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APAO 2021 Opening Day Highlights Named Lecture The Official Congress News of APAO 2021 ISSUE1 09 | 06 | 21 VIRTUAL CONGRESS by & HIGHLIGHTS Innovations in cataract 06 surgery are coming to Asia! APAO 2021 Anti-VEGFs and wide-field 08 OCTA dominate updates in DR treatment and Opening Day imaging. Highlights We are still in a COVID-19 09 era ... new approaches in patient management Named Lecture come in handy... Awards by Tan Sher Lynn Published by Matt Young CEO & Publisher Hannah Nguyen COO & CFO he award lectures are a major highlight the demand for services required for the of the 36th Asia-Pacific Academy of management of ROP,” he said. Robert Anderson Media Director TOphthalmology Virtual Congress (APAO 2021). Below, we delve into the presentations With the results of the study, Prof. Azad and his Gloria D. Gamat Chief Editor from those experts recognized for their vast team tried to establish the guidelines for ROP contributions toward ophthalmic advances in screening in APAC, based on criteria such as Brooke Herron Editor the Asia-Pacific (APAC) region. existing healthcare, geographical location and accessibility to care, awareness, and clinical Brandon Winkeler International Business picture. Development Jose Rizal Medal Award Lecture: He noted the challenges that exist in the Writers Challenges and Opportunities in Andrew Sweeney region. These include barriers to effective Elisa DeMartino Scaling ROP Services in the Asia- screening, early detection and treatment; Hazlin Hassan Pacific Region awareness among parents, neonatologists and Jillian Webster Joanna Lee ophthalmologists; and lack of trained manpower Sam McCommon In this lecture, Prof. Rajvardhan Azad from to tackle the disease. “Our study showed that Tan Sher Lynn India talked about the Asia Retinopathy of the lack of screening underlines most stage 5 Maricel Salvador Prematurity (ROP) study, participated by nine retinopathy cases in a large tertiary care center Graphic Designer countries: Bangladesh, China, India, Indonesia, in India. Among 354 infants, 115 are in stage Mongolia, the Philippines, Taiwan, Thailand 5. The mean principal component analysis and Vietnam. (PCA) at first visit is 54.6 weeks and the mean Media MICE Pte. Ltd. 6001 Beach Road, #19-06 delay is 24.7 weeks. A common risk factor is Golden Mile Tower, Singapore 199589 According to him, good human resources can oxygen therapy (103 babies; 89.6%), and 109 Tel. Nos.: +65 8186 7677 | +1 302 261 5379 Email: [email protected] be found in China, Thailand and India, with babies were never screened (89.8%). mediaMICE.com the number of doctors who can screen for piemagazine.org ROP being 200, 900 and 200, respectively. “Another challenge is the understanding of cakemagazine.org “Nonetheless, this is not enough to meet the disease among ophthalmologists. Even cookiemagazine.org 2 06 September 2021 | Issue #1 though 86% of babies were referred by performed studies on the risks for a study and found that intravitreal ophthalmologists, the correct diagnosis ROP, wrote editorials in journals, bevacizumab (IVB) monotherapy, as is only 4.3%,” he said. provided training for ROP screening and compared with conventional laser treatment, and held conferences with therapy, showed significant benefits for “ROP screening is an essential part of neonatal intensive care units (NICU). infants with zone I ROP. However, no modern neonatal care. The mean period Three ROP incidence studies in Beijing statistical differences were found for to develop treatable ROP is variable were done in 1993, 2002 and 2005, zone II lesions. Unfavorable outcomes across the world and APAC region. respectively, showing a decrease from (progressing into stages 4 and 5) is Screening guidelines vary from country 20.3% (1993) to 17.3% (2002) and 18.5% for the laser group, and 3.7% for to country, and developing countries 10.8% (2005). the IVB group. do not recommend screening of larger babies. Current international screening “With the guideline for ROP screening It was also found that fibrosis occurred guidelines need to be modified according in 2004, oxygen concentration control in the eye just one week after the to local scenarios. For a more focused has been improved, but just in big administration of anti-VEGF. Hence, approach to ROP care, we need to have hospitals. Birth weight remained at Prof. Li and her team did a study on training and manpower, education and 1000-1500g. We realized that there the relationship between anti-VEGF awareness, advocacy, documentation had been an unbalanced improvement and fibrosis cells in order to obtain on pediatric fundus cameras, and of NICU in China. So, we requested the a better understanding of it. Based accessibility for ROP regression,” he Ministry of Health hold a meeting with on the studies, they are currently stressed. the NICU experts for discussion and then developing an expert consensus for ROP generated new guidelines separately,” treatment, which includes terminology, she said. indication for single treatment of Holmes Lecture: Prospective anti-VEGF, indication for combination on ROP Care in China The new ROP screening guidelines treatment with laser, indication for iris in 2014 included maintaining the neovascularization, and para-intravitreal Prof. Xiaoxin Li from the People Eye screening criteria of 2004, with initial injection systemic care. Center of Peking University People’s exams starting from 4-6 weeks after Hospital in China, noted that the birth (gestational age 31-32 weeks). incidence of ROP increased in China Intervention criteria includes threshold ICO Mark Tso Golden Apple after 1990 because at that time neonatal lesion or pre-threshold lesion of Type Award Lecture: Treatment of awareness was expanding and improving. 1, within 72 hours. The guidelines also The use of unmonitored supplemental included follow-up intervals and criteria Intra-Ocular Tumor with Local oxygen was common and some babies for stopping follow-up. Resection Combined with received oxygen unnecessarily. Vitreo-Retinal Surgery To evaluate whether laser or anti-VEGF To promote ROP prevention, Prof Li is better at treating ROP, Prof. Li did Prof. Wenbin Wei from the Beijing Tongren Eye Center, Capital Medical University, China, said that local resection is effective for the treatment of intraocular tumors as it reduces the rate of enucleation. However, experienced surgical skill and good psychological endurance is required. He presented a few cases of local resection combined with vitreoretinal surgery and said that before the surgery, the surgeon should evaluate the patient’s ocular condition and conduct an individualized surgery design. “One must also be aware of the complications that can happen during surgery, such as bleeding, extremely low IOP and suprachoroidal hemorrhage; as well as post-surgery, such as retinal detachment, proliferative vitreoretinopathy, tumor recurrence and metastasis. “In general, the prognosis for this treatment is good. Basic vision is preserved, the patient retains normal appearance and has good living quality, as well as stable long-term outcomes,” he concluded. The Official Congress News of APAO 2021 3 >> Cont. from Page 1 4 06 September 2021 | Issue #1 Going Above & Beyond Next Generation Phaco with the VERITAS™ Vision System by Elisa DeMartino cutting-edge phacoemulsification phacoemulsification systems, Dr. Schwam level of physical ability and stay on top device was rolled out by Johnson and his cohorts at Johnson & Johnson of their nutrition and physical health to A & Johnson Vision (Santa Ana, know that safety and stability remain be at their best. And sometimes, both California, USA) just this summer — a challenging priority. That’s why the end up sacrificing their bodies for their and what better time to present it to R&D team “emphasized ergonomics and professions.” However, this doesn’t Asia’s eye surgeons than the first day human factors” during development. have to be the case for the modern of the 36th Asia-Pacific Academy of The device focuses on surgeon comfort ophthalmologist. Ophthalmology Virtual Congress (APAO and well-being, ensuring comfort and 2021)? avoiding muscular strain. Oftentimes people forget the ergonomic sacrifices surgeons make for their With the company’s Whitestar Part of this is accomplished by an patients. Those people might also Signature® Pro released only a few industry-first lightweight swivel hand- be the ones designing products for short years ago, practitioners may find piece, accompanying foot pedal with surgeons! Ergonomics play a vital themselves wondering what makes their programmable top and side switches, role in a surgeon’s well-being — and, newest VERITAS™Vision System so Advanced Tubing System (ATS), and consequently, in a patient’s. innovative. To address that question, surge-minimizing technology. These are this industry-sponsored session featured all new features in comparison to the If you perform lots of procedures in a Dr. Brian Schwam, senior director of company’s previous comparable device. dedicated time block and experience Medical Affairs at Johnson & Johnson Naturally, the company carried over its musculoskeletal pain, you aren’t alone. Surgical Vision (JJSV), and Mr. Adam leading WHITESTAR technology for ultra- Seventeen percent of surgeons report Toner, senior R&D manager for System smooth cutting, even in dense cataracts. hand or wrist pain, 52-80% report back Integrations at JJSV, along with two or neck pain, and 15% report being ophthalmic surgeons who have already limited in their work due to pain. tested out the product. What do surgeons and professional athletes have in In the case of phacoemulsification systems for cataract surgery, the hand “Your surgical day just got common? piece and foot pedals should require only easier” Mr. Adam Toner posed the question minimal movement; meanwhile, audible during his panel — and he didn’t leave cues or tones are needed to manipulate Despite the overall success of us to wonder. “Both need to maintain a the tools, because a surgeon can’t be The Official Congress News of APAO 2021 5 watching the screen while they operate. With the lightweight swivel handpiece, The Hybrid fluidics technology removes he can find the correct position for his surge, too.
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