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FEBRUARY 2020 Journal Articles for Military Ophthalmologists

Volume 3, Issue 2 February 2020

Inside this issue: Comprehensive & Coronavirus Our schedule for the year: Jan: Peds / I hope this newsletter finds everyone well. Please take a moment to Honoring Colonels 2 read out two of the Society of Military Ophthalmologists’ newest Feb: / Comprehensive Ward & Waller inductees into the Order of St. Lucia on page 2. I would also encour- age everyone to read the article linked on page 2 from Hong Kong Mar: / Neuro describing their ophthalmology-specific responses to Coronavirus and Apr: Path / Plastics Multifocal compari- 3 consider what you may need to do in the case of a pandemic: wheth- May: Peds / Glaucoma son er it be now or in the future. June: Retina / Comprehensive Coronavirus 3 July: Cornea / Neuro Aug: Path / Plastics Sep: Peds / Glaucoma

Oct: Retina / Comprehensive Nov: Cornea / Neuro Dec: Path / Plastics

Dr. Bill Wilson, a retired U.S. Army ophthalmologist, conducts on a [in Zanzibar, Tanzania] while his wife, Mary, stands by to offer surgical assistance. (Photo by Sgt. Terysa King/U.S. Army Africa, 2012) Page 2 Journal Articles for Military Ophthalmologists St Lucia Inductees

The Society of Military Ophthalmology is pleased to announce the induction of Stephen Waller, MD, Col, USAF (ret) and Jane Ward, MD, Col, USAF (ret) into the Hon- orable Order of St. Lucia. Thank you for your life-long selfless service on behalf of mili- tary ophthalmology and military , having achieved national and international prominence in the field of Military Medicine, Global Ophthalmology and Global Health Engagement. Our community is forever indebted to you both and remain inspired and mo- tivated by your work and career.

COL Steven Waller served as a Cornea Specialist and Global Health Expert in the United States Air Force from 1973-2004. COL Waller served as the Chair of the Depart- ment of Ophthalmology at Wilford Hall from 1995-2000. During his time at Wilford Hall, COL Waller and his wife, COL Jane Ward, established the military’s first international ophthalmology missions. They pioneered the concept of a tactical expeditionary ophthal- mology team called the Mobile Ophthalmologist Surgical Team (MOST) and led over 40 Global Ophthalmology missions, performing over 5000 cataract . These missions served as the model of military ophthalmology missions today, and has given rise to Joint Ophthalmology Missions across the globe. He became a nationally and internationally Jane Ward, O.D., M.D. renowned expert in Tropical Ophthalmology, Global Ophthalmology and Global Health, Col, USAF(Ret) publishing a prolific number of papers and articles in recognized peer-review journals and several book chapters, and was an invited lecturer at numerous military, national, and inter- national meetings. He received the American Academy of Ophthalmology Achievement Award in 1999. In his senior years of service, COL Waller served as Director of USAF General’s Special Projects Group, Deputy Assistant Surgeon General of Contin- gency Plans at the Pentagon, and Chief of Expeditionary Medical Operations for HQ US Air Forces Europe. Following retirement from Active Duty, COL Waller became a Profes- sor in the Division of Global Health in the Department of Preventative of Biostatistics and Medicine (PBM) at USUHS in 2010, creating courses in Global Health Disparities and Social Determinants of Health, Monitoring and Evaluation in Global Health, Ethics, and Program and Policy Evaluation, winning the Best Teacher Award in 2015. COL Waller co-founded the USU Graduate Certificate in Global Health Distance Learning Course in 2011 and continues teaching today.

COL Jane Ward served as a Pediatric and Neuro-Ophthalmologist and Global Health Ex- pert in the United States Air Force from 1977-2002. During this time, COL Ward served as faculty and Vice Chair of the Department of Ophthalmology at Brooke Army Medical Center (BAMC), as well as the President of the Society of Military Ophthalmology from 1994-1996. In her senior years of service, COL Ward served as the Air Force’s Chief of Humanitarian and Civic Assistance, coordinating about 25 deployments per year in all medical and surgical specialties to allied countries in Latin America, as well as Deputy Stephen Waller, M.D. Director of the Surgeon General Tactical Action Team at USAF HQ, Bolling Air Force Col, USAF(Ret) Base, and Special Assistant to the USAF Surgeon General for Humanitarian and Civic As- sistance. COL Ward founded and directed the USAF International Health Specialist Pro- gram, designed to provide improved partnering with sister service and international coali- tion partners in providing in humanitarian, disaster response, and contingency operations, and to improve language, cultural expertise, and knowledge of regional medical challenges. COL Ward was the first recipient of the Air Force Medical Service Global Health Award. Following retirement from Active Duty, COL Ward continued to serve military ophthalmology and military medicine as a to the Vision Preservation Program at Walter Reed Military Medical Center, performing research and education sup- porting the continuum of care from prevention of injury to rehabilitation in the military and Veteran’s Affairs.

-Loretta Stein Page 3 Journal Articles for Military Ophthalmologists Comparison of 2 trifocal IOLs—Corby Ropp

This study compares two trifocal IOL's, the AT LISA trifocal IOL (Carl Zeiss & not availa- ble in the US) against the AcrySof PanOptix (Alcon). While the author concluded they both provide similar favorable outcomes, the PanOptix was better for patient's desiring a closer intermediate acuity 60 cm (vs. 80 cm) and it had fewer bothersome halos. I really liked the utility of the tables for patient counseling. For example, the PanOptix UNVA performance at 40cm, 60 cm, and 4 m was logMAR 0.03, 0.08, and 0.03 respectively which matched the need for spectacles (95.1% never for distance; 100% never for inter- mediate; 98.4% never for near). Regarding dsyphotopsias, the frequency of glare/halos were reported at 80/40% never, 20/57% occasional, 0/3.3% often and they were rated as not bothersome at all 100/96.7%, or a little 0/3.3% and none were very bothered.

Asena BS. Visual and refractive outcomes, spectacle independence, and visual disturbances after cataract or refractive lens exchange surgery: Comparison of 2 trifocal intraocular lenses. J Cataract Refract Surg 2019; 45:1539-1546.

https://pubmed.ncbi.nlm.nih.gov/31587938

COVID-19 & Ophthalmology—Kyle Miller

The American Academy of Ophthalmology is putting out regular updates regarding COVID-19 and .

https://www.aao.org/headline/alert-important-coronavirus-context

From their report: *Several reports suggest the virus can cause and possibly be transmitted by aerosol contact with . * who present to ophthalmologists for conjunctivitis who also have fever and res- piratory symptoms including cough and shortness of breath, and who have recently trav- eled internationally, particularly to areas with known outbreaks (China, Iran, Italy, Japan, and South Korea), or with family members recently back from one of these countries, could represent cases of COVID-19. *The Academy and federal officials recommend protection for the mouth, nose and when caring for patients potentially infected with SARS-CoV-2. *The virus that causes COVID-19 is very likely susceptible to the same alcohol- and bleach-based disinfectants that ophthalmologists commonly use to disinfect ophthalmic instruments and office furniture.

A very recent article out of Hong Kong is also describing their ophthalmology practice changes which included: *Used text messaging to encourage postponing appointments or tele -refills. *Cancelled all non-urgent elective services and operations (routine , con- tact lens , ERG’s, etc) *Triage station set-up at entrance to screen for fevers with infra-red thermometers. Patients with fever were asked to reschedule routine appointments. Those with urgent needs were evaluated in the ER, inpatient isolation rooms, or inpatient ward if admitted. *Any patients with potential exposure and presenting with conjunctivitis were resched- uled for at least 14 days later. *Added an additional protective screen to the and used dedicated equipment for suspect cases

https://www.ncbi.nlm.nih.gov/pubmed/32124000

Page 4 Journal Articles for Military Ophthalmologists

Recent publications by military authors:

If I missed your article please let me know so I can include it in the next issue!

Kroesen CF, Snider M, Bailey J, Buchanan A, Karesh JW, et al. The ABCs of ocular trauma: Adapting a familiar mnemonic for rapid eye exam in the pre-ophthalmic zone of care. Military Medicine. 2020(185):S1:448-453.

Jaksha AF, Justin GA, Brooks DI, Elward CJ, Ryan DS, et al. Neuro-ophthalmic injuries with systemic neurologic injury or traumatic brain injury in Operation Iraqi Freedom and Operation Enduring Freedom. J Neuroophthalmol. 2020 Feb 27 [epub ahead of print]

Greene W, Burke T, Bramblett G, Wang HC. Detection of retinal fibrosis in a rabbit model of penetrating . Mil Med. 2020(185);S1: 443-447.

Todd, T. Mondzelewski T, Cason J, Hofmeister E, O’Connell S, Richmond C. LASIK flap stabil- ity after severe ocular injury. Am J Ophthalmol Case Rep. 2020(18):100608

U.S. service members perform cataract surgeries during New Horizons exer- cise 2019 at Port Mourant, Guyana. May 8, 2019. (U.S. Air Force photo by Senior Airman Derek Seifert).

The views expressed within this publication are those of the author(s) and do not nec- essarily reflect the official policy or position of the Department of the Navy, Depart- ment of the Army, Department of the Air Force, Department of Defense, or the Unit- 2020 ed States Government. We are either a military service member or an employee of the U.S. Government. This work was prepared as part of our official duties. Title 17 U.S.C. 105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person’s official duties.

Rabaul, Papua New Guinea: CAPT Elizabeth Hofmeister, a Navy surgeon, performs [ophthalmology] surgery on a patient on board the ship USNS Mercy (T-AH 19) during Pacific Partnership 2015. (U.S. Navy photo by Mass Communication Specialist 3rd Class William McCann/RELEASED)

The Editorial Team Comprehensive: Corby Ropp, Rachel Lieberman, Eric Grieser : Eva Chou, Brett Davies : Todd Mondzelewski, Matt Caldwell Cornea: John Cason, Richard Townley, Gary Legault, Bill Gensheimer Retina: James Zimmerman, Marissa Weber Glaucoma: Joe Schmitz, Drew Lewis, Jon Ellis, Won Kim Neuro: Tim Kim, Ben Ableman Peds: Kyle Miller, Ryan Davis Interviews: Katelyn Earls