD Ann L’Estrange, Subspecialty Day Manager Dan S Gombos MD Michael S Lee MD Carolyn Little, Presenter Coordinator Program Director Francis S Mah MD Debra Rosencrance CMP CAE, Vice R Michael Siatkowski MD President, Meetings & Exhibits Former Program Directors Kuldev Singh MD MPH Patricia Heinicke Jr, Copy Editor 2016 Carol L Shields MD Mark Ong, Designer Maria M Aaron MD Gina Comaduran, Cover Designer Patricia Chévez-Barrios MD Secretary for Annual Meeting 2014 Hans E Grossniklaus MD Arun D Singh 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 | Ocular Oncology & Pathology 2018 Ocular Oncology and Pathology Planning Group On behalf of the American Academy of Ophthalmology and the American Association of Ophthalmic Oncologists and Pathologists, it is our pleasure to welcome you to Chicago and Ocular Oncology and Pathology 2018: Hot Topics in Ocular Pathology and Oncology—An Update. Patricia Chévez-Barrios MD Dan S Gombos MD Program Director Program Director NASA: S Aura: C | Castle: C Children’s Oncology Group : S Iconic Therapeutics: C Lois Kuss Fund for Glaucoma Research: S The Houseman/Wilkins Ophthalmological Foundation: S 2018 Subspecialty Day | Ocular Oncology & Pathology Planning Group iii 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 | Ocular Oncology & Pathology Contents v Ocular Oncology and Pathology 2018 Contents Program Planning Group ii CME vi Faculty Listing viii How to Use the Audience Interaction Application xiii Program Schedule xiv Section I: Oncologist and Pathologist Hand in Hand 1 Section II: Pro and Con Debate and Roundtable on Retinoblastoma 16 Advocating for the Profession and Patients 21 Section III: Hot Topics in Retinoblastoma 21 Section IV: Uveal Melanoma—Hot and Spicy Topics 39 Section V: Uveal Melanoma—Pro and Con Debate 48 Section VI: Multicenter Trials in Ocular Oncology—2018 Update 52 Section VII: Gender Research in Ocular Tumors 61 Section VIII: Clinical Wisdom From Our Senior Leadership 66 Faculty Financial Disclosure 69 Presenter Index 72 vi CME 2018 Subspecialty Day | Ocular Oncology & Pathology CME Credit 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 Ocular Oncology and Pathology Subspecialty financial interests. The Academy has mechanisms in place to Day Learning Objectives resolve all conflicts of interest prior to an educational activity Upon completion of this activity, participants should be able to: being delivered to the learners. The Academy requires all presenters to disclose on their first ■ Identify clinical and pathologic features of certain slide whether they have any financial interests from the past 12 tumors, such as ocular melanoma, retinoblastoma, and months. Presenters are required to verbally disclose any finan- conjunctival premalignant lesions cial interests that specifically pertain to their presentation. ■ Identify and manage treatment complications such as sec- ond tumors and metastasis ■ Recognize advances in liquid biopsies and ocular pathol- Control of Content ogy The American Academy of Ophthalmology considers present- ■ Determine when a patient should be referred to an ing authors, not coauthors, to be in control of the educational ocular oncology center and when to consult an ocular content. It is Academy policy and traditional scientific publish- pathologist ing and professional courtesy to acknowledge all people con- tributing to the research, regardless of CME control of the live 2018 Ocular Oncology and Pathology Subspecialty presentation of that content. This acknowledgment is made in a Day Target Audience similar way in other Academy CME activities. Though they are acknowledged, coauthors do not have control of the CME con- The intended audience for this program is ocular oncology and tent, and their disclosures are not published or resolved. pathology surgeons, comprehensive ophthalmologists with an interest in anterior segment, and allied health personnel who are performing or assisting with ocular oncology and pathology Attendance Verification for CME Reporting surgery. Before processing your requests for CME credit, the American Academy of Ophthalmology must verify your attendance at 2018 Ocular Oncology and Pathology Subspecialty Subspecialty Day and/or AAO 2018. In order to be verified for Day CME Credit CME or auditing purposes, you must either: The American Academy of Ophthalmology is accredited by ■ Register in advance, receive materials in the mail, and the Accreditation Council for Continuing Medical Education turn in the Subspecialty Day Syllabi exchange voucher(s) (ACCME) to provide CME for physicians. onsite; The Academy designates this live activity for a maximum ■ Register in advance and pick up your badge onsite if of 7 AMA PRA Category 1 Credits™. Physicians should claim materials did not arrive before you traveled to the meet- only the credit commensurate with the extent of their participa- ing; tion in the activity. ■ Register onsite; or ■ Scan the barcode on your badge as you enter an AAO 2018 course or session room. Teaching at a Live Activity Teaching instruction courses or delivering a scientific paper or CME Credit Reporting poster is not an AMA PRA Category 1 Credit™ activity and should not be included when calculating your total AMA PRA South Building Level 2.5 and Academy Resource Center Category 1 Credits™. Presenters may claim AMA PRA Cat- Attendees whose attendance has been verified (see above) at egory 1 Credits™ through the American Medical Association. AAO 2018 can claim their CME credit online during the meet- To obtain an application form please contact the AMA at ing. Registrants will receive an email during the meeting with www.ama-assn.org. the link and instructions on how to claim credit. Onsite, you may report credits earned during Subspecialty Day and/or AAO 2018 at the CME Credit Reporting booth. 2018 Subspecialty Day | Ocular Oncology & Pathology CME 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 2018 credits entered at the ing AAO 2018 and Subspecialty Day for those who need it for Academy’s annual meeting will be available to Academy mem- reimbursement or hospital privileges, or for nonmembers who bers through the Academy’s CME web page (www.aao.org/ need it to report CME credit: cme-central) beginning Thursday, Dec. 13. The Academy transcript cannot list individual course atten- ■ CME credit reporting/proof-of-attendance letters dance.