LETTER FROM THE CHAIRMAN 02/26/2008 To the Infirmary Family: The 2005-2006 Annual Report of the Department of Ophthalmology of The New York Eye and Ear Infirmary covers activities of our 186 years of continuous service. This report attests to the continuing fulfillment of the mission embarked upon by our founders, Dr. John Kearney Rodgers and Dr. Edward Delafield, in 1820 – to bring quality eye services to all through patient care, education and research. We hope that this report rekindles fond memories of your time at the Infirmary. It represents the work and dedication of many who contribute their time, treasure and talent. Please remember The New York Eye and Ear Infirmary Department of Ophthalmology in your charitable donations. We are in the early stages of establishing an endowment so that those who follow may benefit from the same opportunities that were available to us. Sincerely, Joseph B. Walsh, MD, FACS, FRCOphth Professor & Chair Department of Ophthalmology The New York Eye & Ear Infirmary New York Medical College 1 TABLE OF CONTENTS LETTER FROM THE CHAIRMAN 1 OPHTHALMOLOGY DEPARTMENTAL ADMINISTRATION 4 THE NEW YORK EYE AND EAR INFIRMARY MEDICAL BOARD COMMITTEES 5 AMBULATORY CARE SERVICE 7 COMPREHENSIVE OPHTHALMOLOGY SERVICE 17 CORNEA AND REFRACTIVE SURGERY SERVICE 19 GLAUCOMA SERVICE 23 NEURO-OPHTHALMOLOGY SERVICE 37 OCULAR TUMOR SERVICE 39 OCULOPLASTIC AND ORIBITAL SURGERY SERVICE 41 OPHTHALMIC PATHOLOGY SERVICE 45 PEDIATRIC OPHTHALMOLOGY AND ORTHOPTICS 47 EYE TRAUMA SERVICE 51 RETINA SERVICE 53 ABORN-LUBKIN EYE RESEARCH LABORATORY 57 THE NEW YORK EYE AND EAR INFIRMARY OPHTHALMOLOGY ASSOCIATES, P.C. 63 BETH ISRAEL MEDICAL CENTER AFFILIATION 71 RESIDENT TRAINING AND EDUCATION 75 NYEEI OPHTHALMOLOGY DEPARTMENT HOUSE STAFF 77 GRAND ROUNDS 82 RESIDENT/FELLOW RESEARCH DAY 2005 88 RESIDENT/FELLOW RESEARCH DAY 2006 90 PUBLICATIONS 2005 92 PUBLICATIONS 2006 96 PRESENTATIONS 2005 102 PRESENTATIONS 2006 106 NYE&E ARVO BIBLIOGRAPHY 2005 114 NYE&E ARVO BIBLIOGRAPHY 2006 117 NY MEDICAL COLLEGE BIBLIOGRAPHY 2005 120 INSTITUTIONAL REVIEW BOARD SUMMARY 2005 121 INSTITUTIONAL REVIEW BOARD SUMMARY 2006 135 APPOINTMENTS, HONORS, AWARDS, FELLOWSHIPS 152 DONATIONS 158 DEPARTMENT OF OPHTHALMOLOGY EXECUTIVE OVERVIEW 2005 161 EXECUTIVE COMMITTEE RESIDENCY REVIEW 2006 167 VISION CORRECTION CENTER 175 OPHTHALMOLOGY DEPARTMENTAL ADMINISTRATION The Board of Directors of The New York Eye & Ear Infirmary has entrusted the administration of the Department of Ophthalmology to the Chair of Ophthalmology, who by consent, concurrently serves as Chair of the Department of Ophthalmology of New York Medical College. The Chair, therefore, is selected by and reports directly to the Board of Directors of The New York Eye & Ear Infirmary and New York Medical College. The Chair is ably assisted by: DIRECTORS OF CLINICAL SERVICES: Ophthalmic Plas tic, Orb ital & Reconstructive Surgery Service . .Robert C. Della Rocca, MD* . .Assistant: Elizabeth Maher, MD* Glaucoma Service . .Robert H. Ritch, MD* . .Assistant: Celso Tello, MD* Retinovitreal Service . .Thomas O Muldoon, MD* . .Assistant: Jeanne L. Rosenthal, MD* Comprehensive Ophthalmology . .Paul A. Sidoti, MD* Corneal & External Disease Service . .John A. Seedor, MD* . .Assistant: David Ritterband, MD Vision Correction Center Co-Directors . .Barrie Soloway, MD . .Advisor: Richard Keates, MD Pediatric & Motor Anomaly Service . .Lisabeth Hall, MD* Ocular Oncology . .Paul Finger, MD . .Consultant: David H. Abramson, MD Low Vision Service . .Benjamin Freed, OD Tissue Culture Laboratory . .Dan-Nang Hu, MD Ocular Trauma Service Co-Directors . .John Aljian*, MD, Ronald C. Gentile, MD* Neuro-Ophthalmology Service . .Mark J. Kupersmith, MD* . .Assistant: Hilary Fazzone, MD Ocular Pathology . .Steven McCormick, MD Uveitis Service . .Paul Latkany, MD . .C. Michael Samson, MD* Beth Israel Affiliation . .H. Jay Wisnicki, MD* Aborn Eye Research Institute . .Greg Bennett, MD OPHTHALMOLOGY ADMINISTRATIVE FACULTY Program Director & Director Resident Services . .Richard B. Rosen, MD* Medical Student Education: . .Lois McNally, MD* Coordinator Retina- Education: . .Ronald C. Gentile, MD* Coordinator Refraction Service: . .David Krumholz, OD ELECTED STAFF REPRESENTATIVES-AT-LARGE Jeanne L. Rosenthal*, MD, Kenneth Felder*, MD, Elliott Fienman, MD*, C. Michael Samson, MD Medical Director . .Douglas F. Buxton, MD (06)Alumni Alumni Association, President . .Jeanne L. Rosenthal, MD*(05/00) Medical Director . .Robert Rosenthal, MD (05) CHIEF RESIDENTS* (07/05 - 06/06) . .Jon Page, MD, Natalie Rodriguez, MD (07/06 - 06/07) . .Michael Bannitt, MD, Samuel Barone, MD *The above listed individuals* collectively form the Executive Committee of the Department of Ophthalmology. This committee forms a collegial body wherein activities related to education, clinical care and research are discussed. Resident evaluations are performed and past departmental policies are evaluated and mortified and new policies formulated and promulgated 4 OPHTHALMOLOGY DEPARTMENTAL ADMINISTRATION THE NEW YORK EYEAND EAR INFIRMARY MEDICAL BOARD COMMITTEES 2005-2006 BYLAWS COMMITTEE R.C. Della Rocca, MD N. Mehta, MD J.R. Rosenthal, MD K. Felder, MD MEDICAL LIBRARY COMMITTEE J. Liebmann, MD R.B. Rosen, MD J.B. Walsh, MD CPR COMMITTEE R. Durell, MD CREDENTIALS COMMITTEE M. Behette, MD R. Lester, MD R. Ritch, MD R. Della Rocca, MD E. Maher, MD J.B. Walsh, MD J. Galst, MD J. McDermott, MD P. Weseley, MD H. Hedaya, MD OPERATING ROOM COMMITTEE D. Buxton, MD T. Muldoon, MD P. Sidoti, MD W. Kestin, MD R. Rosen, MD C. Tello, MD J. Liebmann, MD J. R. Rosenthal, MD J.B. Walsh, MD C. Locke, MD J. Seedor, MD SURGICAL CASE REVIEW COMMITTEE B. Datta, MD S. McCormick, MD J.R. Rosenthal, MD J. Liebmann, MD R.B. Rosen, MD J.B. Walsh, MD A. Weseley, MD INSTITUTIONAL REVIEW BOARD R. Andrew S. McCormick, MD S. Schantz, MD G. Caponong, MSW D. Ritterband, MD E. Schleider E. Ilitchev, MD R.B. Rosen, MD S. Tennaro, EdD L. James, RPh H. Savage, Ph.D J.B. Walsh, MD R. Bakin, PhD TELEINFORMATICS COMMITTEE J. Liebmann, MD R. Ritch, MD J.B. Walsh, MD QUALITY MANAGEMENT COMMITTEE R. Della Rocca, MD J.B. Walsh, MD A. Weseley, MD S. McCormick, MD THE NEW YORK EYE AND EAR INFIRMARY MEDICAL BOARD COMMITTEES 5 AMBULATORY CARE SERVICE he Division of Ambulatory Care Services is comprised of eight clinical departments, Ambulatory Care Revenue Management and the Language Assistance Program. T The clinical areas include: Ophthalmology Otolaryngology Glau coma Retina Orthoptics Pediatric Ophthalmology Urgent Care Services Infection Control. This report presents statistical summaries that include patient visits, staffing, Employee Health Service needle sticks, sharps and splash injuries, major achievements for 2006 and goals for 2007. SCOPE OF SERVICES AND STATISTICAL OVERVIEW The Ambulatory Care Division of The New York Eye & Ear Infirmary provides a comprehensive range of outpatient and referred ambulatory services for the diagnosis and treatment of patients with conditions related to ophthalmology, otolaryngology and their related specialties. Below are statistics for 2006 indicating the visits in all ambulatory care areas as they compare to the visits for 2005. OPHTHALMOLOGY The tables on the following pages reflect the yearly activity for years 2004 – 2005 for the Ophthalmology Services. Ann Marie Palladino, Division Director AMBULATORY CARE SERVICE 7 COMPARATIVE STATISTICS SPECIALTY 2004 2005 % CHANGE 2005 2006 % CHANGE Ophthalmology 86,827 86,088 (1)% 86,088 86,879 0.92% Otolaryngology 32,006 31,138 (2.7)% 31,138 27,480 -11.75%7 Specialty Services 2,978 3,135 5% 3,135 2,435 -22.33% Referred 8,421 9,197 9% 9,197 9,853 7.13% TOTALS 130,232 130,297 0% 130,297 126,647 -2.80% VISIT TYPE 2004 2005 % CHANGE 2005 2006 % CHANGE New 17,610 17,920 .02% 17,920 16,497 -7.94% Revisit 95,329 94,579 (1)% 94,579 91,006 -3.78% Emergency 8,437 8,601 .02% 8,601 9,291 8.02% Referred 8,856 9,197 .04% 9,197 9,853 7.13% TOTALS 130,232 130,297 0% 130,297 126,647 -2.80% OPHTHAMOLOGY FINANCIAL CLASS 2004 2005 % CHANGE 2005 2006 % CHANGE MC 21,786 21,567 1% 21,567 20,202 -6.33% MA 21,190 18,539 (13)% 18,539 16,649 -10.19% BC 1,388 2,013 45% 2,013 917 -54.45% COMM’L. 1,437 1,554 8% 1,554 1,292 -16.86% HMO 22,998 24,234 5% 24,234 27,616 13.96% PPO 8,636 8,821 2% 8,821 9,339 5.87% COMP 205 307 50% 307 306 -0.33% SP 8,902 8,822 (.08)% 8,822 10,302 16.78% FREE 283 231 (18)% 231 256 10.82% 8 THE NEW YORK EYE AND EAR INFIRMARY OPHTHALMOLOGY ASSOCIATES COMPARATIVE STATISTICS SPECIALTY SERVICES FINANCIAL CLASS 2004 2005 % CHANGE 2005 2006 % CHANGE MC 770 765 (.06)% 765 620 -19% MA 986 755 (23)% 755 613 -19% BC 12 26 116% 26 10 -62% COMM’L. 18 10 (44)% 10 23 130% HMO 317 382 21% 382 374 -2% PPO 188 162 (14)% 162 173 7% COMP* 2 0 0 0 1 100% SP 682 1,033 51% 1,033 620 -40% FREE 3 2 (33)% 2 1 -50% AMBULATORY CARE SERVICE 9 COMPARATIVE STATISTICS OVERALL SUMMARY Visits in 2006 decreased by almost 3% as compared to 2005. There was a 9% increase in ophthalmology visits, a 12% decrease in otolaryngology visits, and a 22% decrease in specialty visits. The urgent/emergent care visits increased by 8% and there was a 13% increase in referred ambulatory patients visits. The decreasing trend in free passes continued during 2006 with an 8% decrease in the number of free passes given to patients. The percentage of straight Medicaid visits as compared to total visits for 2006 continues to decrease although at a slower rate, now that significantly more patients have been moved into Medicaid managed care. The decrease was 6% for Ophthalmology, 14% for Otolaryngology and 19% for Specialty Services. The increase in HMO visits for 2006 was 14% for ophthalmology, 3% for otolaryngology and a 2% for the specialty services.