RETINA TIMESThe Official Publication of the American Society of Retina Specialists Celebrating SPECIAL EDITION: 30 YEARS 3 Decades of Retinal Care 30th Anniversary Issue of Knowledge The experts weigh in on our evolution & Growth Meeting 2012 45 Issue 45 RETINA TIMES 30th Anniversary Organizational Staff Suber S. Huang, MD, MBA Foundation Chairman 7ddkWbC[[j_d](&'(?iik[*+ J. Michael Jumper, MD Cleveland, OH Volume 30, Number 3 Editor-in-Chief G. Baker Hubbard, III, MD Retina Times (ISSN 2164-4411) is published 5 times a year San Francisco, CA [email protected] Pediatric Retina Section Co-Editor by the American Society of Retina Specialists (ASRS) Atlanta, GA as a service to its membership. Susan Raef, MSMC Managing Editor J. Michael Jumper, MD Chicago, IL PAT Survey Section Editor The mission of the publication is to strive to be the definitive [email protected] San Francisco, CA information source for ASRS members on Society news, Ana Schedler Peter K. Kaiser, MD meeting plans, socioeconomic topics, international news, and Graphic Designer ASRS-AAO Councilor Representative other relevant information on issues, instruments, and study Toby Zallman Cleveland, OH Production Artist updates for the practicing retinal specialist. Stacy Kiff Schedler Brennan Design + Consulting Annual Meeting Section Editor Chicago, IL Chicago, IL Articles published herein are reviewed by the editor-in-chief Oonagh Petrizzi William T. Koch, COA, COE, CPC and managing editor for editorial content only. The accuracy Proofreader Coding Pitfalls Section Editor of information contained is the responsibility of the individual Stamford, CT St. Louis, MO author. Letters and other unsolicited material are assumed to be Suber S. Huang, MD, MBA Mathew W. MacCumber, MD, PhD intended for publication and are subject to rejection or editing. ASRS President ASRS-AAO Councilor Representative Cleveland, OH Chicago, IL All articles which appear in Retina Times are intended for Carl C. Awh, MD Charles W. Mango, MD ASRS Communications Committee Chair informational purposes only and should not be relied on by E-Retina Section Editor Nashville, TN any reader for any other purpose. The opinions and positions New York, NY Jill F. Blim, MS expressed in Retina Times articles are solely those of Robert A. Mittra, MD ASRS Executive Vice President the authors and do not represent the opinions or positions PAT Survey Section Co-Editor Chicago, IL of the American Society of Retina Specialists Board of Minneapolis, MN Directors, members, employees, or Retina Times editorial Section Editors Prithvi Mruthyunjaya, MD staff and volunteers. Retina Education Section Co-Editor Michael M. Altaweel, MD Durham, NC Literature Roundup Section Co-Editor Funding for Retina Times is provided by advertisements Madison, WI Joel Pearlman, MD, PhD Retina Genetics Section Co-Editor contained within. Carl C. Awh, MD Sacramento, CA Fellows’ Forum Section Editor Site Selection Section Editor Dante J. Pieramici, MD Nashville, TN What’s News Section Editor Santa Barbara, CA Jerald A. Bovino, MD Jerry’s Wisdom Section Editor P. Kumar Rao, MD Aspen, CO Uveitis Section Editor St. Louis, MO Zélia M. Corrêa, MD, PhD Ocular Oncology Section Co-Editor Carl D. Regillo, MD Cincinnati, OH KOL Corner Section Editor Philadelphia, PA 20 North Wacker Drive, Suite 2030 Pravin U. Dugel, MD Chicago, IL 60606 Research & Development Section Editor Kourous A. Rezaei, MD International Corner Section Editor phone: 312-578-8760 Phoenix, AZ Harvey, IL www.asrs.org Nicholas E. Engelbrecht, MD Pediatric Retina Section Co-Editor David Rhee, MD Road Test Section Editor © 2012 American Society of Retina Specialists. St. Louis, MO Philadelphia, PA Mitchell S. Fineman, MD All rights reserved. No part of this publication may be reproduced or Block Time Section Co-Editor William L. Rich III, MD transmitted, in any form, without the prior written permission of the Philadelphia, PA AAO Medical Director of Health Policy American Society of Retina Specialists. Falls Church, VA Brett T. Foxman, MD Film Festival Section Editor SriniVas R. Sadda, MD Financial Disclosures (Organizational Staff) Northfield, NJ Ocular Imaging Section Editor Dr. Jumper – COVALENT MEDICAL, INC: Founder, Royalty. Los Angeles, CA K. Bailey Freund, MD Ms. Blim – None. Ms. Raef – None. Ms. Schedler – None. Ms. Zallman – None. X-Files Section Editor Michael A. Samuel, MD Ms. Petrizzi – None. New York, NY In the Spotlight Section Editor Pasadena, CA Sunir J. Garg, MD Dr. Huang – SEQUENOM: Advisory Board, Honoraria; SECOND SIGHT, LLC: Block Time Section Co-Editor Reginald J. Sanders, MD Consultant, Honoraria; NOTAL VISION: Consultant, Honoraria; Philadelphia, PA Practice Management Meeting Section Editor BAUSCH + LOMB: Advisory Board, Honoraria; ALCON LABORATORIES, INC: Chevy Chase, MD Speaker, Honoraria. Omesh Gupta, MD, MBA Retina Education Section Co-Editor Chirag P. Shah, MD, MPH Philadelphia, PA Clinical Trials: Future Pathways Section Co-Editor Dr. Awh – ARCTICDX: Advisory Board, Honoraria, Consultant, Stock Options, Boston, MA Stockholder; BAUSCH + LOMB: Consultant, Honoraria, Speaker; GENENTECH: Larry Halperin, MD Marc J. Spirn, MD Consultant, Grants, Investigator, Honoraria; SYNERGETICS: Advisory Board, Retinomics Section Editor KOL Corner Section Co-Editor Royalty, Consultant, Stockholder; VOLK OPTICAL: Consultant, Honoraria; Ft. Lauderdale, FL Philadelphia, PA FORSIGHT LABS, LLC: Consultant, Honoraria, Stock Options; KATALYST: J. William Harbour, MD Advisory Board, Royalty, Stockholder, Stock. Ocular Oncology Section Co-Editor Asheesh Tewari, MD St. Louis, MO Literature Roundup Section Co-Editor Detroit, MI Tarek S. Hassan, MD On the Cover Road Test Section Editor Trexler M. Topping, MD Intraocular cysticercosis images courtesy of Govinda Royal Oak, MI Tea Leaves Section Editor Boston, MA Poudyel, MD, of the Tilganga Institute of Ophthalmology, Jeffrey S. Heier, MD Kang Zhang, MD, PhD Kathmandu, Nepal, and Sachin Mudvari, MD, of North Clinical Trials: Future Pathways Section Editor Boston, MA Retina Genetics Section Co-Editor Carolina Retina Associates, Raleigh, North Carolina. San Diego, CA CONTENTS >> Photo courtesy of Brooks W. McCuen II, MD. McCuen II, MD. W. of Brooks courtesy Photo VISC vitrectomy probe with coaxial illumination 29 7 FROM THE PRESIDENT ASRS 30TH Anniversary 46 SPECIAL REPORT Thirty Years: The Journey Continues When Should a Vitreoretinal Surgeon SPECIAL SECTION Stop Operating? 9 FROM THE EDITOR’S DESK Celebrating 30 Years of Our Society 26 ASRS’s Founding Fathers Recall 48 JERRY’S WISDOM the Birth of the Society Take Some Chips Off the Table NEW 10 RETINA PRACTICE PEARLS Leaders, Legends Share Wit, Wisdom 29 Thirty Years of Retinal Surgery: 50 TEA LEAVES Surgical Revolutions Lead You’ve Come a Long Way, Baby! 12 CLINICAL TRIALS: to Evolution FUTURE PATHWAYS 51 THE ASRS X-FILES Will Year-2 CATT Results Change 32 We the Doctors: A 30-Year Practice Patterns? Retrospective on the Founding 52 LITERATURE ROUNDUP of the ASRS NEW 17 INTERNATIONAL CORNER 54 FOUNDATION UPDATE International Affairs Committee Links 35 ASRS PAT Survey Celebrates Meet Our New Interim ASRS with Retina Societies Worldwide Its 14th Year Foundation Director 18 RESEARCH & DEVELOPMENT 38 BLOCK TIME 56 X-FILES SOLUTION Considerations for Chromovitrectomy: A Look Back at the Development Implications of Endophthalmitis of Retina As a Subspecialty 57 ADVERTISER INDEX Outbreak Associated with Brilliant Blue G 41 KOL CORNER 22 PRACTICE MANAGEMENT How Will the Science of Retina Advance What to Do When the Government in the Next 30 Years? Asks for Records 4 | retina times | Meeting 2012 | Volume 30, Number 3 | Issue *+ | 30th Anniversary Issue FROM THE PRESIDENT >> Suber S. Huang, MD, MBA President, ASRS Chair, The Foundation of the American Society of Retina Specialists Thirty Years: The Journey Continues ‘The journey is the treasure.’ — Lloyd Alexander (1924-2007) The ASRS has come a long way since Jerry Bovino, Roy Levit, and Allen Verne launched the Vitreous Society as enthusiastic young The Foundation American Society of Retina Specialists retina specialists in 1982. Their spirit of inclusiveness and the joy of sharing knowledge are firmly imbued in our Society’s culture— Our new logos visually reflect the close relationship between the Society and the Foundation. a legacy of which we can all be proud. The last 30 years have been marked by The Society and Foundation New information is continually being added tremendous growth and change—in the get a new look to the site. I urge you to visit www.asrs.org Society as well as in the science of retina. You’ll frequently for the latest clinical updates, find much more about this evolution in the In 2011, the ASRS developed new, CME opportunities, and socioeconomic news special 30th anniversary section of this issue, complementary logos for the Society and affecting retina practices—as well as Spotlight beginning on page 26. the Foundation that visually reflect their close cases and quick-response PAT Survey polls. relationship. This new graphic identity was Our website represents a real-time, dynamic, ASRS’s latest chapter started in 2010 when carried through in the Society’s completely interactive medium for you to comment we moved our international headquarters to redesigned website, www.asrs.org, which we and share your experiences with your fellow Chicago. This move was driven by the Society’s launched in February 2012. ASRS members. thoughtful strategic plan, which called for This project is more than just a new look— hiring