SEPTEMBER 2016 # 01 Upfront In My View NextGen Sitting Down With Gender incompatibility in The political Redefining glaucoma to Master of macular degeneration, corneal grafts advocacy playbook explore the final frontier Philip J. Rosenfeld 10 16 – 17 36 – 38 50 – 51 The League of Extraordinary Ophthalmologists The Ophthalmic Premier League educates, excites and amazes – Amar Agarwal explains why 18 – 27 NORTH AMERICA www.theophthalmologist.com Making the revolutionary, routine. ZEISS AngioPlex™ OCT Angiography A new era in retinal care—right now. • New vascular information with ultra-clear 3D microvascular visualizations • Enhanced workflow with non-invasive, dye-free, single-scan angiography • Advancing OCT with ZEISS’ powerhouse CIRRUS™ HD-OCT platform Visit us at AAO 2016 in Chicago, ZEISS Booth 3826. www.zeiss.com/us/octangio Carl Zeiss Meditec, Inc. 800 342 9821 www.zeiss.com/med CIR.8086 ©2016 Carl Zeiss Meditec, Inc. All copyrights reserved. Image of the Month A stromal cyst present in a patient that was originally referred to an ophthalmic oncologist for a possible iris tumor. Images courtesy of Carrie A. Cooke, an ophthalmic photographer with the University of Texas Health Science Center San Antonio, Medical Arts and Research Center, Department of Ophthalmology. Do you have an image you’d like to see featured in The Ophthalmologist? Contact [email protected]. www.theophthalmologist.com Contents 10 In My View 14 Paul Sternberg Jr. and Janice Law share their insights on how to succeed in political advocacy, its dependence on relationships and why ophthalmologists should get involved. 16 Justis Ehlers discusses the growing evidence on the benefits of intraoperative OCT use in macular surgery, and its ability to positively impact surgical decisions. 17 Is it time to get rid of the traditional surgical microscope? 18 Claus Eckardt thinks so, and shares his experience of adopting a 3D camera and a flat panel display for vitreoretinal surgery. 03 Image of the Month Upfront 08 Finding Fibrosis 07 Editorial Feature Hello North America 09 Old Sharks, New Tricks by Mark Hillen 18 The League of Extraordinary 10 H-Y are These Corneal Ophthalmologists Grafts Rejecting? What do you get when you mix On The Cover 16 of the world’s top ophthalmic SEPTEMBER 2016 # 33 11 This Month in Business surgeons, video presentations Upfront NextGen Profession Sitting Down With Gender incompatibility in Redefining glaucoma to The political Master of macular degeneration, corneal grafts explore the final frontier advocacy playbook Philip J. Rosenfeld 8 26 – 30 42 – 47 50 – 51 A cartoon representation of the of their craziest cases, some The League of Extraordinary Ophthalmologists The Ophthalmic Premier League educates, excites and amazes – Amar Agarwal explains why 14 – 22 winning team at the Ophthalmic 12 Featherweight Optics flamboyant costumes… and a Premier League at last year’s AAO ping pong gun? Welcome to the NORTH AMERICA www.theophthalmologist.com congress in Las Vegas. 13 The Thinner, the Poorer Ophthalmic Premier League. ISSUE 01 - SEPTEMBER 2016 Editor - Mark Hillen [email protected] Associate Editor - Ruth Steer [email protected] Associate Editor - Roisin McGuigan [email protected] Editorial Director - Fedra Pavlou [email protected] Content Director - Rich Whitworth [email protected] Publishing Director - Neil Hanley [email protected] North America Sales Director - Chris Breslin [email protected] Sales Manager - Abigail Mackrill [email protected] Head of Design - Marc Bird [email protected] Designer - Emily Strefford-Johnson [email protected] Junior Designer - Michael McCue [email protected] Digital Team Lead - David Roberts [email protected] 30 Digital Producer Web/Email - Peter Bartley [email protected] Digital Producer Web/App - Abygail Bradley [email protected] Digital Content Assistant - Lauren Torr [email protected] Audience Insight Manager - Tracey Nicholls In Practice [email protected] Traffic and Audience Associate - Lindsey Vickers [email protected] 30 Fighting Tears Traffic and Audience Associate - Jody Fryett Mauricio Perez describes how a 40 [email protected] Social Media / Analytics Associate - Ben Holah modification to DMEK tissue [email protected] preparation can help reduce the Events and Office Administrator - Alice Daniels-Wright risk of damaging donor tissue – [email protected] something that’s always a worry Financial Controller - Phil Dale for surgeons new to the procedure. Profession [email protected] Chief Executive Officer - Andy Davies [email protected] 44 So You Think You’re An Expert? Chief Operating Officer - Tracey Peers Being an expert witness in a [email protected] NextGen medical malpractice case can be Change of address [email protected] challenging, but there are easy Tracey Nicholls, The Ophthalmologist, Texere 36 The Dark Side of the Moon pitfalls to avoid. Ron Pelton shares Publishing Limited, Haig House, Haig Road, John Berdahl talks about the ten ways to avoid getting in hot Knutsford, Cheshire, WA16 8DX, UK. Single copy sales £15 (plus postage, cost available quest to redefine glaucoma, water when on the stand. on request [email protected]) better treat it… and to send the Annual subscription for non-qualified recipients £110. first astronauts to Mars. 46 Lessons I’ve Learned General enquiries: www.texerepublishing.com Pioneering, perseverance and [email protected] 39 Tasting Vision passion: Patricia Bath shares the +44 (0) 1565 745 200 Can the brain “see” through the story of her career. [email protected] tongue? That’s the idea behind Distribution: The Ophthalmologist (ISSN 2398-9270) BrainPort, a visual aid that is published monthly by Texere Publishing Ltd and relies on video camera-directed is distributed in the USA by UKP Worldwide, 1637 Stelton Road B2, Piscataway, NJ 08854. electrostimulation of the tongue Sitting Down With Periodicals Postage Paid at Piscataway, (plus some plasticity in the NJ and additional mailing offices POSTMASTER: Send US address changes to somatosensory and visual cortex) 50 Philip J. Rosenfeld, Professor of The Ophthalmologist, Texere Publishing Ltd, to enable patients to “see” using Ophthalmology, Bascom Palmer c/o 1637 Stelton Road B2, Piscataway NJ 08854 the device. Eye Institute, Miami, Florida. Reprints & Permissions – [email protected] Elegant in design, Precise in action Get certified for the Kahook Dual Blade procedure at KDBcert.com 909.466.4304 Hello, North America Editorial We’re here, and we’re clear about what we’re bringing to the table. hen The Ophthalmologist launched in Europe more than three years ago, we entered a crowded market. Just like in the US and WCanada, there were many print magazines and websites ophthalmologists could read. We wanted – and had – to do something different. We did. And now it’s here in North America: a bespoke edition of content that’s tailored to your needs and tastes. Why is The Ophthalmologist different? We view it as an ophthalmologist’s magazine, rather than an ophthalmology magazine. We’re not offering an impersonal overview of a particular branch of medicine. Rather, we focus on the people who bring it alive – people like you – to present an engaging cover-to-cover read, every month. In short, we’re here to tell your stories. This approach has certainly served us well to date. We’ve managed to cover some of the biggest stories that speak to the future of eyecare: big data, nanotechnology, the future of ocular imaging, robot eye surgery, stem cells, even what needs to be done to deal with the tidal wave of aging boomers with age-related eye disease (a combination of all of the above, and more, it seems). We’ve worked with the biggest names in the game to share their motivations, aspirations, fears and successes in the most engaging way possible. We’re not afraid of detail, and we’re not afraid of being controversial either. We only commission articles that we know will be interesting; your time is precious, and you should be entertained and informed by your magazine, not bored by it. We are big on engagement. I consider that everything we publish is the start of a conversation. Even if you’re reading this in our glorious print edition, you can go online and comment on absolutely anything and everything we publish. We want your feedback, your suggestions and your submissions. This is your publication, after all. As you’d expect, our content is available in the formats that you use; print, PDF, iPhone and iPad apps, and on the web at www.theophthalmologist.com. Even though the North American edition of The Ophthalmologist is custom-made for you, everything we’ve ever published is available online; you are denied nothing of what the rest of the world sees – and this won’t change going forward. So hello again, North America. Welcome to The Ophthalmologist. Mark Hillen Editor www.theophthalmologist.com 8 Upfront the profiles from publicly available Finding Fibrosis datasets. Using a novel software suite Upfront optimized for studying age-related Pro-fibrotic signatures may play macular degeneration (AMD; 2) and a role in causing glaucoma... Reporting