MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD,...

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EDUCATION TECHNOLOGY PRACTICE GROWTH January 22–26, 2003 Disney’s Coronado Springs Resort Orlando, Florida Contact Lens and Eyecare Symposium INCORPORATING THE ANNUAL MEETINGS OF CLAO Contact Lens Association of Ophthalmologists INAUGURAL MEETING MEETING PROGRAM MEETING PROGRAM

Transcript of MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD,...

Page 1: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

EDUCATION TECHNOLOGY PRACTICE GROWTH

January 22–26, 2003Disney’s Coronado Springs Resort

Orlando, Florida

Contact Lens andEyecare Symposium

INCORPORATING THEANNUAL MEETINGS OF

CLAOContact Lens Associationof Ophthalmologists

INAUGURAL

MEETIN

G

M E E T I N G P R O G R A MM E E T I N G P R O G R A M

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Contact Lens and Eyecare Symposium

We’re Committed to Increasing YourContact Lens Dispensing...andGrowing Your Practice

rom its inception, CLES has enjoyed the unwaver-ing commitment of leading contact lens and lenscare manufacturers in promoting and supportingthe meeting to ensure its success. In addition,

CLES has the support of leading professional organiza-tions in developing world class continuing education.

CLES Education Partners

CLES Platinum Sponsors

CLES LeadershipAdvisory CommitteeGary Foulks, MD, CLAOBruce Koffler, MD, CLAOJohn Massare, PhD, CLAODiane Broe, FCLSA, CLSATina Schott, CLSA Michael D. Jones, OD, AOAWesley E. Pittman, OD, AOAMike Hemric, Alcon David Noon, AMO Jeff Nardoci, Bausch & Lomb Steve Osbaldeston, CIBA VisionDavid Fancher, CooperVision Phil Keefer, VistakonEdward Schilling, CLI

Education CommitteeGeorge A. Stern, MDWilliam Driebe, Jr., MD Keith Harrison, FCLSA P. Douglas Becherer, OD Kirk Smick, ODBarry Weiner, OD Richard Weisbarth, OD, CIBA VisionDave Sattler, AlconLeeAnne Swift, AMOHoward Purcell, OD, VistakonMichael Pier, OD, Bausch & LombNikki Iravani, OD, CooperVisionTina Schott, CLSAJohn Massare, PhD, CLAOEdward Schilling, CLI

Marketing CommitteePeter Kastl, MD, CLAOJohn Massare, PhD, CLAOMarcus Soper, FCLSADave Sattler, AlconRichard Scott, AMOChuck Hess, Bausch & LombCharlotte Reeves, CIBA VisionBill Shelly, CooperVisionJohn Chapman, VistakonTina Schott, CLSA Steve Wasserman, AOAEdward Schilling, CLI

CLAOContact Lens Association of Ophthalmologists

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Contact Lens and Eyecare Symposium 1

Welcome to CLES . . . . . . . . . . . . . . . . . . . . . . . .2A message from Steve Osbaldeston and Ed Schilling

Greetings from CLAO . . . . . . . . . . . . . . . . . . . . .4by Bruce H. Koffler, MD, CLAO President, and George A. Stern,MD, CLAO Scientific Programs Committee Chair

Greetings from CLSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6by Diane Broe, CLSA President

Greetings from AOA . . . . . . . . . . . . . . . . . .7by P. Douglas Becherer, OD, CLES Chairman for Education for AOA Contact Lens and Cornea Section

CLES at a Glance . . . . . . . . . . . . . . . . . . . . .8CLES Education Course Listings . . . . . . . . . . . . . . . . . . . . .10Map of Exhibit Hall, Meeting Rooms and Convention Center . .28

CLES Exhibitors . . . . . . . . . . . . . . . . . . .30Descriptions and Locations

CLAO Annual Meeting Notes . . . . . . . . .34CLAO Scientific Posters . . . . . . . . . . . . . . . . . . . . . . . . . . .37Full Descriptions

CLAO Symposia . . . . . . . . . . . . . . . . . . .41Full Descriptions

CLSA Annual Meeting Notes . . . . . . . . . .46Participant Financial Disclosure . . . . . . . .48

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2 Contact Lens and Eyecare Symposium

Welcome! On behalf of the Contact LensInstitute (CLI), I’m delighted to welcome you to the inaugural meeting of the Contact Lens andEyecare Symposium (CLES)!

CLES, which is more than two yearsin the making, was conceived out of a simple notion,that the contact lens industry deserves its own venuefocused primarily on contact lenses, lens care and relatedeyecare issues. That vision has manifested itself in CLESand represents the first successful collaboration betweenophthalmology, optometry and opticianry within thevenue of a large symposium.

Achieving this collaboration would not have been possible without the dedication and commitment of our educational partners AOA, CLAO, and CLSA, their staffsand leadership.

We know that you have come here with one commonpurpose in mind: to obtain essential clinical information,research updates and practice management skills thatwill help you to grow your contact lens practice. We areconfident that, over these five days at CLES, you willfind that essential information in abundance.

Our focus at the CLI is to help to grow our industry—and the eyecare practitioner is the key catalyst in mak-ing that growth happen. We are delighted to be able tohost a meeting with an outstanding program of continu-ing education: CE by and for leading eyecare practitioners.

We thank you for helping to make the inaugural meetingof CLES so successful! We also thank all CLES corporatesponsors, whose generosity and industry leadership havemade CLES a reality. Working together, we can take avital step forward in generating growth in the contactlens field.

Ed SchillingExecutive DirectorContact Lens Institute

“A Great Industry,A Great Meeting!”On behalf of the Board of Directorsof the Contact Lens Institute, it is aprivilege and pleasure to welcomeso many eyecare practitioners toCLES! Finally, a great industry has

a great meeting to help us grow.

As manufacturers of contact lenses and lens care solutions, we CLI companies strive to bring you thelatest technological advances to help you, the eyecarepractitioner, to best serve your patients.

While technology drives growth, making that growthhappen depends on education. We are proud to beable to offer more than 130 hours of continuing education courses at CLES, courses for all ophthalmicdisciplines—and all available to you at no cost beyondyour registration.

At CLES, you will see the cutting edge of contact lenstechnology. You also will obtain essential clinical skillsfrom leaders in this industry. Today’s eyecare practi-tioner needs business skills, and practice managementis a major part of our education offerings at CLES.

For creating such an outstanding CE track, we haveour Education Partners to credit. Our thanks go out to CLAO, CLSA and AOA for putting together a comprehensive education program that truly achievesour goals in this inaugural meeting of CLES!

Steve OsbaldestonChair, Board of DirectorsContact Lens Institute

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Full Page Vistakon Ad

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CLAO SymposiaCLAO is offering 15 symposia atthis year’s meeting, includingthree two-hour sessions thatincorporate the CLAO named lec-tureships. These symposia withnamed lectures are scheduled asfollows: Thursday, January 23rd,at 9:30am - 11:45am, “Dry EyeSymposium including theHarold A. Stein, MD, Lecture;Friday, January 24th, at2:30pm - 4:45pm, “TheProblem Contact Lens PatientSymposium” including theOliver H. Dabezies, Jr., MD,Lecture; and Saturday,January 25th at 2:30pm -4:45pm, “The Future ofRefractive Surgery Symposium”including the Richard L.Lindstrom, MD, Lecture. For complete descriptions ofall CLAO Symposia, see pages 41-45.

CLAO Annual BusinessMeetingBe sure to attend theCLAO Annual BusinessMeeting scheduled forThursday, January23rd, at 11:45am inthe Monterrey 1Room. The annualelection of officers andboard members will take place,along with awards ceremonies andgeneral CLAO business.

This special social function is scheduledfor Friday, January 24th, from 6:00pmto 7:30pm in Fiesta 1-4 Foyer andPatio Del Sol. It is open to all CLAO

members, donors to the CLAOFoundation and any persons attendingthe meeting from outside the USA.

Spouse/Guest ReceptionThere will be a Spouse/Guest Receptionon Thursday, January 23rd, at 9:30amto 10:30am in the Fiesta 7 Room.Information will be provided on excitingactivities in and around Disney World.

The Contact Lens Association of Ophthalmologists (CLAO) is celebrating its 40th

anniversary in 2003. This year will also be significant for the fact that CLAO is

incorporating its Annual Meeting into the Contact Lens and Eyecare Symposium

(CLES). The CLAO Annual Meeting has grown into one of the premier anterior

segment meetings in the world. CLAO is delighted to be an Educational Partner in the inaugural meeting of CLES. The

Board of Directors and Scientific Programs Committee have worked diligently to

produce a meeting that offers solid practical educational opportunities. This partnership

with CLES provides these educational opportunities in an atmosphere that significantly

increases the involvement of numerous eyecare professionals. The personal relation-

ships you build and the connections you make at CLES will support your professional

growth throughout the coming year and beyond.CLAO Members can easily determine the CLAO educational portion of the meeting by

quickly browsing through the body of the program in this brochure. CLAO offerings

are highlighted in blue. However, remember that as a CLES attendee, you are free to

take any educational offering. The CLES plenary sessions offer new opportunities for learning from world-renowned

speakers. The CLAO Annual Meeting, the CLES plenary sessions, the educational

offerings from the other CLES educational partners, combined with wonderful social

activities and an exceptional exhibitor’s area, make for a truly unique and exciting

meeting experience.

CLAOContact Lens Association of Ophthalmologists

Bruce H. Koffler, MDCLAO President George A. Stern, MDChair, CLAO ScientificPrograms Committee

CLAO Foundation and International Attendee Reception

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Full Page AMO Ad

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CLSA FellowExaminationAchieving Fellow status in theContact Lens Society of America isrecognized as an industry standard ofeducational excellence. CLSA FellowMembers are considered among thefinest contact lens professionals in theindustry. All CLSA members are eligi-ble for Fellow status. Becoming aFellow is a three-step process, begin-ning with the written test. This testwill be administered at CLES onThursday, January 23, 2003.

Contact the CLSA office for moredetails on completion of the stepsrequired to become a Fellow. Sign uptoday to sit for the written exam on theCLES registration form, and you will bewell on your way to becoming a Fellowin CLSA.

Disney Behind the Scenes Tour – Gardens of the WorldAll CLES attendees are welcome to participate in the Gardens of the Worldprivate, behind-the-scenes tour, available only to meeting participants.Visit the registration booth to sign upfor this event.Friday, January 24, 2003 2:00pm – 5:00pm $69

Disney Behind the ScenesTour - Inspiration throughWalt’s EyesAll CLES attendees are welcome to participate in the Inspiration throughWalt’s Eyes private, behind-the-scenestour, available only to meeting participants. Visit the registration booth to sign up for this event.Friday, January 24, 2003 2:00pm – 5:00pm $89

CLSA Golf TournamentAll CLES attendees are welcome to participate in the annual CLSA golftournament, at Disney’s Lake BuenaVista Golf Course. Visit the registrationbooth to see if space is available forthis event. (Note: Entry deadline wasJanuary 6, 2003.)

The 2003 CLSA Golf Tournament issponsored by Paragon Vision Sciences.

Friday, January 24, 200311:30am - 6:30pmEntry Fee: $85

It’s easy to reach CLSA for moredetailed information on CLSA pro-grams. Call (800) 296-9776 or (888)296-8462 in Canada, or visit us on theInternet at www.clsa.info.

January 2003

Dear Friends,

Welcome to the Annual Education Meeting of the Contact Lens

Society of America. We are thrilled to be a part of this inaugural

meeting of the Contact Lens and Eyecare Symposium (CLES).

It is a pleasure to be celebrating our 48th Annual Meeting

alongside the Contact Lens Association of Ophthalmologists

(CLAO) and the American Optometric Association (AOA), all gathered under

one roof.

You’ll find the same great CLSA education in general session and break out

format, but with the added bonus of meeting at the same time and place as our

industry colleagues. You can also enjoy the same great social activities from

CLSA meetings in the past such as our Leadership Program, special interest

tours, the golf tournament and the Kevin Tuohy Lecture Luncheon.

When you review the schedule on the following pages, pay close attention to

the CLSA program (listed in purple). All CLES attendees (whether you are

practicing in optometry, ophthalmology or opticianry) are invited to attend the

CLSA education sessions held Wednesday through Saturday.

We are proud to be such an integral part of this CLES meeting, and we look

forward to sharing our contact lens education with you.

Sincerely,

Diane A. Broe, FCLSA

CLSA President

441 Carlisle Drive, Herndon, VA 20170

703/437-5100 • Fax 703-437-0727

e-mail: [email protected] • www.clsa.info

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The American Optometric Association is proud to be an Education Partner

of the Contact Lens and Eyecare Symposium (CLES). We are delighted to

be part of such an important gathering of the ophthalmic professions—all

dedicated to furthering our collective understanding of clinical issues

related to contact lenses. Professional continuing education serves the ultimate aim of better serving our

patients and growing our practices. We are pleased that the AOA has been asked to help

to develop accredited optometric courses. We believe that the CLES Education Task Force

as a whole has done an admirable job of addressing many of the issues that eyecare

professionals from all disciplines face everyday in their practices.

CLES attendees are able to enjoy courses from their prospective professions or take

courses developed by all professions. At AOA, we think this is a strength of the concept

of CLES, and we are pleased to be able to contribute our unique perspective and vast clin-

ical experience in prescribing contact lenses and in managing patients and complications.

We call your attention to the AOA-developed courses (listed in gold), and also to

the General Sessions that we have helped to develop. These General Sessions address

topical issues—silicone hydrogel and GP continuous wear lenses, kids and contact lens-

es, corneal reshaping with GP lenses—that provide both challenges and practice

building opportunities. Finally, we are also pleased to be able to offer three essential courses that are

required for all optometrists in the state of Florida, but which could benefit all eyecare

professionals. These include Jurisprudence for the Optometric Practice, HIV/AIDS, and

Medical Errors. These courses are offered Sunday morning.

Congratulations to CLES on its inaugural meeting! We are pleased to be part of CLES

as we embrace “Education, Technology and Practice Growth.”

P. Douglas Becherer, OD, FAAOCLES Chairman of Education for American Optometric Association

Contact Lens and Cornea Section

Contact Lens and Eyecare Symposium 7

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7:30am – 5:00pm CLES Registration South Registration

8:00am – 11:30am CLSA Board Meeting Yucatan 3

8:00am – 12:00pm CLAO Executive Committee Meeting Executive Suite

9:30am – 10:30am CLSA Breakout Sessions Yucatan 1, 2

10:45am –11:45am CLSA Breakout Sessions Yucatan 1, 2

11:45am – 12:45pm CLSA Foundation Chairman’s Lunch Maya Grill

12:00noon – 1:00pm CLAO Board of Directors Luncheon Executive Suite

1:00pm – 2:00pm CLSA Scholarship Entrance Meeting Yucatan 3

1:00pm – 2:00pm CLSA Breakout Sessions Yucatan 1, 2

1:00pm – 5:00pm CLAO Board of Directors Meeting Executive Suite

2:15pm – 3:15pm CLSA Breakout Sessions Yucatan 1, 2

3:30pm – 5:30pm CLSA Leadership Program Yucatan 3

Wednesday January 22nd, 2003

7:00am – 7:00pm CLES Registration South Registration

7:30am – 8:00am Continental Breakfast Coronado Foyer

8:00am – 9:15am CLES Keynote Address Coronado L

9:30am – 10:30am CLES Breakout Sessions See detailed schedule

9:30am – 10:30am CLAO Spouse/Guest Reception Fiesta 7

9:30am – 11:30am CLSA General Session Fiesta 6

10:45am – 11:45am CLES Breakout Sessions See detailed schedule

11:30am – 1:00pm CLSA Kevin Tuohy Lecture Luncheon Fiesta 5

11:45am – 12:30pm CLAO Annual Business Meeting Monterrey 1

11:45am – 1:00pm Lunch Coronado K

1:00pm – 2:00pm CLES Breakout Sessions See detailed schedule

2:15pm – 3:15pm CLES Breakout Sessions See detailed schedule

2:30pm – 5:30pm NCLE Exam Fiesta 7

3:30pm – 5:30pm CLES General Session Coronado L

5:30pm – 7:30pm Exhibit Hall Grand Opening & Reception Coronado H, J

7:30pm – 9:30pm CLAO Education and Research BajaFoundation Board of Trustees Meeting

Thursday January 23rd, 2003CLES EXHIBIT HALL HOURSThursday:5:30pm – 7:30pmwith Reception

Friday:11:30am – 2:30pmwith Lunch

Saturday:11:30am – 2:30pmwith Lunch

Full descriptions of allCLAO Symposia arefound on pages 41-45.

C L A O S Y M P O S I A

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Contact Lens and Eyecare Symposium 9

7:00am – 5:00pm CLES Registration South Registration

7:00am – 12:00noon CLSA Fellow Exam Fiesta 7

7:15am – 7:45am Continental Breakfast Coronado Foyer

7:45am – 8:45am CLES Breakout Sessions See detailed schedule

8:00am – 4:45pm CLAO/JCAHPO Program Yucatan 2

9:00 am – 11:00am CLES General Session Coronado L

11:30am – 2:30pm Exhibit Hall Open (lunch provided) Coronado H, J

11:30am – 5:00pm CLSA Golf Tournament Disney’s Lake Buena Vista G.C.

2:00pm – 5:00pm CLSA Tours Tickets required

2:30pm – 3:30pm CLES Breakout Sessions See detailed schedule

3:45pm – 4:45pm CLES Breakout Sessions See detailed schedule

5:00pm – 6:00pm CLES Breakout Sessions See detailed schedule

6:00pm – 7:30pm CLAO Foundation and International Reception Fiesta 1-4/Patio del Sol

7:30pm – 9:00pm CLSA Fellows Reception Monterrey/La Mesa Patio

Friday January 24th, 2003

7:30am – 5:00pm CLES Registration South Registration

7:30am – 8:00am Continental Breakfast Coronado Foyer

8:00am – 9:00am CLES Breakout Sessions See detailed schedule

8:00am – 9:00am CLSA General Session Fiesta 6

8:00am – 4:45pm CLAO/JCAHPO Program Yucatan 2

9:15am – 11:15am CLES General Session Coronado L

11:15am – 11:45am CLSA Annual Business Meeting/Elections Coronado L

11:30am – 2:30pm Exhibit Hall Open (lunch provided) Coronado H, J

12:00pm – 1:00pm CLAO Past Presidents Lunch Fiesta 4

2:30pm – 3:30pm CLES Breakout Sessions See detailed schedule

3:45pm – 4:45pm CLES Breakout Sessions See detailed schedule

5:00pm – 5:30pm CLSA Scholarship Exit Meeting Fiesta 7, 8

5:00pm – 6:00pm CLES Breakout Sessions See detailed schedule

5:30pm – 6:30pm CLSA Past President’s Reception CLSA Suite

6:30pm – 7:30pm Buses Depart for Sea World Resort Lobby

7:00pm – 10:00pm Closing Party

Saturday January 25th, 2003

7:00am – 11:00am CLES Registration South Registration

7:00am – 7:30am Continental Breakfast Foyer

7:30am – 9:00am CLAO Scientific Program Committee Meeting Cancun

7:30am – 1:00pm CLES Breakout Sessions Coronado E, F, G

Sunday January 26th, 2003

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WEDNESDAYJanuary 22, 2003

7:30am – 5:00pmCLES RegistrationSouth Registration

8:00am – 11:30amCLSA Board Meeting Yucatan 3

8:00am – 12:00noonCLAO Executive Committee MeetingExecutive Suite

9:30am – 10:30am22-101A LEVEL I: How to Be a BetterContact Lens Technician, Part IPhyllis L. Rakow, FCLSA, COMT, NCLC-ACYucatan 1

This course details the many aspects necessaryto provide maximum assistance to the ophthal-mologist, from the patient’s initial contact lensfitting through follow-up visits. Topics includemaximizing chair time, scheduling, taking acontact lens history, handling emergencies,developing recall programs, and other practice-building ideas. Keys to building a contact lenspatient base are also discussed.

22-102A LEVEL II: Retinoscopy, Part I(limited to 20 attendees)Bernard V. Stewart, FCLSA, MAYucatan 2

This course presents techniques and methodsof retinoscopy and the various ways in whichit is performed. This course concentrates exclu-sively on retinoscopy, starting with the mostbasic approach and proceeding to moreadvanced techniques of retinoscopic refine-ment. By the completion of the course, the par-ticipant will have been exposed to retinoscopy.

10:45am – 11:45am22-201B LEVEL I: How to Be a BetterContact Lens Technician, Part IIPhyllis L. Rakow, FCLSA, COMT, NCLC-ACYucatan 1

This course details the many aspects necessaryto provide maximum assistance to the ophthal-mologist, from the patient’s initial contact lensfitting through follow-up visits. Topics includemaximizing chair time, scheduling, taking acontact lens history, handling emergencies,developing recall programs, and other practice-building ideas. Keys to building a contact lenspatient base are also discussed.

22-202B Level II Retinscopy, Part II (limited to 20 attendees)Bernard V. Stewart, FCLSA, MAYucatan 2

This course presents techniques and methodsof retinoscopy and the various ways in whichit is performed. This course concentrates exclu-sively on retinoscopy, starting with the mostbasic approach and proceeding to moreadvanced techniques of retinoscopic refine-ment. By the completion of the course, the par-ticipant will have been exposed to retinoscopy.

11:45am – 12:45pmCLSA Foundation Chairman’s LunchInvitation OnlyMaya Grill

12:00noon – 1:00pmCLAO Board of Directors LuncheonExecutive Suite

1:00pm – 2:00pmCLSA Scholarship Entrance MeetingYucatan 3

1:00pm – 2:00pm22-301 Level II: Cosmetic & ProstheticContact LensesBuddy Russell, FCLSA; R. Lee Hewitt, FCLSAYucatan 1

This course looks at various options the con-tact lens practitioner may utilize to managepatients who desire a change in iris color orwish to occlude a corneal scar. Case historiesand outcomes are presented.

22-302 LEVEL II: The Issue of Non-ComplianceDiane F. Drake, FCLSA, NCLC-AC, ABOMYucatan 2

As contact lenses become more readily avail-able, some consumers are less conscious of theneed to comply with the instructions of theireyecare providers. It is the responsibility ofcontact lens professionals to properly informtheir patients of the consequences of non-com-pliance. This course lists common issues ofnon-compliance, as well as not-so-commonissues and how we as contact lens profession-als may encourage better compliance by ourcontact lens patients.

1:00pm – 5:00pmCLAO Board of Directors MeetingExecutive Suite

2:15pm – 3:15pm

22-401 LEVEL II: Factors Affecting ContactLens WearBuddy Russell, FCLSAYucatan 1

This course covers tear film, keratoconjunctivi-tis sicca, systemic diseases, pathology, envi-ronmental factors, contact lens induced pathol-ogy, and medications affecting contact lenswear. Participants will be able to identify thevarious systemic disorders and their potentialimpact on contact lens wear, recognize lid andcorneal pathology, and conduct proper decisionmaking concerning contact lens complications.

22-402 LEVEL II: Practice Management:Marketing & PromotionDiane Broe, FCLSA Yucatan 2

This course is designed to give the contact lenspractitioner the basic tools to run an efficient,successful practice. Included are tips on mar-keting and promotion that allow a contact lenspractice to attain its potential, as well as infor-mation on staffing, retention (of staff andpatients) and customer service.

10 Contact Lens and Eyecare Symposium

Continuing Education Credits

CLAO is accredited by theAccreditation Council on

Continuing Medical Education (ACCME)to sponsor continuing medical educationfor physicians. All CLAO education isapproved by NCLE and JCAHPO.Additionally, some CLAO education isapproved by the Council on OptometricPractitioner Education (COPE).

All AOA education is approved bythe Council on Optometric

Practitioner Education (COPE).

All CLSA education is approved bythe National Contact Lens

Examiners (NCLE) and the JointCommission on Allied Health Personnelin Ophthalmology (JCAHPO).Additionally, some CLSA education isapproved by the Council on OptometricPractitioner Education (COPE).

A complete list of accredited courses maybe obtained at the CLES Registration Desk.

Accreditation Key

ACCME: Accreditation Council onContinuing Medical EducationCOPE: Council on OptometricPractitioner EducationJCAHPO: Joint Commission on AlliedHealth Personnel in OphthalmologyNCLE: National Contact Lens Examiners

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

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Contact Lens and Eyecare Symposium 11

3:30pm – 5:30pmCLSA Leadership Program Level I - Inside the CLSATina M. Schott, Executive DirectorContact Lens Society of AmericaYucatan 3

Join the officers, board and staff of the ContactLens Society of America in an exploration ofthe CLSA. What is the CLSA? How was itstarted? What does the CLSA do, what is itsniche in the ophthalmic industry, and whomakes up the membership and constituency ofthe CLSA? Want to get more involved in theCLSA? Find out what you can do to helpadvance the contact lens industry.

THURSDAYJanuary 23, 2003

7:00am – 7:00pmCLES RegistrationSouth Registration

7:30am – 8:00amContinental BreakfastSponsored by VistakonCoronado Foyer

8:00am – 9:15am

CLES Keynote Address 01-23: Who Moved My Patient?Jones LoflinCoronado L

This CLES highlight, which is open to all attendees, will prepare participants to graspexcellence—in their eyecare practices and intheir lives—by imparting skills in how to effectively deal with change. Who Moved MyPatient? is presented by Jones Loflin, a nationally recognized business consultant whois licenced to provide training on the best-selling book, Who Moved My Cheese? In thisinspiring program, Loflin stresses how to live alife of excellence instead of one of mediocrity.He employs humor, powerful examples andfrequent audience interaction. His seminarsand training are best described as entertaining,engaging and practical.

9:30am – 10:30am23-101A LEVEL II: Dry Eye Symposiumincluding The Harold A. Stein, MD,Lectureship by Frank Holly, PhD, 1st hourDavid Lamberts, MD; Gary Foulks, MD; FrankHolly, PhD; H. Dwight Cavanagh, MD, PhD;Greg Gemoules, ODMonterrey 1

This symposium offers an in-depth look at thedry eye. It covers the historical background onthis topic along with the most up-to-date theo-ries and available treatments. This symposiumincludes the Harold A. Stein, MD, Lecture. Thisspecial presentation covers what is presentlyknown about the pre-ocular tear film and itscritical importance in the successful wear ofcontact lenses and eye health in general.

23-102A LEVEL III: Toric Soft & RigidContact Lens Fitting, 1st Hour Peter Kastl, MD, PhDCoronado F, G

Contact lens fitters should fit all types of softand rigid contact lenses. Patients with moder-ate astigmatism usually require soft toric orspherical RGP lens fitting. However, sometimesthese lenses do not correct a patient’s astigma-tism correctly. Toric rigid lens fitting can berequired for large corneal astigmatism and/orresidual astigmatism. This course teaches fit-ting methods for RGP lenses, including bitoriclenses, front and back toric lenses, prism bal-lasted bitoric lenses, as well as for soft toriccontact lenses.

23-103A LEVEL II: Financial DecisionMaking in the Eye Care Practice, 1st Hour George Stern, MD, MBA; Michael BrownCoronado B

Accounting data can be used not only to “keepscore” of a practice’s earnings and holdings,but also to assess the financial status of apractice in order to make intelligent financialbusiness decisions. The two instructors in this course cover: accounting basics, ratio analysis, benchmarking, accounts receivable management, overhead/expense management, cost analysis relative to contracting, and capital budgeting.

23-105 LEVEL I: Increasing the OpticalDispensary Capture Rate Arthur DeGennaro, Opt; Joseph L. Bacotti, MDCoronado D

Ophthalmologists examine many patients eachday and provide a new or updated eyeglassprescription. This symposium focuses on whypatients decide to not have their prescriptionsfilled by the office of their examining doctor.We also examine what professional steps canbe taken to better serve the needs of patients.

23-106 LEVEL II: Management of theAtypical Cornea with Contact Lenses Patrick Caroline, FCLSA, FAAO; KennethLebow, ODCoronado P, Q

This course presents individual case historiesdescribing a wide variety of contact lensdesigns and fitting techniques for the atypicaleye. Special emphasis is placed on the role ofcorneal topography as an aid in selecting themost appropriate lens design for the individualpatient. Cases discussed include contact lensesfollowing corneal trauma, post-keratoplasty,refractive surgery, keratoconus and others.

8:00 am – 9:15 amWho Moved My Patient?Coronado L

JONES LOFLIN

Nationally recognizedbusiness consultant andlicensed speaker on Who Moved My Cheese?

“We should all be passionate about certainthings in life, including our family, spiritualbeliefs, career and relationships.”

This CLES highlight, which is open to allattendees, will prepare participants to graspexcellence—in their eyecare practices and intheir lives—by imparting skills in how toeffectively deal with change.

Who Moved My Patient? is presentedby Jones Loflin, a nationally recognizedbusiness consultant who speaks widely to

corporate audiences. Loflin was one of thefirst individuals in the nation to be licensedto provide training on the best-selling book,Who Moved My Cheese?

In this inspiring program, Loflin stresseshow to live a life of excellence instead ofone of mediocrity. He employs humor, pow-erful examples and frequent audience inter-action. His seminars and training are bestdescribed as entertaining, engaging andpractical.

Loflin is the author of Prime Rib orPotted Meat? This humorous and thought-provoking collection of ideas highlightsways of getting more out of life. Loflin isPresident of H.O.P.E. Inc., a business meet-ing the training and development needs ofindividuals and organizations.

C O N T A C T L E N S A N D E Y E C A R E S Y M P O S I U MT H U R S D A Y K E Y N O T E S P E A K E R

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23-107 LEVEL II: Diagnosis &Management of Contact Lens Infiltrates Srilata Naidu, MDCoronado R, S

This course covers the diagnosis and manage-ment of contact lens-related corneal infiltrates.The discussion reviews the natural oculardefense to infection and their alteration withcontact lens use. Risk factors are related to thepatient as well as to various contact lenses. Thepresentation of sterile infiltrates is differentiat-ed from infectious infiltrates. Infections coveredare bacterial keratitis, acanthamoeba keratitisand funnel keratitis. The role of antibiotics andsteroids in the management of corneal ulcers isreviewed. Discussion ends with suggestions forvisual rehabilitation with contact lenses afterresolution of a corneal infiltrate.

23-108 Level II: Contact Lens Pearls:Management of the Contact Lens Patient Zoraida Fiol-Silva, MDCoronado E

With today’s competitive economics andpatient needs, an office with two or more prac-titioners should update to a full service contactlens service. This includes specialty contactlenses, adding astigmatism (toric), bifocal/multifocal, keratoconus, cosmetic/masking,therapeutic and post refractive/refractivecorneal (CRT) contact lenses. Offering this fullarray of contact lens options can stimulate newand significant revenues.

23-109: Contact Lens Related OcularSurface Disease: Cause & Cure Art Epstein, OD, FAAOMonterrey 2, 3

SPK, dellens, phlyctenular keratoconjunctivitis,and other surface problems may be caused inpart by a contact lens, making the contact lensenvironment less desirable. This course definesand explains problems and their remedies.

23-110: Systemic & Topical MedicationEffects on Contact Lenses Paul Karpecki, OD, FAAOCoronado M, N

OTC, Rx’s and even herbs can affect contact lenswear. This course gives an overview of pearls tolook out for with the contact lens and refractivesurgical patient and the use of medications.

9:30am – 11:30am23-111 LEVEL III: CLSA General Session —Kones and the Barbarians Susan L. Connelly, FCLSA; Marcus P. Soper,FCLSA, BCO: John A. Mountford, OD; Benny W.Phillips, Jr., FCLSA; Jean Ann Vickery, FCLSAFiesta 6

Contact lens fitters operate in the unique envi-ronment of providing professional services,while retailing therapeutic devices that are large-ly regarded by the public as consumer items.This creates the challenge to insure that patientsreceive the highest degree of contact lens care,while maintaining a profitable position for the practice.

This session covers the trials and tribula-tions of the fitter in the trenches who mustcope with the wants and needs of the contactlens patient. Patients are inundated with mis-

information, myths and ignorance of theimportance of the contact lens as a medicaldevice. The scenario has been experiencedfirst-hand by all clinicians.

Also discussed are the psychology of thekeratoconus patient, the application of newtechnology and lens designs, and specializedfitting techniques. By selling yourself throughknowledge, you will become the strongest linkto your patient, to your commitment to eyehealth, and to contact lenses achieving theirgreatest potential for success.

9:30am – 10:30amCLAO Spouse/Guest ReceptionFiesta 7

10:45am – 11:45am23-201B LEVEL II: Dry Eye Symposiumincluding The Harold A. Stein, MD,Lectureship by Frank Holly, PhD, 2nd hour David Lamberts, MD; Gary Foulks, MD; FrankHolly, PhD; H. Dwight Cavanagh, MD, PhD;Greg Gemoules, ODMonterrey 1

This symposium offers an in-depth look at thedry eye. It covers the historical background onthis topic along with the most up-to-date theo-ries and available treatments. This symposiumincludes the Harold A. Stein, MD, Lecture. Thisspecial presentation covers what is presentlyknown about the pre-ocular tear film and itscritical importance in the successful wear ofcontact lenses and eye health in general.

23-202B Level III: Toric Soft & RigidContact Lens Fitting, 2nd Hour Peter Kastl, MD, PhDCoronado F, G

Contact lens fitters should fit all types of softand rigid contact lenses. Patients with moderate astigmatism usually require soft toricor spherical RGP lens fitting. However, some-times these lenses do not correct a patient’sastigmatism correctly. Toric rigid lens fittingcan be required for large corneal astigmatismand/or residual astigmatism. This courseteaches fitting methods for RGP lenses, including bitoric lenses, front and back toriclenses, prism ballasted bitoric lenses, as wellas for soft toric contact lenses.

23-203B Level II: Financial DecisionMaking in the Eye Care Practice, 2ndHour George Stern, MD, MBA; Michael BrownCoronado B

Accounting data can be used not only to “keepscore” of practice’s earnings and holdings, butalso to assess the financial status of the practice on order to make intelligent financialbusiness decisions. The two instructors in this course cover: accounting basics, ratioanalysis, benchmarking, accounts receivablemanagement, overhead/expense management,cost analysis relative to contracting, and capital budgeting.

12 Contact Lens and Eyecare Symposium

Thursday9:30am – 11:30amKones and the BarbariansFiesta 6

Session leaderMARCUS P. SOPER,FCLSA, BCO

PanelistsSusan Connelly, FCLSA;

John A. Mountford, OD; Benny W.Phillips, Jr., FCLSA; Jean Ann Vickery, FCLSA

Contact lens fitters operate in theunique environment of providing pro-fessional services, while retailing ther-apeutic devices that are largely regard-ed by the public as consumer items.This creates the challenge to insurethat patients receive the highest degreeof contact lens care, while maintaininga profitable position for the practice.

This session covers the trials andtribulations of the fitter in the trencheswho must cope with the wants andneeds of the contact lens patient.Patients are inundated with misinfor-mation, myths and ignorance of theimportance of the contact lens as amedical device. The scenario has beenexperienced first-hand by all clinicians.

Also discussed are the psychologyof the keratoconus patient, the applica-tion of new technology and lensdesigns, and specialized fitting tech-niques. By selling yourself throughknowledge, you will become thestrongest link to your patient, to yourcommitment to eye health, and to con-tact lenses achieving their greatestpotential for success.

C L S A G E N E R A L S E S S I O N

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

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Contact Lens and Eyecare Symposium 13

23-205 Level II: Introduction to Corneo-Scleral Contact Lens Fitting Christina Sindt, ODCoronado C

This course explains the mechanics and fittingtechniques of corneo-scleral contact lenses.Participants learn to fit, adjust and modify corneo-scleral lenses, while avoiding commonpitfalls. Various design options are discussed,including spherical, toric, reverse geometrykeratoconus and ortho-k.

23-206 LEVEL I: Computerizing theOptical Dispensary Arthur DeGennaro, Opt; Joseph L. Bacotti, MDCoronado D

When building an optical dispensary, you arebuilding a retail business. This requires certainskill sets and a degree of expertise and experi-ence. As with any other contemplated businessventure, you should create a strategic planbefore hand. A well-constructed and executedstrategic plan will aid in the decision makingprocess, help avoid costly, if not catastrophic,errors and save time and money in the long run.

23-207 level III: The High DK SiliconeContact Lenses for Extended Wear &Daily Wear Peter Donshik, MDCoronado R, S

This course describes the new high Dk siliconelenses and the unique advantages for dailyand extended wear. The course also discussesproblems associated with extended wear andhow the new Dk silicone lenses addressesthese problems. Also discussed is the potentialof the high Dk silicone contact lens to be analternative to laser vision correction.

23-208 Level II: No NonsenseManagement of Presbyopia Kenneth Lebow, OD; Patrick Caroline, FCLSA,FAAOCoronado P, Q

The modern contact lens wearing population israpidly maturing, and the contact lens practi-tioner is faced each day with the problem offitting the presbyopic patient. In the UnitedStates there are 30 contact lens designs forcorrection of presbyopia. Yet, only a few pro-vide reasonable distance and near images.Participants in this course are exposed to adetailed assessment of the optical and neuro-logical benefits of certain bifocal designs. Thisinformation allows the practitioner to betterevaluate all lenses for the presbyopic patient.

23-209: Plugs, Drugs & Killing Bugs Barry Eiden, OD, FAAOCoronado M, N

Keeping a patient in contact lenses sometimesrequires first improving the ocular environ-ment. This course discusses what to do for con-ditions like chronic blepharitis, GPC, dry eyes,and what to do when microbial keratitis occurs.

23-210: Avoiding Microbial Keratitis &Adverse Events Brien Holden, PhD, FAAO Monterrey 2, 3

Microbial keratitis and other adverse eventsare reviewed along with the incidence in boththe contact lens and non-contact lens popula-tions. Understanding the change in the riskwhen altering the contact lens environment isthe first step in designing systems that reducepatient problems.

11:30am – 1:00pmCLSA Annual Kevin Tuohy Lecture Luncheon

Is There a GP Lens Renaissance in Sight?Ed Bennett, ODFiesta 5

CLSA members onlySponsored by CooperVision

11:45am – 12:30pm CLAO Annual Election/Business Meeting All CLAO members are encouraged to attend Monterrey 1

11:45am – 1:00pmLunchComplimentary tickets for lunch distributed with badges.Coronado K

1:00pm – 2:00pm

23-301A LEVEL I: Getting Started inOptical Dispensing Symposium, 1st Hour Moderator: Joseph L. Bacotti, MD; Speakers: George Stern, MD, MBA; ArthurDeGennaro, Opt; Raymond Dennis, MACoronado P, Q

This course presents discussions of key issuesin optical dispensing: Should I start dispens-ing? How do I plan the optical dispensaryspace? What about capital budgeting: Will thisreally be a profit center? How do I begin planning a frame inventory? What is the bestprocess for choosing and working with a lab?

23-302 Level II: Contact Lenses and theCorneal Surgery Patient SymposiumModerator: Bruce Koffler, MD; Speakers: Patrick Caroline, FCLSA, FAAO;Richard Shugarman; Michael A. Ward, MMSc,FCLSA, FAAO; Gary Foulks, MD Coronado F, G

This symposium examines the followingissues: fitting approaches to the abnormalcornea, cosmetic contact lenses after cornealtrauma, and fitting the post-corneal transplantpatient. Also examined are fitting the post-refractive surgery patient and therapeutic lens use following corneal surgery. AudienceQ&A follows.

23-303 Level I: SOBLEC Symposium Cesar Lipener, MD; Paulo Ricardo de Oliveira,MD; Orestes Miraglia, MD; Adamo Lui Netto, MDCoronado C

The Brazilian Ophthalmological Society ofContact Lenses and Cornea (SOBLEC) wasinvited to put on this special InternationalSymposium. Well-known ophthalmologistsfrom Brazil present various scientific papers.Topics include complications of extended wearlenses, contact lens fitting after penetratingkeratoplasty, hybrid contact lenses, and ocularsurface disorders.

23-304A Level III: Medical & SurgicalManagement of Infectious Keratitis, 1st Hour David Meisler, MD; Lee Stock, MDMonterrey 1

The first part of this course covers currentmedical therapy for infective keratitis, including treatments for bacterial, fungal, andacanthamoeba. Discussion is directed towardoptimum choice for antimicrobial therapy foreach of the above. The second part of thecourse concentrates on surgical managementof infective keratitis, including discussions onthe best way to procure material for diagnosis(i.e., swab, scraping, biopsy). Discussion further elucidates other surgical treatments forcorneal infection, including lamellar keratecto-my, penetrating keratoplasty, conjunctival flap,cryotherapy and enucleating.

23-305: Soft Bifocals: What’s New &What’s Working? P. Douglas Becherer, OD, FAAO

Monterrey 2, 3

New and improved soft bifocals have beentouted since their introduced in the mid ‘80s.Finally, soft bifocal lenses with reasonable success rates are making patients happy andenthused, resulting in referrals of their“Boomer” friends. Tweaking the lens designcan make the difference between failure orsuccess. Pearls leading to success with themore popular designs are presented.

23-306: Colored Contacts for Fun & Function Mitchell Cassell, ODCoronado M, N

Changing brown eyes to blue can be exciting,but even more rewarding is taking the cosmetically challenged eye and creating a natural look. Wild looking lenses can add funto certain functions, but misuse can cause permanent problems. Colored contact lensescan provide both fun and function.

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23-307 LEVEL I: Designing anErgonomically Effective Office Diane Broe, FCLSACoronado E

This course outlines ways that you can set upa contact lens practice that will not cause youphysical problems in the future. All of us, ascontact lens fitters, find ourselves bending,stooping and staring to get the best look wecan through the equipment we use. We go overset-ups that are both wrong and right, andshow ways to improve the environment youwork in every day.

23-308 Level II: Aak! All About Kids Vicky Sheppard, FCLSA; Buddy Russell, FCLSAYucatan 2

Many children require contact lenses to maxi-mize visual potential. Whether the indicationfor contact lenses is congenital or acquired,these patients require time and patience on thepart of the practitioner. This course presentscase histories demonstrating some of the various indications a child might exhibit forcontact lenses.

23-309 Level III Fellow Prep:Topographical Interpretations &Considerations John A. Mountford, OD Coronado B

The correct interpretation of topography dataenables the practitioner to fully appreciate thesubtle variations in corneal shape. This information can then be applied to the fittingof GP lenses for keratoconus, post PK andrefractive surgery and orthokeratology situations. This course covers basic types ofcorneal topography systems, principles andsignificance of the various map functions andassociated contact lens applications. Particularemphasis is placed on nonstandard lens fittingsuch as keratoconus, post PK and refractivesurgery and orthokeratology.

23-310 LEVEL II: Post Refractive SurgicalFitting Renée Solomon, MD; Benny W. Phillips, Jr.,FCLSACoronado D

Not every refractive surgery yields perfectresults. This course covers the history andgives an overall view of refractive surgery. Thetypes of refractive surgery from radial kerato-tomy to laser assisted in situ keratomileusisare discussed. This lecture covers contact lensfittings of the post-surgery patients and specialdesigns that can be of assistance, when fittingthese surgically altered corneas.

23-311 LEVEL II: OrthokeratologyOptions in 2003 & Beyond Craig W. Norman, CO, FCLSA; AlexanderCannella, FCLSA, RNCoronado R, S

The past several years have seen majorbreakthroughs in the science of orthokeratol-ogy. Designed to decrease myopia by reshaping the cornea, today’s orthokeratologyis very sophisticated, incorporating cornealtopography analysis combined with softwarecalculation programs to achieve desiredresults. This course discusses new orthokera-tology lens designs, previous methods ofcorneal reshaping, today’s accelerated techniques and the fitting process.

2:15pm – 3:15pm

23-401B LEVEL I: Getting Started inOptical Dispensing Symposium, 2nd Hour Moderator: Joseph Bacotti, MD; Speakers: George Stern, MD, MBA; ArthurDeGennaro, Opt; Raymond Dennis, MACoronado P, Q

This symposium examines key issues of optical dispensing: choosing and working witha lab, staffing your dispensary: what to lookfor in opticians, and working with vendors.Also examined is the issue: Does quality limitprofit? Audience Q&A follows.

23-402 LEVEL II: Therapeutic ContactLenses SymposiumModerator: William Ehlers, MD; Speakers: Gary Foulks, MD; Peter Donshik, MD;Jeanine Suchecki, MDCoronado F, G

Therapeutic contact lenses and their varioususes in treating ocular conditions are discussed in this symposium. Therapeutic contact lenses for corneal and conjunctival disease and for ocular trauma are coveredalong with complications from the use of therapeutic lenses and the management ofpatients in such cases.

23-403 Level II: The Best of CLAOResearch Symposium – Anterior Segment Moderator: Peter Kastl, PhD, MD; Speakers: Penny Asbell, MD; Heather Maust,MD; Shaun Haji, MD; Satya Reddy, MD; RenéeSolomon, MD

Coronado R, S

This symposium examines a host of research-oriented issues, among them: MRSA infectionskeratitis following refractive surgery; US multi-center trial on conductive keratoplasty for cor-recting spherical hyperopia: recent results oftwo-year follow-up; and atypical peripheralsub-epithelial scarring, with audience Q&A. Inaddition: summary of US results of the treatment of presbyopia with conductive ker-atoplasty; reproducibility and agreement ofcaliper, ultrasound, and Orbscan; and measurement of anterior chamber width.Audience Q&A follows on each subject.

23-404B LEVEL III: Medical & SurgicalManagement of Infectious Keratitis, 2nd Hour David Meisler, MD; Lee Stock, MDMonterrey 1

The first part of this course covers currentmedical therapy for infective keratitis, including treatments for bacterial, fungal andacanthamoeba. Discussion is directed towardoptimum choice for antimicrobial therapy foreach of the above. The second part of thecourse concentrates on surgical managementof infective keratitis, including discussion onthe best way to procure material for diagnosis(i.e., swab, scraping, biopsy). Discussion further elucidates other surgical treatments forcorneal infection, including lamellar kerate-ctony, penetrating keratoplasty, conjunctivalflap, cryotherapy and enucleating.

23-405 RGP Bifocals: PinpointingReasons for Success Rob Davis, OD, FAAOMonterrey 2, 3

RGP bifocals work, and they offer vision comparable and even better at times than spectacles. Limitless in power and design, RGPbifocals can transform your bifocal patientsinto your most enthusiastic patients. Thiscourse walks you through formulas for successfully prescribing different types of RGP bifocals.

23-406: Competing for the Contact LensPatient Barry Eiden, OD, FAAOCoronado M, N

The key to a successful contact lens practice inthese times of managed care and alternativedelivery sources is to create a contact lens specialty practice. This course presents keyelements in establishing a contact lens specialty environment. Included are staff andpatient education, office environment, inventory management and economic issues.

23-407 Level II: A Primer in CornealRefractive Therapy (CRT™) Timothy O. Koch, FCLSA; James W. Slightom,FCLSA, ABOM, NCLCCoronado B

This course introduces concepts of CRT.Included are a description of the lens from adesign standpoint, as well the clinical sciencebehind lens design. Processes involved in fitting also are covered.

23-408 LEVEL II: Improving ComplianceBy Teaching Contact Lens Patients LikeAdultsWilliam B. Underwood, FCLSACoronado E

Studies indicate that approximately 75 percentof contact lens wearers are non-compliant withat least one aspect of lens care. To help combatthis phenomenon, this course presents ways to apply the principles of adult education to contact lens patient instruction. Differences inlearning styles are discussed. New technologiesand environmental changes which facilitateimproved compliance also are identified.

14 Contact Lens and Eyecare Symposium

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

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23-409 Level II: Fitting the Unfittable Patient Sherralyn D. Vanore, NCLC, COT, FNAOYucatan 2

This course focuses on “unfittable” patientsthat really just present a special challenge.Some examples: patients who want one contactlens for monovision, when only two lenses willgive the desired vision; and patients who wantto spend the least and get the best. Also dis-cussed are ways to best explain to yourpatients when they are not candidates for thelens type of their choice.

23-410 LEVEL I: Do It Write! How toWrite a Technical Article Patrick B. Goughary, FCLSA; Gretchyn M.Bailey, NCLC, FAAOCoronado D

This course is designed to encourage contactlens practitioners to write technical articles forpublication. The speakers are editors for majorjournals in the contact lens industry. A preciseplan of action is provided with information ontopic selection, audience evaluation, style andformat, documentation, and pitfalls.

23-411 Level III Fellow Prep: CLSAReality Fitting: A Day in the Life of aCLSA Fellow Keith W. Harrison, FCLSAFiesta 6

A rotating panel of Fellows of the Contact LensSociety of America are challenged by the facili-tator to solve real patient cases in a roundtable format. See the analytical talents of themost experienced and advanced contact lensspecialists in the world employed in solving in-depth and difficult cases. Fitters of all levelsare invited to participate or just observeexperts discuss challenging contact lens cases.

2:30 pm – 5:30 pm

NCLE Advanced Certification Exam (Step 1 to the CSLA Fellow)Fiesta 7

3:30pm – 5:30pm

02-23 Level II: CLES General Session –Silicone Hydrogel and Extended Wear H. Dwight Cavanagh, MD, PhDCoronado L

For the past 14 years, eyecare practitionersand regulatory authorities have strongly dis-couraged overnight contact lens wear due toincreased risk of lens related complications,particularly microbial keratitis.

Recently, the FDA approved one rigid andtwo silicone hydrogel lenses for up to 30-daycontinuous wear. Is this the triumph of hopeover past experience or the most notableadvance in contact lens safety and efficacy inmany years?

This symposium examines the interaction ofthese remarkable new lenses with the ocularsurface and documents their clinical perform-ance for clinical practitioners.

5:30pm – 7:30pm

Exhibit Hall Grand Opening & Reception Coronado H, J

7:30pm – 9:30pmCLAO Education and Research FoundationBoard of Trustees Meeting

Baja

FRIDAYJanuary 24, 2003

7:00am – 5:00pmCLES RegistrationSouth Registration

7:15am – 7:45amContinental Breakfast Sponsored by VistakonCoronado Foyer

7:45am – 8:45am24-101 LEVEL II: ECLSO/H. Jonathan Kersley, MD, Symposium Jane Sparholt, MD, moderator; Torben MØller-Pedersen, MD, PhD; Gudrun Bischoff, MD; René Mely, MDCoronado F, G

The European Contact Lens Society ofOphthalmologists (ECLSO) was invited to puton this special International Symposium. Fourwell-known ophthalmologists from Europepresent papers on the therapeutic use of silicone hydrogel contact lenses and presentdata on cellular changes after contact lenswear utilizing confocal microscopy.

24-102A Level II: Getting Compliant withHIPAA, 1st HourSue Vichrilli, COTFiesta 6

Feeling overwhelmed by HIPAA implementa-tion? This course is designed to provide step-by-step practical HIPAA application as theregulations affect staff, business associates,and patients and claims transmission.Participants will learn to describe HIPAAimplementation as it affects staff, patients and claims submission, and identify key components in establishing and/or maintainingHIPAA protocol. Forms to assure complianceare provided.

Contact Lens and Eyecare Symposium 15

3:30pm – 5:30pmHigh Dk Silicone Hydrogeland GP Lenses: A New Agefor Continuous Wear?In Memory of George W. Mertz, OD(1946 – 2002)Coronado L

Session leaderH. DWIGHTCAVANAGH, MD, PhDDepartmentOphthalmology

University of Texas SouthwesternMedical School

For the past 14 years, eyecare practi-tioners and regulatory authorities havestrongly discouraged overnight contactlens wear due to increased risk of lens-related complications, particularlymicrobial keratitis.

Recently, the FDA approved onerigid and two silicone hydrogel lensesfor up to 30-day continuous wear. Is this the triumph of hope over pastexperience or the most notableadvance in contact lens safety and efficacy in many years?

This symposium examines theinteraction of these remarkable newlenses with the ocular surface and documents their clinical performance for clinical practitioners.

Session topics & presenters:High Dk Soft LensesBrien Holden, PhD, FAAO

Bacterial Binding to High Dk Materials H. Dwight Cavanagh, MD, PhD

Clinical Findings with Silicone HydrogelsDebbie Sweeney, PhD

Clinical Experience with PureVisionFred Edmunds, OD

Clinical Experience with Night & DayRick Weisbarth, OD

Clinical Experience with Menicon ZJoe Barr, OD, MS

Future of Continuous WearPeter Bergenske, OD

CONTACT LENS AND EYECARE SYMPOSIUMTHURSDAY GENERAL SESSION

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24-103 Level II: Management of the Post-Refractive Surgery Patient: Medical,Surgical and Contact Lens Modalities William Lahners, MDMonterrey 1

This course covers the modern care of thepost-operative refractive surgical patient withspecial emphasis on current techniques.Specific areas addressed include patient selection, realistic expectation, routine post-operative findings, common post-operativeproblems, uncommon post-operative problems andthe use of contact lenses as a therapeutic modality.

24-104: Diagnostic Equipment You Need Rob Davis, OD, FAAOCoronado M, N

These are not the keratometers or slit lamps ofthe previous generations. Today’s computerdriven equipment can examine the cells of eyeor predict success with contact lenses andrefractive surgery. Does it make our job easieror more complicated? Can the cost be justified?This course examines what new instrumenta-tion can do for a practice and whether the costcan be justified.

24-105: The Lid Machine & Soft ToricLens Orientation Graeme Young, M.Opt.Monterrey 2, 3

Stable predictable orientation is key to successful toric lens fitting. Recent researchinto toric soft lens orientation is reviewed toprovide a better understanding of the factorsgoverning toric lens fit. High speed videorecordings show some of the complex interac-tions between lids and lens. The increasinguse of disposable toric soft lenses has led to areappraisal of astigmatic correction. The presentation reviews simplified fitting tech-niques appropriate for today’s toric soft lenses.

24-106 LEVEL III Fellow Prep: Fitting AfterCorneal Trauma John A. Mountford, OD Coronado E

Post-traumatic contact lens fitting can restorefunctional vision and/or ocular protection tothe cornea following trauma. The trauma canbe due to disease, accident or surgery. Thiscourse discusses the types of contact lensapplications that can be used for conditionssuch as Bells Palsy and other ocular surfaceexposure conditions, cicatrical pemphigoid,aniridia, corneal scaring, post graft and refrac-tive surgery. Particular attention is paid to theadvantages of GP scleral lenses, prostheticsclerals, reverse geometry lens variations andsilicone hydrogels.

24-107 LEVEL I: Soft Contact Lenses &Solutions Update Michael A. Ward, MMSc, FCLSA, FAAOCoronado C

In this course, a rotating panel of Fellows ofthe Contact Lens Society of America is chal-lenged by the facilitator to solve real patientcases in a round table format. View first handthe analytical talents of the most experiencedand advanced contact lens specialists in theworld, as they solve in-depth and difficult

cases. Fitters of all levels are invited to participate or just observe experts discusschallenging contact lens cases.

24-108 LEVEL I: Toric Soft Contact Lenses Jane Buckland, FCLSA, FNAO, NCLC-AC; MarkP. Andre, FCLSA, FAAOCoronado D

This course is designed to familiarize the participant with the most up-to-date proce-dures for fitting, designing, application andproblem solving of toric soft lenses. At theconclusion of the course, the participant will beable to understand and apply fitting anddesign techniques that will enable the partici-pant to achieve greater success in fitting soft toric lenses.

24-109 LEVEL II: Fitting the Presbyope Michael S. Gzik, FCLSACoronado P, Q

This course discusses methods of selecting aproper presbyopic candidate for RGP lens fitting.Materials and designs of simultaneous andtranslating lenses are presented. Patient man-agement, follow-up procedures and instructionsalso are discussed. Participants learn to differ-entiate the methods of correcting presbyopia tomeet these needs. The methods include but arenot limited to glasses, distance contacts andglasses, bifocal lenses and monovision.

24-110 LEVEL III: Fitting Large DiameterGP Lenses Al Vaske, BA, NCLCCoronado B

This course begins with a short history ofwhere contact lens fitters have been, followedby the philosophy of larger diameter lenses,anatomy of a large diameter GP lens and casehistories. Presentations include post graftpatients, post refractive surgery patients,globus keratoconus patients, and pellucid marginal degeneration patients.

7:00am – 12:00noonCLSA Fellow Practical ExamFiesta 7

8:00am – 12:15pm24-801 CLAO/JCAHPO Program: Tech I Basic/Intermediate

Yucatan 2

8:00am – 9:00amHistory TakingDiana Coffman, CO, COMT

This course teaches participants how to obtainan accurate and concise history. Discussedhere: chief complaint, history of present illness, past ocular history, ocular and systemicmedications, past medical history, family history, allergies and general information.

16 Contact Lens and Eyecare Symposium

9:00am – 11:00amKids, Contacts and Corneal ModificationCoronado L

Session leaderKEITH W.HARRISON, FCLSAAssociate ClinicalProfessor, TheToronto Western

Hospital, University of Toronto

This two-hour symposium is a livelyinteraction between an internationalpanel of experts and the audience,who will gleen insights on growing theeyecare practice. We will examine fitting techniques and also discussways to market our products and skillsto this interesting and challenginggroup of young consumers.

Among topics discussed:

• Passive and accelerated cornealrefractive modification in the adult,teen and preteen population. What isthe potential for myopia control?

• Effective ways to employ single useand/or extended wear contact lensesfor kids.

• Meeting demand for color enhance-ment tints.

This CLES General Session offers time-ly and practical applications to helpparticipants to achieve real practicegrowth by appealing to young patientswith the latest in lens systems.

CONTACT LENS AND EYECARE SYMPOSIUMF R I D AY G E N E R A L S E S S I O N

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

Page 19: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

9:00am – 10:00am

AIDS and the Ophthalmic Practice Charles Slonim, MD, FACS

This course presents an overview of AIDS andthe relationship of this disease with the ophthalmic practice. There is a special empha-sis on office precautions in the contact lenspractice. Detailed discussion of the pathobiolo-gy, epidemiology, and the associated ocularmanifestations of AIDS are included. The risksof AIDS transmission between allied healthpersonnel and patients are also be discussed.

10:15am – 11:15amThe Red EyePeter Donshik, MD

This course reviews the causes and manifesta-tions of the different diseases resulting in thered eye. Differential diagnosis, diagnostic testsand treatment options are presented.

11:15am – 12:15pmBasic Surgical AssistingDiana Hatsis, RN, BScN, COT

This course covers basic information on universal precautions, aseptic technique, andgowning and gloving procedures. Included isinformation on basic techniques in surgicalassisting, care and handling of microsurgicalinstruments and sterilization procedures. Alsocovered are basic patient care issues in thesurgical setting, including patient preparation,informed consent and postoperative instructions.

8:45am – 9:45am24-102B Level II: Getting Compliant withHIPAA, 2nd Hour Sue Vichrilli, COTFiesta 6

Feeling overwhelmed by HIPAA implementa-tion? This course is designed to provide step-by-step practical HIPAA application as the regulations affect staff, business associ-ates, and patients and claims transmission.Participants will learn to describe HIPAA implementation as it affects staff, patients and claims submission, and identify key components in establishing and/or maintainingHIPAA protocol. Forms to assure complianceare provided.

9:00am – 11:00am01-24 LEVEL II:CLES General Session –Kids, Contacts & Corneal ModificationsKeith W. Harrison, FCLSA; Craig W. Norman,CO, FCLSA; Ed Bennett, OD, FAAO; JohnMountford, OD; K. McCarthy, ODCoronado L

This two-hour symposium is a lively interac-tion between an international panel of expertsand the audience, who will glean insights ongrowing the eyecare practice. We will examinefitting techniques and also discuss ways tomarket our products and skills to this interest-ing and challenging group of young consumers.

Among topics discussed:● Passive and accelerated corneal refractive

modification in the adult, teen and preteen

population. What is the potential for myopia control?

● Effective ways to employ single use and/or extended wear contact lenses for kids.

● Meeting demand for color enhancement tints.

This CLES General Session offers timely andpractical applications to help participants toachieve real practice growth by appealing toyoung patients with the latest in lens systems.

11:30am – 2:30pm

Exhibit Hall Open with Lunch Coronado H, J

11:30am – 5:00pmCLSA Golf TournamentSee page 6 for details

1:00pm – 4:45pm24-802 CLAO/JCAHPO Program: Tech IBasic/Intermediate

Yucatan 2

1:00pm – 1:45pmOcular TraumaBill Ehlers MD

This course presents an overview of oculartrauma with epidemiological data and guide-lines for triage. Case presentations includingpresentation and management are highlighted.

1:45pm – 2:45pmAncillary Testing Diana Shamis, CO, COMT

This program addresses the ancillary tests andmeasurements available to the ophthalmic staffto assist in evaluating various conditions.Presented along with the indications for eachare: A & B scans, exophthalmometry, Amslergrid, Schirmer tests, pupillary evaluation andestimation of anterior chamber depth.

3:00pm – 4:00pmRefractometry 101Lisa Fraine, CO, COMT

This course covers the basics of refractometry,including a discussion of basic optics, types ofrefractive errors and lenses necessary to correct them. Determination of a starting pointand various refinement techniques includingfogging, astigmatic dials and the duochrometest are included. Also presented is a discussion of accommodative reserve and presbyopic prescriptions.

4:00pm – 4:45pmStrabismus: Diagnosis, Classificationand TreatmentMary O’Hara, MD

This presentation discusses the types of strabismus and their classification, as well assimple office techniques for screening anddiagnosis of strabismus. The use of the corneallight reflex, Bruckner red reflex and cover testing are discussed and illustrated. Detailsconcerning the clinical characteristics, diagnosis and treatment of the most commonforms of strabismus (esotropia, exotropia,hypertropia, cranial nerve palsies, etc.) andmajor surgical and non-surgical treatment modalities also are presented.

2:00pm – 5:00pmCLSA ToursSee page 6 for details

Contact Lens and Eyecare Symposium 17

2:30pm – 3:30pm First hour3:45pm – 4:45pm Second hour

The Problem Contact LensPatient SymposiumIncluding the Oliver H. Dabazies, Jr.,MD, LectureshipCoronado F, G

Named LecturerJAMES E. KEY, II, MDProfessor ofOphthalmologyUniversity of Houston

Panelists: William Driebe, MD; PeterDonshik, MD; Gary Foulks, MD; BruceKoffler, MD; Zoraida Fiol-Silva, MD

This two-hour symposium examines ahost of issues related to solving con-tact lens related clinical problems.Among them:

• Lens related keratitis: diagnosis and management

• Managing the allergic contact lens patient

• Dry eyes and blepharitis• How to make contact lenses work.

The Oliver H. Dabazies, Jr., MD, LectureMeeting the Challenge ofPresbyopia with Contact Lenses

F R I D AY C L A O S Y M P O S I U M

Page 20: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

2:30pm – 3:30pm

24-201A LEVEL II: The Problem ContactLens Patient Symposium including TheOliver H. Dabezies, Jr., MD, Lectureshipby James E. Key II, MD 1st Hour William Driebe, MD; Peter Donshik, MD; GaryFoulks, MD; Bruce Koffler, MD; James E. Key, II,MD; Zoraida Fiol-Silva, MDCoronado F, G

This symposium examines the followingissues: contact lens related keratitis: diagnosisand management; managing the allergic contact lens patient; dry eyes and blepharitis:how to make contact lenses work. Also, theOliver Dabezies Lecture explores: Meeting thechallenge of presbyopia with contact lenses.

24-202 LEVEL II: Ray Tracing & RefractiveSurgery Richard Eiferman, MDCoronado B

This course acquaints the practitioner with thefundamentals of ray tracing and refractive surgery. The Tracey Tech system does not usea Hartmen-Shack array but rather a series ofsequential laser spots centered on the retina.The position of these spots is calculated,expressed as Zernike polynomials and displayed as high and low order aberrations.The Tracey system is also useful as a diagnos-tic tool to display all optical errors. It will bevaluable for custom ablation when FDAapproval is granted.

24-203 LEVEL I: Marketing HealthServices Warren McDonald, PhDCoronado C

This course provides the attendee with a betterunderstanding of the process and conceptsinvolved in the marketing of health services. Thecompetitive ophthalmic marketplace makes thiscourse a must for practice survival. The focus ison the independent practitioner. Tips are provid-ed to assist in not only survival, but in improv-ing the practice position in the community.

24-204 LEVEL I: Managing FrameInventory Art DeGennaro, Opt; Raymond Dennis, MACoronado D

This course provides methods for managingthe frame inventory in the ophthalmic practice.Most MDs/ODs tend to price the optical prod-ucts they offer below fair market value. Theymust learn to position their offerings in theappropriate range of the marketplace. Thedegree of competition will help determine thepricing limits. Learn how to establish a grossprofit target and how to determine if your dispensary has a broad enough product selec-tion to be attractive to patients.

24-205 LEVEL I: Inflammatory Cascadeand the Ocular Allergic ResponseCharles Slonim, MDCoronado P, Q

One of the most common ophthalmic condi-tions that direct a patient to their primary carephysician or eyecare practitioner is the red,itchy eye. The large percentage of conjunctivi-tis is non-infectious (inflammatory). Most ofthese cases are probably allergic in nature. Theophthalmic armamentarium is now filled witha number of pharmaceutical compounds thathave specific actions at different points alongthe inflammatory cascade. This presentationdescribes the ocular inflammatory cascade ingreat detail. We then discuss various topicalophthalmic medications currently available andhow they relate to the treatment of the ocularinflammatory process.

24-206A LEVEL II and III: A SystemicApproach to the Diagnosis ofConjunctivitis, 1st Hour George A. Stern, MD, MBAMonterrey 1

The ophthalmologist must learn to approachthe diagnosis of conjunctivitis in a systematicmanner to obtain the most efficacious treat-ment outcome. This in-depth scientific sessionprovides insights and offers discussion on howthis can be accomplished.

24-207A: Kerataconus – When, Why &What to Do!, 1st Hour Joe Barr, OD, MS, FAAOMonterrey 2, 3

The CLEK (Collaborative LongitudinalEvaluation of Keratoconus) is reviewed, discussing the relevance of keratoconus withinthe population. Indications for early detectionof the keratoconus are presented, as well asthe FDACL (First Defined Apical ClearanceLens) fitting philosophy. Also discussed aresurgical intervention indications and fittingphilosophies for post-penetration keratoplasty.

24-208: When CRT or Ortho-K LensesWon’t CenterEd Bennett, OD, FAAO; Todd Reim, OD,Coronado M, N

Small variations to the design of the retainerlens can position the lens ideally or create misalignment. When lenses position off-centerthe desired affect not only may not beachieved, but unwanted warpage may occur.Different techniques for improving alignments,as well as comparisons of different theories,give insight on how to remedy problems.

24-209A LEVEL I: A Contact Lens Primerfor Ophthalmic Office Staff, – Part I Woody Linn, FCLSA, NCLC-ACCoronado E

This course provides a basic understanding ofocular anatomy and corneal physiology. Thereis a special emphasis on the conjunctiva, lid,ocular tear, cornea and the relationshipbetween ocular anatomy and contact lens fitting. At the completion of this course, theparticipant will be able to identify and explainthe role of ocular anatomy and physiology incontact lens fitting.

24-210 The Presbyopic Contact LensPatient: What Do I Do?Frank Weinstock, MDFiesta 6

Presbyopia is a challenge. Through a series ofquestions, the presbyopic patient is described,and various management alternatives are discussed. Also discussed is the potential newcontact lens patient, as well as the patient cur-rently wearing contact lenses. Contact lens fitting options, including monovision, multifo-cal lenses and modified monovision, areexplored. The office routing, including education of staff and patients, as well aspotential lens inventories, are discussed.Audience interaction and questions follow.

3:45pm – 4:45pm

24-301B LEVEL II: The Problem ContactLens Patient Symposium including TheOliver H. Dabezies, Jr., MD, Lectureshipby James E. Key, II, MD, 2nd Hour William Driebe, MD; Peter Donshik, MD; GaryFoulks, MD; Bruce Koffler, MD; James E. Key, II,MD; Zoraida Fiol-Silva, MDCoronado F, G

This symposium examines the followingissues: contact lens related keratitis: diagnosisand management; managing the allergic con-tact lens patient; dry eyes and blepharitis: howto make contact lenses work. Also, the OliverDabezies Lecture explores: Meeting the chal-lenge of presbyopia with contact lenses.

24-302A LEVEL I: Coding Pearls 2003, 1st Hour Sue Vichrilli, COTFiesta 6

If you see Medicare patients and want to document and be paid correctly, this course isfor you. Upon completion of this course, participants should be able to identify newcoding and documentation requirements affecting reimbursement in 2003, describetechniques for practical application of newguidelines, identify weak areas in coding anddocumentation that costs the practice income.Discussion provides valuable coding tipsassuring compliance in and proper reimburse-ment in 2003. Coding is a team effort—sobring your staff.

24-303A LEVEL II: Contact Lenses andCorneal Health: How Are New LensesBetter, 1st Hour Loretta Szczotka, ODCoronado B

This course primarily demonstrates the clinicaland sub-clinical findings associated withextended wear of the “traditional” low Dkhydrogel and RGP lenses, and the changesseen or expected with hyper Dk lenses. Alsodiscussed are complication of inflammationand infection, and the hope that these areasmay be better treated with lens materials and solutions.

18 Contact Lens and Eyecare Symposium

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

Page 21: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

24-304 LEVEL II: Evidence Based Medicine and Contact Lens RelatedOcular Disorders Motozumi Itoi, MD, PhD; Mitsuru Sawa, MD, PhDCoronado P, Q

Ten percent of the population in Japan utilizedcontact lenses in 2001, and the number ofcontact lens wearers is still increasing.Recently, ocular troubles related to contact lenswear have been significantly increasing. Weorganized a joint survey to obtain data onthese contact lens related ocular disorders.This survey focused on ocular disorders due tocontact lens wear and lens care systems.

Based on the findings of this survey, riskfactors of contact lens related ocular disordersin Japan will be discussed, along with methodsto minimize these ocular troubles related tocontact lens wear.

Furthermore, recent developments in contactlens materials can provide various types oflens wear and fill various needs raised by lenswearers. However, since the ocular surface canbe maintained by its complex physiologicalhomeostatic mechanism, even current welldeveloped lenses can not be used withoutadverse effects on the ocular surface.Therefore, various lens related ocular disordersand their incidence have not been reduced.Various clinical findings caused by contactlenses and the methods of their treatment arepresented, along with discussion of therapeuticuse of contact lenses for keratoconus and other treatments.

24-305A LEVEL II: When 20/20 Is NotEnough: Quality of Vision Issues withSpectacles, Contact Lenses and RefractiveSurgery, 1st Hour Susan Stenson, MD; Srilata Naidu, MD; KennethJ. Scherick, OD; Christopher Baldy, PhDCoronado C

Snellen acuity is considered the standard formeasuring vision, with 20/20 accepted as thebenchmark for “normalcy.” Advances in opticaland refractive technology, however, make visual acuity more than a quantitative measure. Quality of vision, as reflected invisual function and visual comfort, is becoming an increasingly important component of what constitutes good—andacceptable—vision in the real world. Contrastsensitivity will be evaluated as a more reliableand sensitive measure of “true” visual acuity.The importance of glare and excessive light indistorting and diminishing vision will be dis-cussed, along with the use of fixed tint andphotochromic lenses and various lens treat-ments to minimize adverse effects. Alsoreviewed: How contact lenses and incision/laser refractive surgery may impact on qualityof vision issuers and possible solutions to suchproblems as glare, ghost images, dark adapta-tion, and light scatter suggested. Discussionalso includes the role of ultraviolet (UV)-absorbing spectacles and contact lenses in pro-tecting the eye from potentially dangerouseffects of UV.

24-306B Level II: A Systemic Approach tothe Diagnosis of Conjunctivitis, 2nd Hour George A. Stern, MD, MBAMonterrey 1

The ophthalmologist must learn to approachthe diagnosis of conjunctivitis in a systematicmanner to obtain the most efficacious treat-ment outcome. This in-depth scientific sessionprovides insights and offers discussion on howthis can be accomplished.

24-307B: Kerataconus – When, Why &What to Do!, 2nd Hour Joe Barr, OD, MS, FAAO Monterrey 2, 3

The CLEK (Collaborative LongitudinalEvaluation of Keratoconus) is reviewed, discussing the relevance of keratoconus withinthe population. Indications for early detectionof the keratoconus are presented as well as theFDACL (First Defined Apical Clearance Lens)fitting philosophy. Also discussed are surgicalintervention indications and fitting philoso-phies for post-penetration keratoplasty.

24-308: Contact Lens vs. RefractiveSurgery Patient: Are They Worth It? Paul Karpecki, OD, FAAO; Barry Eiden, OD, FAAOCoronado M, N

How can you analyze the contact lens patientand the refractive surgical patient and whatthe long-term effects on the practice can be? Isone type of patient better than the other? Howcan you keep the contact lens patient comingback for routine care, and how do you get therefractive surgical patient to come back at allafter a few years? This course discusses theseissues that affect every practice.

24-309B LEVEL I: A Contact Lens Primerfor Ophthalmic Office Staff – Part II Woody Linn, FCLSA, NCLC-ACCoronado E

This course provides a basic understanding of keratometry and its role in contact lens fitting. This “hands-on” course explains and demonstrates each function of the manualKeratometer. Course participants completingthis “hands-on” course will be able to performkeratometry and explain its role in contact lens fitting.

5:00pm – 6:00pm

24-401 LEVEL II: Glaucoma Symposium –2003 Update on Medical Treatment Mary Fran Smith, MD; J. William Doyle, MD, PhDMonterrey 1

This symposium examines: hypotensive lipids,alpha agonists and neuroprotection, aqueoussuppressants, and combination drops andfuture options for treatment. This is followedby audience Q&A.

24-402B LEVEL I: Coding Pearls 2003,2nd Hour Sue Vichrilli, COTFiesta 6

If you see Medicare patients and want to document and be paid correctly, this course isfor you. Upon completion of this course, participants should be able to identify newcoding and documentation requirements affecting reimbursement in 2003, describetechniques for practical application of newguidelines, identify weak areas in coding anddocumentation that costs the practice income.Discussion provides valuable coding tipsassuring compliance in and proper reimburse-ment in 2003. Coding is a team effort—sobring your staff.

24-403B Level II: Contact Lenses andCorneal Health: How Are New LensesBetter, 2nd Hour Loretta Szczotka, ODCoronado B

This course primarily demonstrates the clinicaland sub-clinical findings associated withextended wear of the “traditional” low Dkhydrogel and RGP lenses, and the changesseen or expected with hyper Dk lenses. Alsodiscussed are complication of inflammationand infection, and the hope that these areasmay be better treated with lens materials and solutions.

24-404 LEVEL II: Japanese Contact LensSociety Symposium Atsushi Kanai, MD; Motozumi Itoi, MD, PhD;Kiichi Ueda, MD; Kenji Okano MD; YoshikazuUtsumi, MD; Hiroshi Yoshida, MD; MasayoshiKajita, MD; Hiroki Fujita, MD; Kenji Sano, MD;Shuji Sasaki, MD; Manabu Mochizhuki, MDCoronado D

This symposium examines trends in contactlenses in Japan, including an examination ofthe following report: “A Clinical Survey ofContact Lens Complications in Japan,” a JointStudy by the JCLS, Japan Medical Associationand Japan Contact Lens Association. Also discussed are three aesthenopic cases due tohyeropia after refractive surgery and theirmanagement/treatment by glasses and/or contact lenses; a clinical evaluation of shortwavelength blocking contact lenses for apatient with pigmentary retinal dystrophy, andapplications of a piggyback lens system for dryeyes. Questions for the speaker panel follow.

Contact Lens and Eyecare Symposium 19

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20 Contact Lens and Eyecare Symposium

24-405B LEVEL II: When 20/20 Is NotEnough - Quality of Vision Issues withSpectacles, Contact Lenses and RefractiveSurgery, 2nd Hour Susan Stenson, MD; Srilata Naidu, MD; KennethJ. Scherick, OD; Christopher Baldy, PhDCoronado C

Snellen acuity is considered the standard formeasuring vision, with 20/20 accepted as thebenchmark for “normalcy.” Advances in opticaland refractive technology, however, make visual acuity more than a quantitative meas-ure. Quality of vision, as reflected in visualfunction and visual comfort, is becoming anincreasingly important component of whatconstitutes good—and acceptable—vision inthe real world.

In this course, contrast sensitivity is evaluated as a more reliable and sensitivemeasure of “true” visual acuity. The impor-tance of glare and excessive light in distortingand diminishing vision also is discussed, alongwith the use of fixed tint and photochromiclenses and various lens treatments to minimizeadverse effects.

Also discussed are how contact lenses andincision/laser refractive surgery may impact on quality of vision issuers, and possible solutions to such problems as glare, ghostimages, dark adaptation, and light scatter.Finally, the role of ultraviolet (UV)-absorbingspectacles and contact lenses in protecting the eye from potentially dangerous effects ofUV is discussed.

24-406 LEVEL II: LASIK Complications Parag Majmadur, MDCoronado F, G

Laser in situ keratomileusis (LASIK) hasbecome a widely accepted treatment for thecorrection of ametropias. However, as with any surgical procedure, complications mayoccur at any stage of the LASIK process,including errors of omission or commissionfrom candidate screening to post-operativemanagement. In this course, aimed at thebeginning to intermediate surgeon, participantsare exposed to the various pre-operative, intra-operative and post-operative complica-tions associated with the LASIK procedure.Emphasis is placed on primary avoidance andearly recognition of LASIK complications toensure optimal refractive and visual outcomesand enhanced patient satisfaction.

24-407 LEVEL II: Selection of TherapeuticContact Lenses to Modulate CornealWound Healing Gary Foulks, MD Coronado P, Q

The evolution of available hydrophilic soft contact lenses now permits a wide selection oftherapeutic contact lenses. This course reviewsthe development of therapeutic contact lensesand their effect upon corneal physiology, basedupon oxygen permeability and lens geometry.A summary of the presently available contactlenses that can be used to modulate cornealwound healing is presented. A strategy forselection of contact lenses to achieve optimalcorneal wound healing in a number of cornealdiseases is provided.

24-408 LEVEL II: Corneo-Scleral ContactLenses and the Diseased Eye Christina Sindt, ODYucatan 2

This course covers advanced corneo-scleralcontact lens fitting techniques as they apply tothe diseased eye. Keratoconus, post graft andpost-refractive surgery fitting and modifica-tions are covered in depth.

24-409 LEVEL I: Selling Success ThroughVisual Merchandising Raymond Dennis, MACoronado M, N

This course is designed to assist the experi-enced dispenser/manager to understand thenature and application of effective visual display of products to increase business in theophthalmic dispensary. Topics include: usingcolor, lighting sources, lighting techniques andcreating focus and balance.

24-410 LEVEL I: Contact Lenses for theMature Patient Muriel Schornack, ODCoronado E

The ever-expanding variety of contact lensesavailable for the correction of presbyopia canmake initial contact lens consultations time-consuming for practitioners and confusing forpresbyopic patients. This course introduces anoutline for presentation of options that willhelp presbyopic patients develop realisticexpectations for contact lens correction. It alsowill assist the practitioner in choosing themodality that will best meet the patient’s visual needs. Following this course, partici-pants will understand potential compromisesinherent in various forms of presbyopic correc-tion, and be able to determine the most appropriate mode of correction for an individual patient during the initial interview.

6:00pm – 7:30pmCLAO Foundation and International ReceptionFiesta 1-4/Patio del Sol

7:30pm – 9:30pmCLSA Fellows ReceptionSponsored by Paragon Vision SciencesMonterrey/La Mesa Patio

SATURDAYJanuary 25, 2003

7:30am – 5:00pmCLES RegistrationSouth Registration

7:30am – 8:00amContinental Breakfast Sponsored by VistakonCoronado Foyer

8:00am – 9:00am

25-101 LEVEL II: Kerataconus Symposium Henry Perry, MD; George Stern, MD, MBA;David Meisler, MD; Penny Asbell, MDFiesta 5

This symposium examines the followingissues: When is corneal transplantation indicated for keratoconus? Prescribing Intacsfor keratoconus, management of keratoconusastigmatism: relaxing incisions and compres-sion sutures. Also discussed is management ofkeratoconus post-keratopasty astigmatism:LASIK vs. PRK. Audience Q&A follows.

25-102 LEVEL II: The Best of CLAOResearch Symposium – Optics andContact Lenses Moderator: Zoraida Fiol-Silva, MD Speakers: Kenneth Lebow, OD; Li Yuan-yuan, MD; Michael Christensen, OD,PhD; Marcelo Sobrinho, MD; James McHale, MDCoronado B

This symposium examines the followingissues: Evaluation of corneal staining andpatient preferences with use of three multi-purpose solutions and two brands of soft contact lenses; an effect of suny Boston RGPcontact lens on anisometropic amblyopia; anda comparison of treatments for lysozymeremoval from high water ionic contact lenses.Also discussed: Do economic and social factorsplay an important role in relation to the compliance of contact lens care routines?Finally, there is a presentation of optical wavefront analysis of uncorrected and contactlens-corrected vision. Audience Q&A follows.

25-103 LEVEL II: Optical Aberrations andFunctional Vision: What You Need toKnow Mark Packer, MDCoronado C

New technology in cataract and refractive sur-gery has engaged a new emphasis on qualityof vision beyond simple visual acuity. Sinewave grating contrast sensitivity testing isgaining increased recognition as a valuabletool for measuring functional vision. It hasbeen proven to provide a more sensitive and comprehensive measurement of visualperformance than is provided by Snellen acuity. At the same time, wavefront-sensingtechnology allows optical scientists and surgeons to understand the basis of changesin contrast sensitivity with aging and disease.Surgeons now have the opportunity to applythese advances for the benefit of their cataractand refractive surgery patients. This course

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

Page 23: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

reviews the psychophysical basis of contrastsensitivity testing, explores the evidence linkingcontrast sensitivity to health quality of life andexplains the optical basis of wavefront sensing.

25-104 Level I: Running A ProfitableContact Lens Practice SymposiumJoseph L.Bacotti, MD; Craig W. Norman, CO,FCLSA; James E. Key, II, MDCoronado E

This symposium presents success strategies fora variety of types of practices. These includethe solo comprehensive doctor with limitedcontact lens services, the large group practicewith total contact lens services, and also thegroup practice with multiple offices and totalcontact lens services. There is also audience Q&A.

25-105 LEVEL I: Silicone HydrogelExtended Wear Contact Lenses Jane Spasholt, MDhCoronado D

This course provides an overview of the newsilicone hydrogel extended wear lenses, as wellas problems and how these are solved. Alsodiscussed are advantages and why these newmaterials are excellent and a very good alter-native for many patients.

25-106 LEVEL II: Managing Soft ContactLens Complications William Driebe, MDCoronado P, Q

A systematic approach is essential when caringfor patients with soft contact lens pathology.This course addresses seven major problemareas. The “practical approach” is stressed.Topics include: improper lens care and infec-tions, patient factors affecting successful lenswear, problems with lens fit, lens deposits,solutions allergies, sterile corneal infiltrates,and GPC. Also discussed is the diagnosis andtreatment of difficult corneal infections associ-ated with contact lens wear such as acan-thamoeba, pseudomonas, and fungal keratitis.

25-107 LEVEL II: Reshaping the NormalMyopic Cornea Bruce Koffler, MDMonterrey 1

Corneal Refractive Therapy (CRT) has enjoyeda renewal of interest over the past five years.This is due to the development of technologyfor automated lathes that can create RGP lenses of high DK values in unique shapes.These lenses work within days to weeks tocorrect spherical and astigmatic errors. Thiscourse reviews the history of corneal moldingand brings us up to the CRT lens recentlyapproved by the FDA for over-night wear.Safety and efficiency data leading to thisapproval are presented. Also offered is a mini-course on how to fit the lens and avoidcomplications. Fitting tips from personal experience are discussed.

25-108: Contact Lenses & Pediatrics Loretta Szczotka, OD, FAAOCoronado M, N

This course presents forms of contact lens cor-rections for the pediatric contact lens patient.Medically indicated contact lens corrections are

highlighted, including Silsoft, RGP lenses andhydrogels. Also covered are medically indicat-ed lens prescribing that includes aphakia, trauma, anirdia and irregular astigmatism.Myopia control studies with RGP lenses foradolescents are discussed.

25-109: Taking Soft Torics to the NextLevel Peter Bergenske, OD, FAAOMonterrey 2, 3

Soft torics can be straightforward to prescribeunless there are problems. This courseaddresses what to do to turn problems intosuccess by using tools such as over-refraction.

25-110 LEVEL II: The Surgical Correctionof Presbyopia Harold Stein, MDCoronado F, G

Refractive surgery has a new thrust in thisdecade, to correct the last frontier: presbyopia.We feel we are on the threshold of eliminatingreading glasses by surgery. A number of clinicalapproaches are being pursued. Our experienceswith this new refractive surgery, its successesand failures, are reviewed. Complications arealso discussed.

25-111 LEVEL II: CLSA General Session –Free PapersDiane Broe, FCLSA

Fiesta 6

“Risk Factors and Prognosis for Corneal Extasia Following Ablative Corneal Surgery”Michael A. Ward, MMSC, FCLSA, FAAOEmory University Eye CenterOutlined here are known risk factors andpotential risks for developing corneal extasiasfollowing refractive surgery. Specific visualmanagement techniques are presented.

“Fitting Infants with Contact Lenses Following Cataract Extraction”Buddy Russell, FCLSAEmory University Eye CenterThis presentation describes the advantagesand disadvantages of various lens materials inpediatric fitting, explains the importance ofevery treatment, and identifies the instrumentsnecessary to fit pediatric patients.

Theodore Obrig Memorial Lecture: “Light My Optics”Michael S. Gzik, FCLSANew York OptometricThe science of optics has played a significantrole in the technological advancements ofmankind. This historical look at light andoptics explores man’s utilization of this sciencefrom early microscopes through the Hubbellspace telescope, lasers and scanning electronicmicroscopes. Our world of light and optics area wonderful blend of science and imagination.As optical heath care providers, we play anintegral role in our society’s perception of humanity.

Contact Lens and Eyecare Symposium 21

Saturday8:00am – 9:00am

CLSA Free PapersFiesta 6

Session leaderDIANE BROE, FCLSA Park Nicollet ClinicMinneapolis,Minnesota

MICHAEL A. WARD, MMSC,FCLSA, FAAOEmory University Eye Center

“Risk Factors and Prognosis forCorneal Extasia Following AblativeCorneal Surgery”

This lecture outlines known risk factorsand potential risks for developingcorneal extasias following refractivesurgery. Specific visual managementtechniques are presented.

BUDDY RUSSELL, FCLSAEmory University Eye Center

“Fitting Infants with Contact LensesFollowing Cataract Extraction”

This presentation describes the advan-tages and disadvantages of the variouslens materials in pediatric fitting,explains the importance of every treat-ment, and identifies the instrumentsnecessary to fit pediatric patients.

Theodore Obrig MemorialLecture: “Light My Optics”

MICHAEL S. GZIK, FCLSA New York Optometric

The science of optics has played a sig-nificant role in the technologicaladvancements of mankind. This histor-ical look at light and optics exploresman’s utilization of this science fromearly microscopes through the Hubbellspace telescope, lasers and scanningelectronic microscopes. Our world oflight and optics is a wonderful blend ofscience and imagination. As opticalheath care providers, we play an inte-gral role in our society’s perception of humanity.

C L S A G E N E R A L S E S S I O N

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22 Contact Lens and Eyecare Symposium

8:00am – 12:15pm

25-801 CLAO/JCAHPO Program: Tech IIIntermediate/AdvancedYucatan 2

8:00am – 9:00amPtosis and Other Abnormalities of LidPositionDiana Shamis, CO, COMT

This presentation provides a discussion of theanatomy and physiology of the lids. Conditionswhich may cause an abnormal lid position andthe techniques for proper evaluation are presented.

9:00am – 10:00amGlaucoma MedicationsFran Smith, MD

This course includes a discussion of the current therapeutic options for the glaucomapatient. Pharmacological actions, target population, mode of action, indications andcontraindications of each are highlighted.

10:15am – 11:15amThe PupilLisa Fraine, CO, COMT

This presentation covers the anatomy andinnervation of the structures involved and theneurologic pathway of light, near and pharma-cologic pupillary response. Normal pupillaryphenomena are reviewed. Abnormal pupillarystate are presented as well as techniques forproper evaluation.

11:15am – 12:15pmCorneal Dystrophies and DegenerationsPeter Donshik, MD

This course presents corneal disorders classi-fied as dystrophies and degenerations. Thisincludes anterior, stromal, posterior and ectaticdystrophies as well as conjunctival and cornealdegenerations. Pathophysiology, clinicalappearance, diagnostic tests, hereditary pat-terns, and management are also discussed.

9:15am – 11:15am01-25 LEVEL II: CLES General Session –The Future of Contact LensesBrien Holden, PhD, FAAOCoronado L

This two-hour symposium brings together avariety of perspectives on exciting new devel-opments in contact lens research—and peersinto a crystal ball for what new modalities andopportunities will emerge in the near future.World-renowned researcher Brien Holden,PhD, FAAO, will lead the session and will bejoined by esteemed colleagues, who will pres-ent on the following subjects:

● The Impact of Contact Lenses on Corneal Homeostasis

● Dryness, Dry Eyes and CL Materials● Corneal Reshaping with GP Lenses● Corneal Onlays

Following individual presentations, BrienHolden will host a lively discussion betweenpresenters and with audience participation.

11:15am – 11:45amCLSA Annual Business Meeting &ElectionsCLSA members onlyCoronado L

11:30am – 2:30pmExhibit Hall Open with LunchCoronado H, J

1:00pm – 4:45pm25-802 CLAO/JCAHPO Program: Tech IIIntermediate/Advanced

Yucatan 2

1:00pm – 1:45pmKeratometry in the Ophthalmic PracticeZoraida Fiol-Silva, MD

This presentation provides an overview of keratometry including optics, set up, obtainingmeasurements, indications, adjustments forhigh and low powers. Also presented is thecorrelation between K-readings and clinicalpathologies, such as keratoconus, Pellucidmarginal degeneration and corneal transplan-tation. Use of the keratometer for contact lensfittings is also addressed.

1:45pm – 2:30pmSyndromes with Ocular InvolvementMary O’Hara, MD

In this course, various syndromes with ocularinvolvement are presented. These include:Duane’s Retraction Syndrome, GoldenharSyndrome, Brown Syndrome, MonofixationSyndrome, Moebius Syndrome, Marcus GunnJaw Winking Syndrome, Marfan Syndrome,Apert and Crouzon Syndrome and DownSyndrome. Ocular and systemic manifestationsof each are illustrated by case presentations.

2:45pm – 3:45pmValuing and Managing Diversity in the WorkplaceDavid Johnson, MA

This course discusses how to manage diversityeffectively in the workplace as an employee ormanager. Behaviors that support a respectfulwork environment are presented. Also dis-cussed are tools for leaders to manage employ-ees in a complex and caring work environment.

3:45pm – 4:45pmSurgical Treatment of Glaucoma: Pre to Post-OpWilliam Doyle, MD, PhD

This course describes the surgical treatment ofglaucoma by laser, incision and implants.Specific procedures discussed include laser iridotomy, gonioplasty, trabeculoplasty, andcyclophotocoagulation. Surgical techniquesdescribed include trabeculectomy, goniotomy,and glaucoma tube shunts. The use ofantimetabolites is also discussed. Indicationsfor surgery as well as potential post-operativecomplications are presented.

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

9:15am – 11:15amContact Lenses Today and TomorrowAn Overview of Cutting EdgeContact Lens Research fromAround the GlobeCoronado L

Session LeaderBRIEN A. HOLDEN,PhD, FAAO

Scientia Professor,University of NewSouth Wales;

CEO, The Cooperative Center forEye Research and Technology(CRCERT)

This two-hour symposium bringstogether a variety of perspectives onexciting new developments in contactlens research—and peers into a crystalball for what new modalities andopportunities will emerge in the near future.

World-renowned researcher BrienHolden, PhD, FAAO, will lead the session and will be joined by esteemedcolleagues, who will present on thefollowing subjects:

The Impact of Contact Lenses onCorneal HomeostasisPatrick Ladage, PhD

Dryness, Dry Eyes and CLMaterialsDesmond Fonn, MOptom

Corneal Reshaping with GPLensesJohn Mountford, OD

Corneal OnlaysDebbie Sweeney, PhD

Following individual presentations,Brien Holden will host a lively discus-sion between presenters and withaudience participation.

CONTACT LENS AND EYECARE SYMPOSIUMSATURDAY GENERAL SESSION

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2:30pm – 3:30pm

25-201A LEVEL II: The Future ofRefractive Surgery Symposium includingThe Richard L. Lindstrom, MD, Lectureshipby Raymond M. Stein, MD, 1st HourDavid Meisler, MD; William Lahners, MD; ParajMajmudar, MD; Raymond M. Stein, MD; SamOmar, MD; Richard Eiferman, MD; MarkPacker, MDFiesta 6

This symposium explores a number of keyissues related to refractive surgery, including:phakic IOLs: the future? and the future ofwound healing modifiers in refractive surgery.Also in this session is the Richard Lindstrom,MD, Lectureship, this year entitled:“Innovative Microsurgical Techniques toEnhance Refractive Outcomes.” The presenta-tion of Lindstrom Award is then made.

25-202 LEVEL II: What’s New in Dry Eye Treatment Henry Perry, MDMonterrey 1

What’s new in dry eye treatment for 2003? Ashort review of current treatment modalitiesserves as a prelude, highlighting new drugsand treatments available for dry eye patients.Included in this discussion are the effects ofmeibomian gland dysfunction on the diagnosisof dry eye disease. Endura, Millennium plugsand Cyclosporine will be analyzed in terms oftheir place in the treatment paradigm for dryeye patients.

25-203A LEVEL I and II: OMICMalpractice, 1st hour Paul Weber, JDCoronado P, Q

Informed consent issues arise in virtually allLASIK surgery claims and lawsuits. Thiscourse reviews the most common consentproblems that arise and offers suggestions onhow to minimize the risk of loss by utilizingcommunication and documentation techniques.This course provides an overview of the legalissues needed to prove lack of informed con-sent. Specific clinical risks addressed includeclinical side effects such as dry eyes, nightvision problems, and specific cornea problemssuch as sub-clinical pellucid marginal degener-ation, corneal ectasia, etc. Also discussed areco-management, bilateral simultaneous, mono-vision, and off-label uses and new technology.

25-204A: RGP’s for the Everyday PatientEd Bennett, ODMonterrey 2, 3

RGPs are often the best answer for a patient’sneeds but are overlooked or not even presented as an option. The misconception of comfort and maintenance can be readilyaddressed when presenting this to patients.The following issue are covered, with the aideof video presentation: Who is the best choicefor RGPs and how to get started and whatdesigns to consider. Also addressed are remedies for problems such as unintentionalorthokeratology, corneal warpage and 3 and 9staining. Myopia control for both kids andadults also is covered.

25-205: Contact Lens Myths Graeme Young, M.Opt.Coronado M, N

Most areas of the contact lens practice are per-meated with myths and misconceptions. Somemerely cause confusion while others result inreduced standards of contact lens care.Reviewed here are 12 common contact lensmyths relating to contact lens design, fitting,assessment, after-care and lens wearing advice.

25-206 LEVEL II: Presbyopic Options, theFuture is Now Diane F. Drake, FCLSA, NCLC-AC, ABOMCoronado D

Presbyopia to some people may appear to be acurse, while to others it appears to be an emergence into bigger and better things. To theeyecare professional, it can be a challenge or itcan be an opportunity to enhance one’s profes-sional status by meeting the demands of seniors, “Baby Boomers,” and very soon,”Generation X.” This course introduces theparticipant to the needs of the presbyope andpresents various ways of meeting those needs.

25-207A LEVEL II: Common SenseApproach to In-House Modifications, Part I

Keith Parker, NCLCCoronado B

This hands-on course teaches techniques toaccommodate lens design changes to provide amore optimum fitting relationship. Discussedhere are basic contact lens construction andexplanation of lens parameters determiningcomfort. Also demonstrated is a common senseapproach to in-office modification of rigid lensparameters to alleviate fitting complaints.

25-208 LEVEL III: Let’s Not Forget ourBest Option – RGP Multifocals Judith A.Perrigin, ODCoronado F, G

RGP multifocals provide consistently clear andcomfortable vision for presbyopes. Discussedhere are patient selection, motivation, and adap-tation as well as available lens designs. Fittingtips to maximize success also are presented.

25-209 LEVEL III: Orthokeratology in Mildto Moderate KeratoconusNick C. Siviglia, ScD, PhD, FCLSA; Judith Siviglia, NCLCCoronado C

This course is designed to educate eyecarepractitioners that some keratoconus patientscan experience the same level of success incontrolling and reducing myopia as normalmyopic patients, without keratoconus disease.Reviewed here are keratoconus diagnosis,corneal topography and “K” readings, anddeveloping a plan and method of treatment.

25-210C LEVEL I: A Contact Lens Primerfor Ophthalmic Office Staff, Part IIIWoody Linn, FCLSACoronado E

This course provides a basic understanding ofcontact lens related terminology. Explained andillustrated are important features of soft andGP lens design and their basic role in achiev-ing comfortable and safe contact lens wear.Course participants completing this course willbe able to identify and explain the importantfeatures of a contact lens.

Contact Lens and Eyecare Symposium 23

3:45pm – 4:45pm First hour5:00pm – 6:00pm Second hourRecognizing and HandlingUnusual Contact Lens ProblemsMonterrey 1

Session leaderPETER KASTL, MD

Professor ofOphthalmologyTulane University

Course Presenters: Bruce Koffler, MD;Michael A. Ward, MMSc, FCLSA,FAAO; Charles Slonim. MD

This two-hour course teaches contactlens specialists to solve problems byprescribing all types of soft and GPcontact lenses. Patients with moderateastigmatism usually require soft toricor spherical GP lenses. However,sometimes these lenses fail to ade-quately correct a patient’s astigmatism.For large corneal astigmatism or resid-ual astigmatism, toric GP fitting can berequired. This course teaches fittingmethods for:

• Bitoric lenses• Front toric lenses• Prism ballasted bitoric lenses• Soft toric contact lenses

S A T U R D AY C L A O C O U R S E

Page 26: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

3:45pm – 4:45pm

25-301B LEVEL II: Future of RefractiveSurgery Symposium including TheRichard L. Lindstrom, MD, Lectureship byRaymond M. Stein, MD, 1st Hour David Meisler, MD; William Lahners, MD; ParajMajmudar, MD; Raymond M. Stein, MD; SamOmar, MD; Richard Eiferman, MD; MarkPacker, MDCoronado R, S

This symposium explores a number of keyissues related to refractive surgery, including:phakic IOLs: the future? and the future ofwound healing modifiers in refractive surgery.Also in this session is the Richard Lindstrom,MD, Lectureship, this year entitled:“Innovative Microsurgical Techniques toEnhance Refractive Outcomes.” The presenta-tion of Lindstrom Award is then made.

25-302A LEVEL II: Recognizing &Handling Unusual Contact Lens Problems,1st Hour Peter Kastl, MD, PhD; Bruce Koffler, MD;Michael A. Ward, MMSc, FCLSA, FAAO; CharlesSlonim, MDMonterrey 1

Contact lens fitters should fit all types of softand rigid contact lenses. Patients with moderate astigmatism usually require soft toricor spherical RGP lens fitting. However, sometimes these lenses do not correct apatient’s astigmatism correctly. Toric rigid lensfitting can be required for large corneal astigmatism and/or residual astigmatism. Thiscourse teaches fitting methods for bitoric lenses, front toric lenses, and prism ballastedbitoric lenses, as well as for soft toric contact lenses.

25-303B Level I and II: OMICMalpractice, 2nd hour Paul Weber, JDCoronado P, Q

Informed consent issues arise in virtually allLASIK surgery claims and lawsuits. Thiscourse reviews the most common consentproblems that arise and offers suggestions onhow to minimize the risk of loss by utilizingcommunication and documentation techniques.This course provides an overview of the legalissues needed to prove lack of informed con-sent. Specific clinical risks addressed includeclinical side effects such as dry eyes, nightvision problems, and specific cornea problemssuch as sub-clinical pellucid marginal degener-ation, corneal ectasia, etc. Also discussed areco-management, bilateral simultaneous, mono-vision, and off-label uses and new technology.

25-304B: Toric Rigid Contact Lens DesignPeter Bergenske, OD, FAAOMonterrey 2, 3

Understanding the optics and physical attrib-utes of rigid lenses with toric surfaces is thefundamental step to being able to apply thesetools in practice. This course covers the princi-pals behind designing rigid lenses for theastigmatic patient.

25-305: Measuring the Normal &Abnormal CorneaLoretta Szczotka, OD, FAAOCoronado M, N

Measuring and analyzing the cornea has comea long way since Jarval. In this course, keratometers and first and second generationtopographers are compared. Also, new instru-ments, like wave front topographers, arereviewed. The use of topography in diseasedetection, diagnosis, and refractive surgeryscreening is discussed. Also, there is discus-sion of applications to aid the practitioner inprescribing contact lenses for the regular andirregular astigmatism, including keratoconus,as well as time saving features for fitting softand RGP lenses.

25-306 LEVEL II: Diagnosis &Management of Contact Lens InducedRed Eye R. Lee Hewitt, FCLSACoronado F, G

This course helps the contact lens technician todifferentiate between minor contact lensinduced red eye and serious eye threateningcomplications. Participants diagnose fittingproblems and learn how to correct them.Contact lens solution reactions are addressed, aswell as the elimination of compliance issues viacareful patient interview. The participant learnswhat steps to take to establish whether the redeye is, in fact, caused by contact lens wear.

25-307B Level II: Common SenseApproach to In-House Modifications, Part II Keith Parker, NCLCCoronado B

This hands-on course teaches techniques toaccommodate lens design changes to provide amore optimum fitting relationship. Basic con-tact lens construction and explanation of lensparameters determining comfort are discussed.Also demonstrated is a common senseapproach to in-office modification of rigid lensparameters to alleviate fitting complaints.

25-308 LEVEL I: Applying the Principlesof Triage to Contact Lens Emergencies Phyllis L. Rakow, FCLSA, COMT, NCLC-ACCoronado D

Triage is the process of sorting the sick andwounded based on the seriousness of theircondition and the urgency of care needed.What constitutes a true emergency? Signs andsymptoms of ocular emergencies, includingproblems that may mimic contact lens relatedpathology, are discussed and illustrated. Thiscourse is valuable not only for contact lenstechnicians, but also for front desk personnelwho handle telephone and walk-in emergen-cies and must decide on how to schedule them.

25-309 LEVEL III: Integration of SiliconeHydrogels vs. Single Use Lenses in Your Practice Jean Ann Vickery, FCLSA; Wanda Fisher, COA,NCLC; Mika Hague, COA, NCLC; Carri McGuckin,NCLC, COT; Keri West, NCLC, COA Coronado C

This course, which includes information provided by members of the Dean McGee EyeInstitute Contact Lens Department, focuses onadoption of new high oxygen silicone hydrogellenses into the main stream of the current disposable lens population. A methodology forselection of specific lens design is offered bylooking at various case histories. This courseis designed for all levels and provides anupdated understanding of new technologies.Attendees learn how and when to make theappropriate decision.

25-310D Level I: A Contact Lens Primerfor Ophthalmic Office Staff, Part IV Woody Linn, FCLSACoronado E

This course provides an understanding of contact lens insertion and removal techniquesfor both soft and GP lenses. This “hands-on”course stresses patient compliance and itsimportance to safe contact lens wear.Participants completing this course will be able to explain and demonstrate the proper technique for insertion and removal.

5:00pm – 5:30pmCLSA Scholarship Exit MeetingFiesta 7, 8

5:00pm – 6:00pm

25-401 LEVEL II: Management of Dry Eyeand Meibomian Gland Disease Gary Foulks, MDCoronado F, G

Tear film instability due to dry eye and meibomian gland disease is a major cause ofdiscomfort and discontinuance of contact lenswear. This course reviews the mechanismsproducing tear film instability and the patternsof occurrence. A summary of the consequencesof tear film instability to contact lens wear ispresented. New information about the patho-genesis of dry eye disease and meibomiangland disease will lead to a review of a recom-mended management strategy, including phys-ical, medical, and nutritional supplement options.

24 Contact Lens and Eyecare Symposium

Course Key

CLAO Educational Program

AOA Educational Program

CLSA Educational Program

Page 27: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

25-402B LEVEL II: Recognizing &Handling Unusual Contact Lens Problems,2nd Hour Peter Kastl, MD, PhD; Bruce Koffler, MD;Michael A. Ward, MMSc, FCLSA, FAAO; CharlesSlonim, MDMonterrey 1

Contact lens fitters should fit all types of soft and rigid contact lenses. Patients withmoderate astigmatism usually require soft toric or spherical RGP lens fitting. However,sometimes these lenses do not correct apatient’s astigmatism correctly. Toric rigid lens fitting can be required for large cornealastigmatism and/or residual astigmatism. Thiscourse teaches fitting methods for bitoric lenses, front toric lenses, and prism ballastedbitoric lenses, as well as for soft toric contact lenses.

25-404 Level II and III: PharmacologySymposium – Current Status ofFluoroquinolones David Meisler, MD; Richard Eiferman, MD;Henry Perry, MD; Charles Slonim, MD; FrancisMah, MDCoronado M, N

This symposium provides an update discussionof the current status of the group of ocularpharmaceuticals collectively known as theflouroquinolones. Also discussed are promis-ing new pharmacological agents in this same group.

25-405 Level II: Advances in CornealReshaping with Contact Lenses Patrick Caroline, FCLSA, FAAOCoronado P, Q

The technique of corneal reshaping with RGPlenses (orthokeratology) is gaining widespreadacceptance as a safe and effective alternativeto refractive surgery. The modern renaissanceof this technique has been dramatically influ-enced by the introduction of the following factors: new lens signs that produce rapid and dramatic alterations in corneal curvature;advances in new high Dk, RGP lens materialsfor enhanced physiologic response to the lensin the overnight, closed eye environment;advances in corneal mapping techniques to aidin more accurate first fit lens selection andimproved spot-fitting patient management; andnew concepts related to the physiology of tissue displacement providing a clearer under-standing as to how corneal reshaping works.These evolutionary advances have dramaticallychanged the modern practitioner’s view ofcorneal reshaping. Today, the procedure hasevolved from a specialty practiced by only ahandful of practitioners, to a technique thatcan be successfully incorporated into almostany eyecare practice.

25-406 LEVEL II: The Continuing Evolutionof Contact Lens Care System Phyllis L. Rakow, FCLSA, COMT, NCLC-ACCoronado C

Contact lens care is constantly changing.Currently, over 200 national brand and genericcontact lens solutions are on the market. Fewpractitioners or patients have an in-depthunderstanding of the preservatives and activeingredients in these solutions and what reactions or interactions can occur if incompat-ible solutions are used. This course discussesFDA lens groups and how lenses in each groupare affected by the chemicals in care products.Cleaning, rinsing, storage, disinfecting, andlubricating solutions are discussed.Advantages and disadvantages of each majorcare system are discussed, with emphasis onthe changes that have taken place in mulitpur-pose and oxidizing "no-rub" disinfection systems. Slides are used to illustrate ocularpathology caused by patient noncompliance.

25-407 LEVEL I: Emerging Trends inContact Lenses Mark Andre, FCLSA, FAAOCoronado D

This course discusses the latest lens modalitiesand fitting techniques that will shape thefuture of the contact lens industry. Included inthe discussion are fitting tips and lens designsfor orthokeratology and high Dk scleral RGPlenses. We also discuss the newest soft lensdesigns and look at the possible impact that these new modalities will have on ourpractices. We will also share fitting tips on howto manage refractive surgery patients both pre-operatively and post-operatively.

25-408 LEVEL I and II: Refractive Successand 100 Percent Patient Satisfaction:Refractive Surgery and Contact LensesSam Omar, MDCoronado E

Patient expectation and satisfaction have created an increasingly sophisticated interde-pendence between contact lens technology and kerato-refractive surgery. The paralleldevelopment of refractive surgery and contactlens technology have provided refractive sur-geons, clinical, and technicians a full spectrumof contact lens technology to educate, treat,and modulate the modern kerato-refractiveexperience. In order to maximize refractivesuccess and provide patients with maximalperceived satisfaction, contact lens technologyis providing an increasingly critical role in thepre-operative, operative, and postoperativemanagement of refractive surgery patients.Case presentations and clinical scenarios arereviewed in an interactive audience setting.The goal is to allow refractive surgeons, clinicians and technicians to develop an understanding of clinical applications of contact lenses for refractive surgery.

25-409 LEVEL I: Why Isn’t MyDispensary More Profitable? Art Degennaro, OptCoronado B

This course focuses on creating active interestand involvement on the part of the doctors, aswell as every member of the practice team, tosupport the dispensary. To achieve success,everyone involved needs to view, conceptual-ize, and operate the dispensary as a honest-to-goodness retail business. Discussed here arekey factors in most failed dispensaries: poorplanning, incorrect positioning, poor integra-tion, the physician’s role, insufficient humanresources, and no performance documentation.

25-410 LEVEL I: Refractophobia William Ehlers, MDMonterrey 2, 3

This course provides basic instruction inrefraction. Although principles of optics arediscussed, the use of formulas are minimized.A course hand-out is provided, including a collection of “refractive pearls.”

5:30pm – 6:30pmCLSA Past President’s ReceptionPresident’s Suite

7:00pm – 10:00pm

Closing PartySponsored by CLES Platinum Sponsors

Buses depart hotel to Sea World from 6:30pm–7:30pm

SUNDAYJanuary 26, 2003

7:00am – 11:00amCLES RegistrationSouth Registration

7:00am – 7:30amContinental Breakfast

Sponsored by VistakonMonterrey Foyer

7:30am – 9:00amCLAO Scientific Program CommitteeCancun

7:30am – 9:30am26-101: Jurisprudence for the Optometric Practice Ray Pierie, ODCoronado E, F, G

The goal of this presentation is to provide a prac-tical understanding of Florida statutes relating tothe practice of optometry in Florida. Additionally,this course meets the Florida two-hour CErequirement for biennial license renewal.

Contact Lens and Eyecare Symposium 25

Page 28: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

9:45am – 10:45am26-201: HIV/AIDSMargarite Ball, ODCoronado E, F, G

Clinicians gain insight into the definition, epidemiology, immunopathogenesis, transmis-sion, prevention, and treatment of HIV/AIDSinfection. In addition, the ocular complications,their current treatment modalities, and theappropriate co-management role of the eyecarepractitioner are discussed.

11:00am – 1:00pm26-301: Medical Errors Mary Loshin, ODCoronado E, F, G

This course is designed to satisfy the require-ments of Florida Statute 456.013 (7) relatingto the prevention of medical errors as part ofthe licensure and renewal process. The courseincludes a study of root cause analysis, errorreduction and prevention and patient safety.

AMA Physician’sRecognition AwardThe Contact Lens Association ofOphthalmologists (CLAO) is accredited by theAccreditation Council for Continuing MedicalEducation (ACCME) to sponsor continuing medical education for physicians. CLAO desig-nates the 2003 Contact Lens and EyecareSymposium educational activities for a maximum of up to 22 hours in category 1 credittoward the AMA Physicians’ Recognition Award.Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

Possible CME Hours:Thursday, January 23 6 hours

Friday, January 24 6 hours

Saturday, January 25 6 hours

Scientific Poster 4 hours

CME credit documentation for physicians may beobtained at the CLES Continuing Education Deskon Sunday, January 26, 2003, or upon writtenrequest to CLAO.

Procedures forObtaining CE CreditCLSA, CLAO and AOA have applied to the following organizations for continuing education credit for courses offered at CLES.Each organization requires its continuing education sponsors the follow procedures:

Sign the “Course Sign-In Roster” at the tableat each course and general session. Be sure tosign your name legibly, and check the appro-priate certifying or licensing body from whichyou are requesting credit. If your name doesnot appear on the Sign-In Roster, you will notreceive credit for attendance at the course.

Council on Optometric Practitioner Education (COPE)

Florida Board of OptometryJoint Commission on Allied Health

Personnel in Opthamology (JCAHPO)National Contact Lens

Examiners (NCLE)*Ohio Opticians BoardOntario Canada College of OpticiansSouth Carolina Board of OpticianryTennessee Board of Opticianry

* NCLE Note: Upon entering the class room, you willbe handed a CE form. Write your name on each ofthe three sections of the form and complete theevaluation at the bottom of the form before the endof the course. Turn in the evaluation to the CE clerkat the door upon leaving, and have your CE formverified with the CLES stamp.

26 Contact Lens and Eyecare Symposium

half page Art Optical ad

International attendees who wish toreceive a “Certificate of Attendance” may do so by requesting it at theCLES registration desk.

International Attendees

Page 29: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

Full Page CooperVision Ad

Page 30: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

28 Contact Lens and Eyecare Symposium

Map of Exhibitors(As of January 3, 2003)

CLES Exhibit Hall HoursThursday: 5:30pm – 7:30pm with reception

Friday: 11:30am – 2:30pm with lunchSaturday: 11:30am – 2:30pm with lunch

Entrance

Cafe & Lounge Area

ScientificPosters

27, 2

8

25, 2

6

23, 2

4

11, 1

2

13, 1

415, 1

6

17, 1

8

19, 2

021, 2

29,

10

7, 8

5, 6

3, 4

1, 2

OcularSciences

220

Visus,LLC

216

ContactLens

Council117

Compulink

214

Innovationsin Sight

115

OcularSciences

218

eye-Maginations

116

CLSA

114

CLSA

112

NationalKeratoconusFoundation

108

CLMA

106

NCLE

110

NationalAcademy ofOpticinary

104

SurgicalEyes

102

ParagonVision

Sciences421

CLAO

520

GelflexUSA

419

JCAHPO

516

Con-CiseContactLens417

ProgressiveVision

Technologies514

Wave CLSystems

415

CLAO

518

PrecisionTech

Services204

X-CelContacts

200

HydrogelVisionCorp.202

Soderberg

405

ConformaContactLenses

403Tru Form

Optics

401

BoucherCommuni-

cations209

UnilensCorp, USA

207

BoucherCommuni-

cations210

EssilorContacts

205

Review ofOptometry

201

Review ofOptometry

203

Blanchard

310

Almay, Inc.

304

WestconContactLens Co.

300

Softcrome

302

TheLifeStyle

Company309

MetroOptics

311

ContamacUS, Inc.

307

LensDynamics

301

AdvancedVision

Research303

LobobLabs

408Fused

Kontacts

406

Cynacon/Ocusoft

410

Art Optical

400

LippincottWilliams &

Wilkins402

Vistakon

425

AdvancedMedicalOptics315

Bausch & Lomb

215

CIBAVision125

Alcon

109

CooperVision

409

Contex,USA

306

AGSServiceDesk

308

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Contact Lens and Eyecare Symposium 29

FiestaBallroom

Foyer

Yucatan

South RegistrationCLES Registration

1

11

2

2

2

3

3

5

6

BanquetOffice

BusinessCenter

ConventionServices Office

2

1

2

1

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30 Contact Lens and Eyecare Symposium

Exhibitors & Booth Numbers Advanced Vision Research7 Alfred StreetWoburn, MA 01801(800) 979-8327www.theratears.comTheraTears® provides soothing dry-eye reliefthat really works! Whether in preservative-freeunit-dose for sensitive eyes or in the bottle with its vanishing preservative, hypotonic TheraTearswets and re-hydrates dry eyes. Booth #303

Alcon Laboratories6201 South FreewayFort Worth, TX 76134(800) 451-3937www.alconlabs.com

Alcon Laboratories is a manufacturer of contactlens solutions and ocular pharmaceuticals.Products include: NO RUB OPTI-FREE EXPRESSMulti-Purpose Disinfecting Solution approved forall soft lenses, Unique pH Multi-PurposeSolution for RGP lenses, CLERZ Plus Lens Dropsand Tears Naturale Forte Lubricant Eye Drops.Also: CILOXAN Solution and Ointment,PATANOL Solution, and a new prostaglandinanalog product for glaucoma, TRAVATAN (travo-prost ophthalmic solution) 0.004%. Booth #109

Almay, Inc.1501 Williamsboro StOxford, NC 27565(800) 992-5629www.almay.comAlmay offers a complete line of hypo-allergenic,fragrance-free, ophthalmologist-tested eye areaproducts suitable for the contact lens wearer andthe patient with sensitive eyes. Booth #304

Advanced Medical Optics1700 East St. Andrews PlacePO Box 25162Santa Ana, CA 92799(866) 427-8477 www.amo-inc.com

Advanced Medical Optics, Inc., (AMO) is a globalleader in the development, manufacturing andmarketing of medical devices for the eye andcontact lens care products. The company focuseson developing a broad suite of innovative tech-nologies and devices to address a wide range ofeye disorders. Products in the ophthalmic surgi-cal line include foldable intraocular lenses, pha-coemulsification systems, viscoelastics and relat-ed products used in cataract surgery and micro-keratomes used in LASIK procedures for refrac-tive error correction. Among the well-knownophthalmic surgical product brands the companyowns or has the rights to are Phacoflex®,Clariflex®, Array® and Sensar® foldableintraocular lenses, the Sovereign® phacoemulsi-fication system and the Amadeus™ microker-atome. Products in the contact lens care lineinclude disinfecting solutions, daily cleaners,enzymatic cleaners and lens rewetting drops.Among the well-known contact lens care product

brands the company possesses are COMPLETE®,COMPLETE® Blink-N-Clean®, Consept®F,Consept® 1 Step, Oxysept® 1 Step, Ultracare®,Ultrazyme® and Total Care®. Amadeus is alicensed product of, and a trademark of, SIS, Ltd.OptiEdge is a trademark of Ocular Sciences, Inc.Booth #315

Art Optical Contact Lens, Inc.PO Box 1848Grand Rapids, MI 49501-1848(800) 253-9364www.artoptical.comArt Optical is the nation’s leading GP lens manu-facturer. Stop by to learn about MagniClear andMagniClearPlus, the latest innovations in pres-byopic correction. Also, register to win in our“pick your prize” drawing. At Art Optical, we’redriven by your GP challenges, and we’re focusedon your GP lens success! Booth #400

Bausch & Lomb1400 North Goodman StreetRochester, NY 14609(800) 344-8815www.bausch.com

Bausch & Lomb is the preeminent global tech-nology-based healthcare company for the eye.The company is dedicated to helping consumerssee, look and feel better through innovativetechnology and design. The core businessincludes the manufacture of soft and GP contactlenses, lens care products, ophthalmic surgicaland pharmaceutical products. Booth #215

Boucher Communications, Inc.1300 Virginia Drive, Suite 400Fort Washington, PA 19034(215) 643-8137www.boucher1.comBCI is the vision care industry’s fastest growinginformation services company. The companypublishes four monthly business magazines:Eyecare Business, Optometric Management,Contact Lens Spectrum, and OphthalmologyManagement, as well as numerous specialtypublications. In addition to its publishing activi-ties, BCI also operates the Health CareConference Group, which organizes and man-ages educational conferences; and BCI ResearchServices. All of BCI’s professional resources are represented online, including the new, fully interactive VisionCareCE.com andVisionCareClassifieds.com sites. They all can be accessed via the company’s main Website: www.boucher1.com. Booth #209/210

Blanchard Contact Lens, Inc. 350 Harvey RoadManchester, NH 03103(800) 367-4009www.blanchardlab.comBlanchard Contact Lens manufactures softaspheric multifocal and GP aspheric multifocalcontact lenses utilizing “S Form” technology, aproprietary manufacturing process. Soft lensesinclude ESSTech PS and PSD, SV38, QuattroQuarterly Replacement, ESSential Soft ToricMultifocal. Gas Permeable lenses includeEssential GP Multifocal, ESSential Xtra GP,TASA, CentraCone, Bi-Sym CentraCone andCentraGraft. Booth #310

CIBA Vision CorporationA Novartis Company

11460 Johns CreekParkwayDuluth, GA 30097-1556(800) 241-5999www.cibavision.com

CIBA Vision is a global leader in research, devel-opment and manufacturing of optical and oph-thalmic products and services, including contactlenses, lens care products and ophthalmic surgi-cal products. CIBA Vision products are availablein more than 70 countries. CIBA Vision is theeye care unit of Novartis AG, a world leader inhealthcare. Booth #125

Contact Lens Association of Ophthalmologists (CLAO)

721 Papworth AvenueSuite 206Metarie, LA 70005(504) 835-3937www.clao.org

The Contact Lens Association of Ophthalmologists(CLAO) was founded in 1963, and 2003 repre-sents the association's 40th anniversary year. Themission of CLAO today is “To advance qualitymedical eye care for the public by providing com-prehensive ophthalmologists and other eyecareprofessionals with education and training in con-tact lenses, refractive surgery, optical dispensingand related eye care science.” The associationpublishes a peer-reviewed CLAO Journal, whichhas the distinction of being referenced by IndexMedicus. It also produces a member newsletterCLAOgram Online along with texts, patient infor-mation brochures and other publications dealingwith contact lenses, optical dispensing and refrac-tive surgery. Booth #518/520

Contact Lens ManufacturersAssociation (CLMA)P.O. Box 368Kensington, MD 20895(301) 231-8544www.clma.netThe Contact Lens Manufacturers Association(CLMA) is the professional association for labo-ratories, material, solution and equipment man-ufacturers in the United States and abroad.Organized in 1961, the CLMA expanded it's mis-sion in 1985 to include the RGP Lens Institute(RGPLI) as its educational division. Booth #106

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Contact Lens Society of America (CLSA)441 Carlisle DriveHerndon, VA 20170(800) 296-9776www.clsa.info

The Contact Lens Society of America, which wasfounded in 1955, is a non-profit membershiporganization dedicated to providing quality education to practicing contact lens profession-als. The CLSA is proud to include as membersmore than 1,000 contact lens specialists in more than 20 countries, who are practicing inthe fields of opticianry, ophthalmology and optometry. Booth #112/114

Compulink2645 Townsgate RoadSuite 200Westlake Village, CA 91361(800) 456-4522www.compulink-software.comCompulink markets practice management soft-ware that combines broad capabilities with aflexible, user-friendly interface. New to our user-defined Medical Records is automated codingfunctionality. Compulink has over 2700 clients.Established 1985. Booth #214

Con-Cise Contact Lens Co. 14450 Doolittle DriveSan Leandro, CA 94577(800) 772-3911www.con-cise.comCon-Cise is a full service contact lens company,offering next day delivery on soft contact lensesfrom all major manufacturers. We manufacturerthe highest quality RGPs, including the Meniconline of high Dk lenses. On-line ordering avail-able at www.con-cise.com. Booth #417

Conforma Contact Lenses4705 Colley AvenueNorfolk, VA 23508(800) 426-17000www.conforma.comConforma Contact Lenses offers VfL3 Multifocalsand other custom specialty GP lenses, supplies,solutions and accessories. Booth #403

Contamac US, Inc.623 Glacier DriveGrand Junction, CO 81503(888) 872-6682www.contamac.comContamac US, an associate of Contamac Ltd, theworld’s largest producers of the finest qualitypolymer contact lens materials, brings Contamacbrand of contact lens materials to the UnitedStates. Booth #307

Contex, Inc.4505 Van Nuys BoulevardSherman Oaks, CA 91403(800) 626-6839www.oklens.com

Contex, inventor of reverse geometry lenses andthe OK E-System for overnight orthokeratology, is

a leader in the design of specialty RGP contactlenses. Contex also produces RGP multifocal, ker-atoconus and post-surgical designs. Booth # 306

CooperVision21062 Blake ParkwaySuite 200Lake Forest, CA 92630(800) 341-2030www.coopervision.com

CooperVision manufactures premium contactlenses that include: Preference, Preference Toricand XR, Hyrosoft Toric and Options, CV EncoreToric, Frequency 55 Toric and XR, Frequency 55 sphere, Frequency 55 Aspheric lenses andFrequency 55 Multifocal. Our cosmetic lineincludes Expressions disposable opaques, Cooper Prosthetic Lens, and CraZy Lenses novelty lenses. Booth #409

Cynacon/OcusoftPO Box 429Richmond, TX 77406-0429(800) 233-5469www.ocusoft.comThe company offers a wide range of ophthalmicsolutions including Tears Again Gel Lubricants.Come by for free samples, including new TearsAgain Liposome Lid Spray. Booth #410

Essilor Contact Lens Division13515 North Stemmons FreewayDallas, TX 75234(800) 366-3933www.essilor.comThe Contact Lens Division of EssilorLaboratories of America, Inc., (ELOA) consistsof eight regionally located laboratories and cus-tomer service centers. ELOA labs are nationallyrecognized for the quality of their products andservice. We provide today’s eyecare practitionerswith innovative contact lens products, whichinclude Easy-Focus No-Line Multifocal lenses forthe presbyopic patient, and ComfortFLOW, aunique design that reduces peripheral bearing tomaximize initial comfort. Booth #205

eyeMaginations8600 LaSalle Road, Suite 321Towson, MD 21286(410) 321-5481www.3d-eye.com

EyeMaginations' 3-D multi-media animationsprovide effective communication, minimize doc-tor and staff involvement, increase patient com-pliance and retention and provide consistencyand quality in staff explanations. Booth #116

Fused Kontacts, Inc.3939 NE 33rd TerraceKansas City, MO 64117(816) 455-0500www.bifocalcontactlenses.comFused Kontacts offers high success, easy to fitgas permeable multifocal and bifocal contactlenses. Our fitting guides and expert consultationhelp you differentiate your practice. Booth #406

Gelflex, USA144 Old Brookfield RoadDanbury, CT 06811(203) 730-8700www.gelflex.comGelflex Laboratories is an innovative contact lensmanufacturer, researcher & developer based inPerth, Western Australia. Widely regarded asone of the finest contact lens laboratories in theworld, Gelflex Laboratories has approval fromthe US Federal Drug Administration (FDA) andthe Australian Therapeutics GoodsAdministration (TGA) to manufacture contactlenses and intraocular lenses. Our lead productis the Triton Translating Bifocal, which is theonly one produced in the U.S. Booth #419

Hydrogel Vision Corporation6447 Parkland DriveSarasota, FL 34243(877) 336-2482www.extreme-h2o.comThe Hydrogel Vision Corporation manufacturesthe Extreme H2O soft contact lens. This lensprovides patients with superior visual acuity andend-of-day comfort. The Extreme H2O lens is acompetitively priced two-week replacement lensthat’s available only to independent eyecarepractitioners. Booth #202

Innovations In Sight, Inc.1325 Progress DriveFront Royal, VA 22630(877) 533-1509www.innovationsinsight.comInnovations In Sight uses state-of-the-art manu-facturing technology to produce made-to-order,innovative designs in advanced soft and rigid gaspermeable materials that provide unique solutionsfor complicated vision problems. Booth #115

JCAHPO2025 Woodlane DriveSt. Paul, MN 55125800-284-3937www.jcahpo.orgThe Joint Commission on Allied Health Personnelin Ophthalmology (JCAHPO) mission is toenhance the quality and availability of oph-thalmic patient care by promoting the value ofqualified allied health personnel and by provid-ing certification and continuing education.Booth #516

Lens Dynamics, Inc.14998 West 6th Avenue, Suite 830Golden, CO 80401(800) 228-2691www.lensdynamics.comLens Dynamics, Inc., is a specialty RGP lab thatmakes all designs in RGPs, torics, multi-focals,and reverse geometry lenses. LDI has the U.S.rights to the Rose K® lens for keratoconus. Italso has a series of post Lasik and post graftlenses. The Dyna Intra-Limbal® design forglobus and pellucid marginal degeneration is thenewest design offered by LDI. Booth #301

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The LifeStyle Company, Inc.712 Ginesi DriveMorganville, NJ 07751(800) 622-0777www.lifestylecompany.comThe Purilens System from The LifeStyleCompany is a simple way for contact lenspatients to clean and disinfect their lenses without chemicals. Using a compact electronicunit and a preservative-free solution, Purilensprovides like-new lens comfort and clarity. ThePurilens System completes the major functionsof contact lens care—daily cleaning and disinfection—in just 15 minutes and without rubbing. Booth #309

Lippincott, Williams & Wilkins530 Walnut StreetPhiladelphia, PA 19106www.lww.comLippincott, Williams & Wilkins (LWW) is a lead-ing international publisher of professional healthinformation for physicians, nurses, specializedclinicians and students. LWW provides essentialinformation for healthcare professionals in printand electronic formats. Booth #402

Lobob Laboratories, Inc.1440 Attleberry LaneSan Jose, CA 95131-1410(800)835-6262www.loboblabs.comLobob will feature the NEW OPTIMUM byLOBOB RGP line and the newly larger sizedSOF/PRO Cleaner for soft lenses plus ancillaryproducts to make your practice more productiveand rewarding with greater compliance and com-fort. Booth #408

Metro OpticsPO Box 14847Austin, TX 78626(512) 251-2382www.metro-optics.comMetro Optics is a full service laboratory that man-ufactures GP contact lenses and also distributessoft and specialty contact lenses. Booth #311

National Academy of Opticianry8401 Corporate Drive Suite 605Landover, MD 20786(307) 577-4828www.nao.orgThe National Academy of Opticianry has avail-able for sale review books, reference books, andhome study continuing education courses foropticians. Booth #104

National Contact Lens Examiners (NCLE)6506 Loisdale Road, Suite 209Springfield, VA 22150703-719-5800www.ncleabo.orgNational certifying body for opticians and oph-thalmic personnel fitting contact lenses. Booth #110

National Keratoconus Foundation8733 Beverly Blvd, Suite 201Los Angeles, CA [email protected] non-profit organization with a dual mission:to support keratoconus research and to providepatient information. The NKCF provides infor-mational materials, a newsletter and conductseducational seminars for keratoconus patientsand their families. These materials are madeavailable to eye care providers for the keraton-conus patients in their practice. Booth #108

Ocular Sciences, Inc.1855 Gateway Boulevard, Suite 700Concord, CA 94520(800) 628-5367www.ocularsciences.comAs a leading manufacturer of soft contact lenses,we focus on the eyecare professional, so thatyour patients come back to you. Ask us aboutthe benefits of prescribing the patient- and prac-titioner-preferred Biomedics® 55 UV,Hydrogenics™ 60 UV, Biomedics Toric;Biomedics Colors, or the Sunsoft® Multiples®Free Plus 6™ program. Booth #218/220

Paragon Vision Sciences947 East Impala AvenueMesa, AZ 85204(800) 528-8279www.paragonvision.comParagon Vision Sciences is a world leader in spe-cialty vision care products and RGP materials.Paragon is proud to introduce Paragon CRT®, arevolutionary design and prescribing system forCorneal Refractive Therapy. Paragon’s featuredmaterials are: Paragon HDS®, Paragon Thin™,and Paragon HDS® 100 with a 100 ISO/ANSIDk. Booth #421

Precision Technology Services866 East Cordova StreetVancouver, BC, V6A1M4 Canada(800) 663-4248www.beaok.comPTS is the North American manufacturer anddistributor for the BE Retainer Lens for OptimalOrthokeratology, as well as the North Americandistributor line of Medmont Topographers. PTSalso is a full-service manufacturer of GP lensesand a soft lens distributor. Booth #204

Progressive Vision Technologies11034 Shady Trail, Suite 106Dallas, TX 75229(800) 442-3032www.progressiveeyes.comProgressive Vision Technologies is a full servicelaboratory that manufactures GP contact lensesand also distributes soft and specialty contactlenses. Booth #514

Review of Optometry100 Avenue of the AmericasNew York, NY 10013(212) 274-7000www.jobson.comJobson Publishing is the leading publisher in theeyecare field. Titles include Review of Optometry,which has served the eyecare industry for morethan 100 years, Review of Ophthalmology andReview of Contact Lenses. In addition, Jobson pub-lishes 20/20, Vision Monday and Frames Data.Jobson Research offers comprehensive and cus-tomized research and analysis of business issuesaffecting the optical marketplace. Booth #201/203

Soderberg, Inc.230 Eva StreetSt. Paul, MN 55107(651) 291-1400www.soseyes.comSoderberg is our nation’s 4th largest non-foreignowned full service ophthalmic laboratory.Soderberg offers a full complement of productsand services for all eyecare professionals. Thisincludes:1. Full service ophthalmic lens andframe products. 2. RGP and specialty soft lensproducts. 3. Preferred Select Buying Group 4.Ophthalmic Instruments 5. Safety EyewearProgram. Soderberg defines the concept of “one-stop” shopping for all your eyewear/eyecareneeds. Booth #405

Softchrome, Inc.2551 San Ramon Valley Blvd.Suite 101San Ramon, CA [email protected] Softchrome is an in-office tinting system for softcontact lenses. It is patented and cleared by theFDA for marketing in the USA. Booth #302

Surgical Eyes533 South Howard Ave, # 842Tampa, FL 33606(813) 254-8720www.surgicaleyes.org Surgical Eyes is an organization founded bypeople with longer-term complications fromrefractive surgery to assist others who have hadunsuccessful LASIK, LASEK, PRK, RK, AK, ALKor other elective refractive surgeries. We helpidentify current remedies and spur developmentof future technologies to help us overcome oursurgically created visual difficulties. Booth #102

Tru Form Optics, Inc.400 South Industrial BoulevardSuite 100Euless, TX 76040(800) 792-1095www.tfoptics.comTru-Form Optics is a custom gas permeable lenslaboratory. Our products include the Solitaire II,LLevations, Triune and Prefix II presbyopic GPlens designs. Booth #401

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Unilens Corp., USA10431 72nd StreetNorth, Largo, FL 33777(727) 544-2531www.unilens.comOffers leading-edge technology in the presbyopiccontact lens market. The new C-VUE FlexibleReplacement Multifocal is now available forlicensed eyecare professionals. C-VUE 6 packscan be prescribed for two-week or four-weekreplacement to offer your patients the exception-al performance of Unilens designs and the con-venience of a disposable. Booth #207

VistakonJohnson & Johnson Vision Care, Inc.7596 Centurion ParkwayJacksonville, FL 32256(800) 876-6644www.acuvue.com

ACUVUE® Brand Contact Lenses, the world’s #1brand of contact lenses, are manufactured byVISTAKON®, a division of Johnson & JohnsonVision Care, Inc. Visit us to learn about our latestproduct introductions, such as ACUVUE® 2Colours™ Brand Contact Lenses, and our value-added Eye Care Professional Programs.Booth #425

Visus, LLC7940 North Federal HighwayBoca Raton, FL 33487(888) 628-5279www.visus.netVisus proprietary disposable contact lenses willreturn profitability to your contact lens practice.Visus lenses will help you retain your patients.Visus provides the prescribing doctor and hispatients with unique and convenient orderoptions. Booth #216

Wave Contact Lens Systems5150 Palm Valley Road, Suite 305Ponte Vedra Beach , FL 32082(866) 348-9283www.wavecontactlenses.comWave contact lenses are like no other. By usingScout topographer data and Wave Contact LensSoftware, wave lenses nearly mirrors the corneafor the most precise, comfortable fit available toyour patients (single vision, front surface multi-focal, reverse geometry, toric or bitoric lens).Standard Wave designs are rotationally symmet-ric with multiple 10 microns wide asphericcurves. Z Wave lenses have 24 meridians andare non-rotationally symmetric with atoric,spherical effect optics. Wave designs are sent viae-mail to a precise Optoform lathe. Booth #415

Westcon Contact Lens Co., Inc.611 Eisenhauer StreetGrand Junction, CO 81505(800) 346-4303www.westconlens.comWestcon is a manufacturer of quality soft contactlens. Westcon offers the widest parametersavailable, expert consultation and fast turn-around on orders. Come by our booth. We wouldlove to meet you! Booth #300

X-Cel ContactsA Walman Company2775 Premiere ParkwaySuite 600Duluth, GA 30097(800) 241-9312www.Visionslens.comAs an innovator of RGP and a soft lens designer,we offer a wide range of proprietary lenses:Visions, X-Cel Thin, Solution Bifocal, Pro PlusMultifocal and Flexlers. Booth #200

half page Vistakon ad

Contact Lens and Eyecare Symposium 33

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34 Contact Lens and Eyecare Symposium

Objectives of the CLAOAnnual MeetingThe primary objective of theCLAO Annual Meeting is to provide the comprehensive oph-thalmologist, the ophthalmologist-in-training, and other interested eyecare professionals, basic and clinically applicable informationregarding the anterior segment ofthe eye, with special emphasis oncontact lenses.

To this end, the scope of theCLAO Annual Meeting includessymposia and courses on contactlenses, keratorefractive surgery,optical dispensing and other science dealing with the corneaand anterior segment of the eye.

Ancillary features of the meet-ing include discussions concern-ing the impact of new technology on the eyecare practice. Practicemanagement, as it relates topatient care, is also covered.

CLAO Election/AnnualBusiness MeetingThursday, January 23, 200311:45am - 12:30pm

11:45am - 11:47am WelcomeBruce H. Koffler, MD, CLAO President

11:47am - 11:52am 2003 Educational Program Overview George A. Stern, MD, CLAO Scientific Program Chair

11:52am - 11:57amCLAO 2003 ElectionJohn S. Massare, PhD, CLAO Executive Director

11:57am - 12:02pmA Look Into The FuturePeter R. Kastl, MD, PhD, CLAO President Elect

12:02pm - 12:07pmR. Hugh Minor Distinguished Service Award for 2003John S. Massare, PhD, CLAO Executive DirectorPeter C. Donshik, MD, Recipient

12:07pm - 12:22pmPresentation of Awards to Recipients of 2003 Travel Grants for Young InvestigatorsGeorge A. Stern, MD, CLAO Scientific Program Chair

12:22 pm - 12:28 pm Recognition of CLAO Board of DirectorsCompletion of Term on BoardBruce H. Koffler, MD, CLAO President

12:28 pm - 12:30 pmConcluding RemarksBruce H. Koffler, MD, CLAO President

2002 CLAO Board ofDirectorsPresidentBruce H. Koffler, MD

President ElectPeter R. Kastl, MD, PhD

Immediate Past PresidentGary N. Foulks, MD

Finance and Audit ChairDavid W. Lamberts, MD

Long Range Planning ChairCharles B. Slonim, MD

Publications ChairDavid R. Hardten, MD

Scientific Programs ChairGeorge A. Stern, MD, MBA

International Relations ChairZoraida Fiol-Silva, MD

The CLAO Journal EditorH. Dwight Cavanagh, MD, PhD

Directors at LargeRonald H. Akashi, MDJoseph L. Bacotti, Jr., MDWilliam H. Ehlers, MDDavid M. Meisler, MDSrilata Naidu, MDHenry D. Perry, MD

Executive Vice PresidentDonald J. Doughman, MD

Executive DirectorJohn S. Massare, PhD

Legal CounselLeonard N. Waldbaum, Esq.

2002 CLAO Educational Scientific Programs CommitteeGeorge A. Stern, MD, MBA, ChairJoseph L. Bacotti, Jr., MDJames E. Key, II, MDDavid W. Lamberts, MDRichard G. Lembach, MDDavid R. Hardten, MD

Past PresidentsAbraham Schlossman, MD 1963-66 Chester J. Black, MD 1967 Joseph M. Dixon, MD 1968 John A. Dyer, MD 1969 Richard P. Kratz, MD 1970 Donald A. Fonda, MD 1971James H. Allen, MD 1972Whitney G. Sampson, MD 1973Herschell H. Boyd, MD 1974 Oliver H. Dabezies, Jr., MD 1975 Jorge N. Buxton, MD 1976 G. Peter Halberg, MD 1977 Jack Hartstein, MD 1978 Herbert E. Kaufman, MD 1979 Richard H. Keates, MD 1980 Paul R. Honan, Jr., MD 1981 Joseph A. Baldone, MD 1982James V. Aquavella, MD 1983Harold A. Stein, MD 1984Herve M. Byron, 1985Perry S. Binder, MD, 1986H. Dwight Cavanagh, MD, PhD 1987R. Linsy Farris, MD 1988R. Hugh Minor, MD, 1989Richard G. Lembach, MD 1990James E. Key, II, MD 1991Peter C. Donshik, MD, 1992Melvin I. Freeman, MD 1993James D. Atwood, MD 1994Penny A. Asbell, MD 1995Donald J. Doughman, MD 1996William D. Mathers, MD 1997Zoraida Fiol-Silva, MD 1998William T. Driebe, Jr., MD 1999Susan M. Stenson, MD 2000Gary N. Foulks, MD 2001

Contact Lens Association of OphthalmologistsCLAO

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CLAO Annual MeetingLectureships andAwardsConrad Berens Lecturers1968 I Louis J. Girard, MD1969 II Akira Nakajima, MD1970 III Chester J. Black, MD1971 IV James H. Allen, MD1972 V. Montague Ruben, MD1974 VI Herschell H. Boyd, MD1975 VII Hebert E. Kaufman, MD1976 VIII Whitney G. Sampson, MD1977 IX G. Peter Halberg, MD1978 X Saiichi Mishima, MD1979 XI Jorge N. Buxton, MD1980 XII Oliver H. Dabezies, Jr., MD1981 XIII John A. Dyer, MD1982 XIV James V. Aquavella, MD1983 XV Richard C. Troutman, MD1984 XVI Joseph A. Baldone, MD1985 XVII Perry S. Binder, MD1986 XVIII R. Linsy Farris, MD1987 XIV Harold A. Stein, MD, FRC(C)1988 XX Claes H. Dohlman, MD1989 XXI H. Dwight Cavanagh, MD, PhD1990 XXII Louis A. Wilson, MD1991 XXIII Michael A. Lemp, MD1992 XXIV Peter R. Laibson, MD1993 XXV Roswell R. Pfister, MD1994 XXVI James P. McCulley, MD1995 XXVII Ronald E.. Smith, MD1996 XXVIII Richard G. Lembach, MD1997 XXIX George A. Stern, MD1998 XXIX Richard K. Forester, MD1999 XXI Charles Stephen Foster, MD2000 XXII William D. Mathers, MD

Distinguished Visiting Lecturers1975 Paul Cochet, MD1976 John F. Morgan, MD1979 Jose I. Barraquer, MD1980 Michael Roper-Hall, FRCS1981 Thomas F. Spring, MD1982 H Jonathan Kersley, FRCS1984 Ian Mackie, FRCS1985 Daniele Aron-Rosa, MD1986 Brien A. Holden, OD, PhD1987 Christiane Marechal-Courtois, MD1988 Akira Nakajima, MD1989 Peter Watson, FRCS1990 Hans Walter-Roth, MD1991 Roger J. Buckley, FRCS1992 Dan Epstein, MD, PhD1993 John K. G. Dart, FRCS1994 Hikaru Hamano, MD1995 Yves J. M. Pouliquen, MD

Keynote Speakers1980 Max H. Talbott, MD1981 Max H. Talbott, MD1982 Hon. Albert Gore1984 Whitney G. Sampson, MD1985 Hon. W. Henson Moore1986 Sanford A. Marcus1989 James Sammons, MD1991 C John Tupper, MD1994 William A. Maxwell, MD, PhD1995 Senator Harry Reid1996 Richard L. Lindstrom, MD (Surgical)1997 Marguerite B. McDonald, MD (Surgical)

Everett Kinsey Lecturers1987 Carl Kupfer, MD1988 Irving J. Fatt, PhD1989 Henry Edelhauser, PhD1990 Stephen D. Klyce, PhD1991 Jay Enoch, OD, PhD1992 Robert Mandell, OD, PhD1993 J. W. Costerton, PhD1994 Bernard E.. McCarey, PhD1995 Roger W. Beuerman, PhD1996 Edwin M. Stone, MD, PhD1997 Gregory S. Schultz, PhD1998 Steven E. Wilson, MD1999 M. Cristina Kenney, MD, PhD2000 Jean-Marie Parel, PhD

Theodore E. Obrig Lecturers1977 Joseph W. Soper, FCLSA1978 Kenneth Swanson, FCLSA1979 Jack W. Moore, FCLSA1987 Linda J. Rhodes, NCLC1988 Craig W. Norman, FCLSA1989 Fred Danker, FCLSA1990 Michael A. Ward, FCLSA1991 William Winegar, FCLSA1992 Paulette S. Kays, FCLSA1993 Patrick J. Caroline, FAAO1994 Timothy O. Koch, FCLA1995 Marc P. Andre, FCLSA(H)1996 Keith W. Harrison, FCLSA1997 Marcus P. Soper, FCLSA1998 Jean Ann Vickery, FCLSA1999 Phyllis L. Rakow, COMT, FCLSA, NCLC2000 John F. Deering, FCLSA2001 Susan L. Connelly, FCLSA

Richard L. Lindstrom, MD Keynote Surgical Lecturers1998 Douglas D. Koch, MD1999 Daniel S. Durrie, MD2000 W. Bruce Jackson, MD2001 Larry F. Rich, MD2002 Jack Holladay, MD

Olver H. Dabezies, Jr., MD Lecturers2001 William M. Bourne, MD2002 Peter C. Donshik, MD

Harold A. Stein, MD, Lecturers2001 Sven Erik G. Nilsson, MD, PhD2002 Irwin Siegel, OD, PhD

Recipients of the R. Hugh Minor Award1987 R. Hugh Minor, MD1990 Paul R. Honan, Jr., MD1991 Oliver H. Dabezies, Jr., MD1992 Whitney G. Sampson, MD1993 Harold A. Stein, MD, FRCS-C1994 R. Linsy Farris, MD1995 Herve M. Byron, MD1996 Melvin I. Freeman, MD1997 James E. Key, II, MD1998 Leonard N. Waldbaum, Esq1999 H. Jonathan Kersley, MD2000 Richard G. Lembach, MD2001 Marie Salassi, MD2002 Carol R. Mobley, FCLSA

Contact Lens and Eyecare Symposium 35

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36 Contact Lens and Eyecare Symposium

CLAO Annual MeetingSpeaker RecognitionProgram Honor AwardsSENIOR HONOR AWARDS (20 years or more)Ronald H. Akashi, MD, Monterey Park, CAPatrick J Caroline, COT, FCLSA, Portland, OROliver H. Dabezies, Jr. MD, New Orleans, LA.Donald J. Doughman, MD, Minneapolis, MNR. Linsy Farris, MD, New York, NYMelvin I. Freeman,MD Bellevue, WAG. Peter Halberg, MD, New York, NYHikaru Hamano, Ashiya Hyogo, JapanKeith Harrison, FCLSA, Toronto, CanadaJack Hartstein, MD, Chesterfield, MOPaul R. Honan, MD, Lebanon, INHerbert E. Kaufman, MD, New Orleans, LAH Jonathan Kersley, MD, London, England James E. Key, MD, Houston, TXRichard G. Lembach, MD, Columbus, OHJay I. Lippman, MD, New Rochelle, NYCarole L. Mobley,FCLSA (H), Houston, TXPerry Rosenthal, MD, Chestnut Hill, MADaniel J. Sigband, MD,

Huntington Beach, CA (d)Joseph Soper, Houston,TX(d) Harold A. Stein, MD, Toronto, CanadaFrank J. Weinstock, MD, Canton, OH

HONOR AWARDS (10 years or more)James V. Aquavella, MD, Rochester, NYPenny A. Asbell, MD, New York, NYJames D. Atwood, MD, Sacramento, CAJoseph A. Baldone, MD, New Orleans, LAJane S. Baldwin, COA,FCLSA Palm Harbor, FLEdward S. Bennett, OD, St. Louis, MOPerry S. Binder, MD, San Diego, CAJ Elliott Blaydes, MD, Bluefield, W VABruce I. Bodner, MD, Norfolk, VAHerschell H. Boyd, MD, London, EnglandMichael D. Brown, Indianapolis, INJorge N Buxton, MD, New York, NY (d)Kurt A. Buzard, MD, Las Vegas, NVHerve M. Byron, MD, Englewood, NJDelmar R. Caldwell, MD, New Orleans, LARobert C. Campbell, MD, Minnetonka, MNH Dwight Cavanagh, MD, PhD, Dallas, TXL Dean Clements, Galena, OHRobert J. Crossen, MD, Wilmington, VARobert A D’Amico, MD, New York, NYPeter C. Donshik, MD, W Hartford, CTWilliam T. Driebe, MD, Gainesville, FLSami G. El Hage, OD, Dsc, Phd, Houston, TXWilliam H. Ehlers, MD, W. Hartford, CTIrving Fatt, PhD, Berkley, CA (d)Zoraida Fiol-Silva, MD, Philadelphia, PAFrank D. Fontana, OD, St.Louis, MO

Miles H. Friedlander, MD, New Orleans, LAMarvin A. Garland, MD, West Covina, CAJames M. Gordon, MD, Florissant, MORobert M. Grohe, OD, Homewood, ILEllis Gruber, MD, New York,NYTakashi Hamano, MD, Osaka, JapanMichael G. Harris, OD, JD, Berkeley, CA.William S. Harris, MD, Dallas, TX (d)Frank B. Hoefle, MD, New York, NYFrank J. Holly, MD, Lubbock, TXPeter R Kastl, MD, PhD, New Orleans, LAL Jay Katz, MD, Philadelphia, PARichard E. Keates, MD, Irvine, CABruce H. Koffler, MD, Lexington, KYRichard P. Kratz, MD, New Port Beach, CAMichael A. Lemp, MD, Washington, DCRichard L. Lindstrom, MD, Minneapolis, MNA. E. Luistro, W. Hartford, CTScott MacRae, MD, Portland, OREzra Maguen, MD, Los Angeles, CABarry A. Maltzman, MD, Jersey City, NJJohn S Massare, PhD, New Orleans, LAWilliam D Mathers, MD, Portland, ORLynn Maund, Toronto, CanadaJames P. McCulley, MD, Dallas, TXMarguerite McDonald, MD, New Orleans, LAGerald Meltzer, MD, Englewood, COLeroy G. Meshel, MD, Daly City, CAR. Hugh Minor, MD, Bellevue, WACarl F. Moore, NCLC, FCLSA, San Leandro, CA Jack W. Moore, FCLSA, Minneapolis, MNJohn F. Morgan, MD, Ontario CanadaAnthony Nesburn, MD, Los Angeles, CACraig W. Norman, South Bend, INRoswell Pfister, MD, Birmingham, ALPhyllis L. Rakow, BA, COMT, NCLC

East Brunswick, NJLarry F. Rich, MD, Portland,ORJeffrey B. Robin, MD, Hoffman Estates, ILPerry Rosenthal, MD, Chestnut Hill, MAWhitney G. Sampson, MD,(d) Houston, TXAbe Schlossman, MD, New York, NYDavid J. Schanzlin, MD, St. Louis, MOEdward L. Shaw, MD, Phoenix, AZNick C. Siviglia, PhD, Lancaster, PABernard Slatt, MD, Toronto, CanadaCharles B. Slonim, MD, Tampa, FLO David Solomon, MD, Cleveland, OHRaymond M. Stein, MD, Toronto, CanadaSusan M. Stenson, MD, New York, NYRalph T. Sutton, FCLSA (H) Cincinnati, OHJean Ann Vickery, FCLSA Oklahoma City, OKMichael A. Ward, FCLSA (H) Atlanta, GALouis A. Wilson, MD, Atlanta, GA (d)Lawrence A. Winograd, MD, Denver, CO

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Contact Lens and Eyecare Symposium 37

Poster 1

United States Multicenter Trial onConductive Keratoplasty (CK) forCorrecting Spherical Hyperopia:Results of Two-Year Follow-UpPenny A. Asbell MD; Marguerite McDonald, MD;Peter Hersh, MD; Jonathan Davidorf, MD; RobertMaloney, MD; Edward Manche, MD

Purpose: To determine the safety, efficiency, andstability results of CK used to treat a cohort ofeyes with low to moderate spherical hyperopia.Methods: Conductive keratoplasty is a techniquethat delivers radio frequency current directly intothe corneal stroma to shrink collagen anddecrease hyperopia. A total of 233 patients (400eyes) with a mean preoperative MRSE of + 1.82+/-0.60 D and a mean age of 55 +-5.4 yearsunderwent CK treatment.

Results: At one-year (N=354) and two years(N=124), respectively, 54% and 51% had post-operative UCVA 20/20 or better; 74% and 77%had 20/25 or better; and 92% and 91% had20/40 or better. At one and two years, respec-tively, the MRSE was within 0.26 D betweenthree and six months, 0.10D in 88% and 84%.The mean change in MRSE refraction was 0.26D between 12 and 24 months. Two lines ofBSCVA were lost in 9/391 (2%) at 12 monthsand in 1% at 24 months. No eye lost more than2 lines.

Conclusion: Results beyond one-year data showexcellent efficiency, safety, and stability of conductive keratoplasty in the treatment ofspherical hyperopia. Although data at two yearsare limited, the results thus far parallel the one-year results.

Poster 2

A Comparison of Treatments forLysozyme Removal from High WaterIonic Contact LensesA.Mike Christensen, OD

Purpose: To compare treatments for removinglysozyme from contact lenses. Methods: Contactlenses were collected after seven days DW.OSlenses were assigned to one of the following:TxA - Rub/Rinse with phosphonate based MPS.TxB-No-Rub/Rinse with citrate based MPS andTxC-No-Rub/ /Rinse with citrate based MPS andTxC-No-Rub/No-Rinse with citrate based MPS.

Results: Tx A OS lenses showed lysozyme levelsof -125ug. TxB lenses showed lysozyme levelsof -760ug and Tx C lenses showed lysozymelevels of -740ug.

Conclusion: Reducing the rinse step did not sig-nificantly reduce cleaning between TxB&C. BothB&C removed more lysozyme than Tx

Poster 3

Innovative Evaluation System forEpithelial Ingrowth in LASIKArun Gulani, MD

Purpose: To introduce a new system for evalut-ing epithelial ingrowth in Laser Assisted In-SituKeratomileusis (LASIK).

Methods: Retro-Ilumination technique was usedto evaluate epithelial ingrowth and three levelsof progression have been proposed.

Results: This new protocol aided in the earlydetection and provided a new dimension tojudge the density towards progressive criteria orclinical significance.

Conclusions: The proposed density grading system allows for documenting quantitative progression of epithelial ingrowth, thus providing timely intervention towards effective management.

Poster 4

Dry Eye Matrix in Refractive SurgeryArun Gulani, MD

Purpose: To introduce conceptual clinical guidelines in diagnosing, managing and effec-tively treating dry eye symptoms in refractivesurgery patients.

Methods: Subjective symptomatology was com-bined with objective questions to make a prelim-inary diagnosis after which a three-tiered diag-nostic pyramid was applied to make an accuratediagnosis of dry eye.

Results: Patients presenting with dry eye symp-tomology were delineated into simulating condi-tions and primary causes which were then effec-tively treated to alleviate dry eye complaints.

Conclusions: The dry eye matrix helped simplifythe maze of presenting dry eye complaints andlead to an accurate diagnosis which was theneffectively treated to successfully alleviate thepresenting sympotomatology resulting in happyrefractive patients.

Poster 5

New Illumination System toDelineate Corneal Scars for EffectiveLamellar SurgeryArun Gulani, MD

Purpose: To evaluate corneal scars at the lamel-lar levels for effective management.

Methods: Additional illumination was attachedto existing slit lamp systems to delineate corneal pathology at accurate corneal depth and configuration.

Results: The accurate corneal depth involvementand extent allowed for effective lamellar surgicalmanagement for individual cases.

Conclusions: Revision PRK, AutomatedHomoplastic Keratoplasty and Hand LamellarKeratoplasty were planned to effectively alleviatesurface irregularity and/or structural integrity inindividual cases.

Poster 6

Close Circuit TV/Opening the CircuitJoseph Hallak, OD, PhD

Low vision rehabilitation consists of image mag-nification commonly. This is achieved usingstand-alone optical devices or opto-electronicdevices. In this latter the optical image is cap-tured by a camera, transduced and projected ona TV like screen, hence the name Close CircuitTV. The major advantage of such systems is theability to offer limitless magnification, to changethe illumination, contacts and polarity, all at thetouch of a button or via voice command. Upuntil a few years ago, the CCTV’s were stationaryand limited to near tasks. New advances in tech-nology allow them to be used for distance visionas well as to interface with computers. Freedomof ambulation with these devices is on the draw-ing board thanks to new technologies. At thesame time, nascent surgical techniques toimplant various circuits seem to hold excitingpromises for the future.

Poster 7

Macrolens Evaluation on PostPenetrating Keratoplasty PatientsBruce H. Koffler MD; Vivian Smith, OD; Gil Litteral

Purpose: The Macrolens from C&H Labs was fiton post penetrating keratoplsty (PKP) patients toevaluate the lens performance on these compro-mised corneas.

Methods: Twenty-seven lenses were dispensed to24 patients who had PKP (1964 to 12/97).Patients were followed for six months.

Results: Twelve of 27 continue wearing or com-pleted six months wear of the Macrolens withoutadverse effect to the graft.

Conclusion: The Macrolens is a comfortable lensfor grafted patients to wear; however, closeattention to the bearing relationship on thegrafted corneas is imperative to prevent adverse outcomes on these already surgicallyaltered eyes.

Poster Authors Q&AEach poster author will be available at theirposter to answer questions from attendeesfor a half-hour period on Friday andSaturday between 11:30am and 2:30pm.Refer to the upper right hand corner of theposter for the specific time the author willbe present.

*Young Investigator’s Travel Grant Award Recipient

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38 Contact Lens and Eyecare Symposium

Poster 8

Evaluation of Corneal Staining andPatient Preference with Use of ThreeMulti-Purpose Solutions and TwoBrands of Soft Contact LensesKenneth A. Lebow, OD, FAAO; John Schachet, OD

Two studies evaluated differences in cornealstaining and patient preference associated withNo Rub(TM) Opti-Free(R) Express(R) Multi-Purpose Disinfecting Sloution (OFX MPDS),ReNu Multiplus(R) and Complete(R) MPS usedwith Acuvue(R) 2 and SofLens(TM) 66 lenses.Corneal staining was significantly worse withReNu MultiPlus at the end of the wearing period(DAY 28) compared to baseline. Significant dif-ferences in staining were noted between OFXMPDS and ReNu MultiPlus throughout the study,primarily with SofLens 66 lenses. No consistentchanges in staining were noted with OFX MPDSor Complete. Subjects preferred the comfort ofOFX MPDS compared to ReNu MultiPlus.

Poster 9

Discoloration of Contact Lens by EyelinerEiichi Okada MD; Nobuyuki Miyata, MD; MasaoYoshida, MD; Kunihiro Mizoguchi, MD; YutakaTakashima, MD, PhD; Kenji Okuda, MD, PhD;Nobuhisa Mizuki, MD, PhD

Two Precision UV (CIBA Vision) users claimedthat their contact lenses discolored after chang-ing their eyeliner brands. An experiment wasconducted to test whether eyeliners could causecontact lenses to discolor. Twenty brands, bothdomestic and foreign, were used. There are threemain types of eyeliner: pencil, liquid and brush.One of the brush types was found to contain apigment, Acid Red 18, with a molecular weightof 604. It was discovered that contact lenseswith high water content such as Precision UV,Soft 72 (Menicon A) and Breath (Toray) can bediscolored by this pigment.

Poster 10

Corneal Refractive Therapy (CRT)Lens ApplicationsViven M. Smith, OD

The recently approved Paragon CRT lens forovernight wear for correction of myopia of this application.

Poster 11

Clinical Evaluations of a NO-RUB™

Reduced Rinse Multi-PurposeDisinfecting SolutionCraig D. Smith, MD; Andrew Cottingham, MD;Steven Larsen, OD; James Mathis, OD; KennethLossman, OD

Two 30-day studies evaluated NO RUB™ OPTI-FREE EPRESS MPDS with ALDOX (OFX MPDS)used with a reduced rinsing step compared toReNu MutiPlus MPS used with manual rubbing.There were significant differences in the sub-jects’ responses to specific questions regardingoverall regimen comfort. Group IV lenses caredfor with OFX MPDS had significantly less laboratory-measured residual lysozyme at Day30. Ocular health, lens wearing time, visual acuity, and the incidence of lens replacementswere maintained.

Poster 12

Chlamydia Trachomatis in ContactLens Wearers: EpidemiologicalIncidence and Clinical SignificanceJasminka Salopek-Rabatic, MD

This poster provides data from a prospectiveone-year study to evaluate the epidemiologicalincidence of Chlamydia trachomatis in contactlens wearers and the clinical findings that wererevealed. In this study, 150 contact lens users(all Chlamydia trachomatis positive) from onenorthern section of Croatia were studied.Chlamydia trachomatis presence was diagnosedby isolation of the bacterium in cell culture ofconjectival scraping. Follow up clinical andmicrobiological examinations were performed on a regular basis. Results of the study will be presented.

Poster 13

An Effect of Suny Boston Rigid GasPermeable Contact Lens onAnisometropcLi Yuan-yuan, MD

Objective: This experiment was advocated toinvestigate the optical effects of rigid gas permeable (RGP) contact lenses on teenager anisometropic amblyopia whose age was beyond12 years old. In the same time, to learn whatchanges can be happened in diopter and Pattern-Visual Evoked Potential (P-VEP) and whichmechanism could be considered.

Methods: The experiment was carried out 12 23cases of teenagers anisometropia amblyopia (15eyes of 10 men, 17 eyes of 13 women, averageage 15. 26+2. 01 years, all of them had beenexamined with refractive power corrective visualacuity and P-VEP before and after investigationof fitting and worn Suny Boston Rigid GasPermeable Contact Lens (SB-RGP), to them SB-RGP had been asked for using at least 50 weeks.20 cases had benefitted with spectacles as con-trol group.

Results: The results show that on the sphericalpower, SB-RGP group had been reduced -0.

36DS, but - increased -0. 41DS in the spectaclegroup. (Paired T-Test P<0. 05). Cylindrical poweralso reduced -0. 36DS, in SB-RGP group and nosignificant change could be detected in controlgroup. More than 0. 21 (5Degree Log VisualAcuity Chart) had been progressed for SB_RGPgroups but 0. 05 for the counterpart by the endof this study. Compared with the investigationbefore, P-VEP was reported that there was anobviously short in P100 wave potential time(13ms for SB_RGP, 8ms for spectacle group,Paired T-Test P<0. 01), but only a little arise inamplitude of vibration on P100 wave.

Conclusions: By a worn daily of Suny BostonRigid Gas Permeable Contact Lens, the opticalcorrective effects could be expanded to teenageranisometropic amblyopia whose age was beyond12 years old.

Poster 14

A Survey of Patterns of PhysicianHygiene in Ophthalmology ClinicPatient Encounters Alexander Aizman, MD*; Susan Stenson, MD

Nosocomial infection remains a serious problemdespite the increased awareness by health carepractitioners of the potential for and the hazardof patient-care based disease spread. Simplehand washing, disinfection of applanation ton-tanamcicts and other contact examining equip-ment, and proper maintenance and storage oftopical dagnostic agents should be simple androutine precautions. One hundred ophthalmologyresident-patient encounters in the eye clinic of amajor medical center were observed anonymous-ly. Examining physicians were graded in: 1)hand washing between cases; 2) cleaning/disin-fection of tonometer tips after user, and 3) cap-ping of diagnostic drop bottles. Results of thesurvey will be presented, along with recommen-dations on proper physician hygiene during oph-thalmic patient encounters.

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Contact Lens and Eyecare Symposium 39

Poster 15

Flap Folds after Femtosecond LASIKAdam H. Bloom MD*; Seth Biser, MD; HenryPerry, MD; Eric Donnenfeld, MD; Sima Doshi, MD

Purpose: To report a case of bilateral flap foldsfollowing a LASIK procedure performed with thefemtosecond laser.

Methods: Retrospective chart review. In March2002, a 43-year-old white female underwentbilateral simultaneous LASIK with the femtosec-ond laser. The laser was set to create 130 micronflaps with a superior hinge, and the correctionwas -7. 000. 50x136 OD, -7. 00-0. 50x180 OS.Contact lenses were placed at the conclusion ofthe procedure, and were removed two days post-operatively. Following their removal, the patientnoted significant visual disability owing to glareand haloes. She was diagnosed with microstriae.In May 2002, she referred herself for consulta-tion. On examination, marked vertical flap foldswere noted OU. The folds persisted despite lift-ing and stretching procedures, and subsequentlyflap suturing was performed.

Results: Following flap suturing, the visual dis-abling symptoms resolved, and the patientrecovered useful vision.

Conclusion: Despite the increased accuracy inflap creation with the femtosecond laser, largeflap folds can develop. Appropriate cautionshould be taken in the postoperative manage-ment of patients undergoing LASIK with thefemtosecond laser.

Poster 16

Optical Considerations of HighlyMyopic Soft Toric LensesClaiborne H. Callahan, MD*; Peter R. Kastl, MD, PhD

Highly myopic astigmatic spectacle refractionscall for proper vertex distance correction whenreduced to soft toric contact lens prescriptions.Spherocylindrical notation must be converted toa power cross, and each componenet adjustedfor vertex distance as shown in this example:spectacle refraction was -12. 50-2. 50 x 180,producing a power cross of -12. 50/-15. 00.After vertex distance correction (13mm), thepower cross became -10. 75/-12. 50, yieldingthis final prescription: -10. 75 -1. 75 x 180.Thus, both sphere and cylinder can be affectedby proper vertex distance correction. We willpresent a detailed analysis of this phenomenonwith several examples.

Poster 17

Bilateral Corneal Anesthesia,Associated with DiarhragmaticParabysis Primary Ovarian Failure,and Mental RetardationClement J. Cheng, MD*; Susan Stenson, MD

A 38-year-old Hispanic female presented withbilateral spontaneous neurotrophic keratopathy.There was denudation of the inferior two-thirdsof the corneal surface, absent corneal sensation,decreased visual acuity to 20/200, and no asso-ciated pain. Fundus examination revealed bilat-eral diffuse areas of retinal hemorrhage. Therewas no trauma history. Drugs abuse by historyand toxicology were negative. The cornealdefects eventually healed in with daily patching.Medical findings included diaphragmatic parraly-sis, primary ovarian failure, multiple thromboticCVA’s pedal edema, mandibular hypoplasia, andmental retardation. Consanguineous parents and a sibling with similar findings suggest aninherited syndrome. Genetic workup will be discussed.

Poster 18

Bilateral Keratoconus After LASIK inKeratoconus Suspect Robert K. Chiang*; Christopher Rapuano, MD;Elisabeth Cohen, MD

Purpose: To describe a case of bilateral kerato-conus after LASIK in a keratoconus suspect.

Method: Case report. Results: A 33-year-oldmale presented to our institution for evaluationof poor vision four years after bilateral LASIKfor compound myopic astigmatism. Cornealtopography showed marked bilateral inferiorsteepening, and slit lamp exam revealed classicsigns of keratoconus. A review of pre-operativecorneal topography showed bilateral inferiorsteepening, but no other clinical signs of kerato-conus were present at the time of operation.

Conclusion: Inferior steepening on corneal topog-raphy should be regarded as a contraindicationto the LASIK procedure.

Poster 19

An Unusual Case of IrregularAstigmatism Seconary to RetainedIntracorneal Glass. Leslie N. Estrada, MD*; Carol E. Rosenstiel, OD

Accidents involving glass have generated severalreports of intracorneal and intraocular glass for-eign bodies. Glass is generally considered inert,but it may cause corneal pathology from scarformation or from corneal edema related tomechanical irritation of the endothelium. Wereport an unusual case of irregular astigmatismsecondary to retained intracorneal glass s/pMVA. Initially, a rigid gas permeable lens wasnecessary to achieve a best corrected visual acu-ity of 20/25 +3. Almost two years later, thepatient returned having self discontinued thelens secondary to spontaneous extrusion of theglass particles and near total resolution of theirregular astigmatism.

Poster 20

Summary of United States Results ofthe Treatment of Presbyopia withConductive Keratoplasty (CK). Shamim A. Haji, MD*; Ivo Dualan, MD; Penny A. Asbell, MD

Purpose: To determine the safety and effective-ness of using CK to treat presbyopia by inducingmonovision.

Methods: In a multicenter trial, 51 previouslyuntreated presbyopic eyes were treated with CKand followed for up to 9 months. Forty-six eyeswere treated to improve near vision (include amild myopia), and 5 eyes were treated toimprove distance vision. The range of treatmentwas +1. 69 D+/-0. 48 for the eyes treated fornear vision.

Results: In the 46 eyes treated for near, postop-eratively at 6 months (N=39) and (N=35),respectively, near UCVA was J1 or better in 51%and 46% J2 or better in 74% and 71%, and J7 orbetter in 95% and 94%. Accuracy from target atsix and nine months, respectively, was 62% and63% within +/-0. 50 D, and 87% and 91% with-in +/-1. 00 D. Binocular UCVA for distance andnear was 20/20 or better together with J2 or bet-ter 72% and 20/25 or better with J3 or better in86% at 6 months. Refractive stability wasachieved by 6 months. The safety data wereexcellent.

Conclusion: The data suggest conductive kerato-plasty may be a very effective and safe treatmentfor presbyopia when performed in one eye toinduce monovision.

Poster 21

Atypical Peripheral Sub-Epithelial ScarringHeather A. Maust, MD*; Irving Raber, MD

Purpose: To describe a case series of patientswith progressive, peripheral, symmetric, hyper-trophic, sub-epithelial scarring. Methods: Caseseries.

Results: A small series of patients presentedwith similar clinical findings of symmetric, cir-cumferential, hypertrophic, sub-epithelial scar-ring. These findings are not associated withinflammation. The scarring was progressive,even in those contact lens wearers who discon-tinued wear. One patient was treated withremoval of the scarring and application of mito-mycin-C.

Conclusion: This case series describes an atypi-cal, progressive, peripheral, sub-epithelialcorneal scarring of uncertain etiology. Treatmentby removal of the scarring with adjuvant mito-mycin-C may be beneficial in preventing the pro-gression of this condition.

*Young Investigator’s Travel Grant Award Recipient

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40 Contact Lens and Eyecare Symposium

Poster 22

Optical Wavefront Analysis ofUnrestricted Vs. Contact Lens-Corrected VisionJames A. Mchale, MD*; Richard G. Lembach, MD;Cynthia Roberts, PhD

Purpose: To test the feasibility of Zywave aber-rometry to evaluate eyes with myopic-astigma-tism, keratoconus, or penetrating keratoplastyand evaluate the effect of rigid gas-permeablecontact lenses (RGPs) on the analysis.

Methods: Wavefront analysis was performed on16 subject eye and was then repeated with thesubject’s RGPs. Results: 3 to 6 eyes with kerato-conus and 1 of 2 eyes post-penetrating kerato-plasty could be analyzed successfully. Wavefrontanalysis was performed on all 16 eyes with RGP correction.

Conclusion: Significant corneal surface irregulari-ties can overwhelm the Zywave aberrometer andprevent extraction of higher-order aberrations inthese patients. Correcting surface irregularitieswith RGPs enabled successful analysis.

Poster 23

Reproducibility and Agreement ofCahper, Ultrasound OrbscanSatya V. Reddy, MD*; Ying Huang, MD; RobinCooper, COM; Christine Romero, MD

Purpose: To determine reproducibility and agree-ment of methods for anterior chamber (AC)measurement. Angel support of phakic intraocu-lar lens (IOLs) for refractive corrections is asso-ciated with pupillary ovaling and iris vesselinfraction attributed to haptic pressure on theiris root. Precise AC diameter measurement andcorrect lens sizing might greatly reduce problemswith phakic AC IOLs.

Methods: One eye in 7 normal subjects wasmeasured by caliper, ultrasound, or Orbscan.Each method was applied by two advanced oph-thalmology residents and two senior analysis ofbias were conducted

Poster 24

Do the Economic and Social FactorsPlay an Important Role in Relationto the Compliance of Contact LensesCare Routines Marcelo Vincente de Andrade Sobrinho, MD*;Regane Aires, MD

Purpose: To evaluate the behavior of the contactlens wearers in distinct economic/social groupsin relation to their contact lens care routines.

Methods: We studied 60 patients of distinctsocial groups at the same contact lenses depart-ment. We divided them as it follows: GROUP 1:31 patients who could not pay for medical assis-tance, and were in the Government HealthAssistance Program; GROUP 2: 29 patients thathad health insurance and/or could pay for theassistance. We studied their age, time of contactlens use, type of contact lens used and relatedthese variables to the contact lens care routines.

Results: There was no significant differencebetween the two groups in relation to the contactlens care routines.

Conclusion: Social factors do not seem to be themost important factor in relation to the compli-ance of contact lens care routines.

Poster 25

Methicillin-Resistant StaphylococcusAureus Infectious KeratitisFollowing Refractive SurgeryRenée Solomon, MD*; Eric Donnefeld, MD;Michael Ehrenhaus, MD; Henry Perry, MD; Seth Biser, MD

Purpose: To describe risk factors, treatment, andvisual outcomes of methicillin resistant staphylo-coccus aureus (MRSA) infectious keratitis fol-lowing refractive surgery. Methods: Restropectivechart review.

Results: Seven eyes of six patients developedMRSA infections following LASIK or PRK. Allpatients had a recent history of exposure to ahospital environment. All patients responded totopical vancomycin. Best corrected visual acuityranged from 20/200.

Conclusion: MRSA infectious keratitis is a rarebut potentially serious corneal infection following refractive surgery and is associatedwith occupational or surgical exposure to a hospital environment.

Poster 26

Superior Limbic KeratoconjunctivitisFollowing Penetrating Keratoplasty Christine E. Speer, MD*; Irving Raber, MD

Purpose: We describe two patients who devel-oped new-onset superior limbic keratoconjunc-tivitis following penetrating keratoplasty.

Methods: Two case reports are presented.

Results: Two patients are described who requiredpenetrating keratoplasty. One patient underwentbilateral penetrating keratoplasty for kerato-conus and subsequently developed bilateralsuperior limbic keratoconjunctivitis. Anotherpatient with scarring from herpes simplex kerati-tis underwent unilateral penetrating keratoplastyand post-operatively developed superior limbickeratoconjunctivitis.

Conclusion: Superior limbic keratoconjunctivitismay occur following penetrating keratoplasty in patients with no previous clinical findings ofthis disease.

Poster 27

Keratoconus in a 17-Year-OldFemale with Larsen SyndromePrimary Author: Sara E. Lally, MD*, Co-Author: Arunagiri Guruswami, MD

Abtract: A 17-year-old female with LarsenSyndrome presented to Geisinger Medical CenterEmergency Clinic with servere eye pain OD. On examination, she was noted to have keratoconus with acute hydrops. She was treatedappropriately, and the acute hydrops resolved.She subsequently underwent a PKP two monthslater. Larsen Syndrome is an autosomal domi-nant disorder in which effected individuals showmultiple joint dislocations, flat facies, and shortfingernails. It is occasionally associate withentropion of lower eyelids and anterior corticallens opacities. There are no reported cases ofassocation of Larsen Syndrome and keratoconus.

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THURSDAY, January 23, 20039:30am - 11:45am

Dry Eye Symposium Including the Harold A. Stein, MD, LectureMonterrey 1

23-101A, 23-201BLectureship by Frank Holly, PhD David W. Lamberts, MD, ModeratorLevel II, For: MD, OD, technician

Prerequisites: The participant should havebasic understanding of the physiology of thetear film and tear film function.

Objectives: After attending this symposium theparticipant should be able to:

1. Compare and contrast potential treatments for dry eye;

2. Discuss the historical developments in the treatment of dry eye and what theapproaches are today;

3. Understand the latest knowledge on thephysiology of the pre-ocular tear film.

This symposium offers an in-depth look at thedry eye. It covers the historical background onthis topic along with the most up-to-date theo-ries and available treatments. This symposiumincludes the Harold A. Stein, MD, Lecture. Thisspecial presentation covers what is presentlyknown about the pre-ocular tear film and itscritical importance in the successful wear ofcontact lenses and eye health in general.

9:30am - 9:45amA Keratosaur Reminisces About Dry EyesDavid Lamberts, MD

9:45am - 10:00amNew Secretagogues in Treating Dry EyesGary N. Foulks, MD

10:00am - 10:03amIntroduction of Harold A. Stein, MD, LecturerDavid Lamberts, MD

10:03am - 10:28amThe Harold Stein, MD, Lectureship: TheMysteries of the Pre-Ocular Tear FilmFrank Holly, PhD

10:28am - 10:30amPresentation of Harold A. Stein, MD,Lectureship AwardDavid Lamberts, MD

10:30am - 10:45amAndrogens: A New Approach for Dry EyesH. Dwight Cavanagh, MD, PhD

10:45am - 11:00amContact Lens Fitting in Dry Eye Patients: Clinical PearlsGreg Gemoules, OD

11:00am - 11:15amCyclosporine: Does It Work?Gary Foulks, MD

11:15am - 11:45amAudience Q&A: Speaker Panel

1:00pm - 3:15pmGetting Started in Optical Dispensing SymposiumCoronado P, Q

23-301A, 23-401BJoseph L. Bacotti, MD, Moderator

Level I, For: MD, OD, optician, administrator

Prerequisites: None

Objectives: After attending this symposium theparticipant should be able to:

1. Describe how to plan your frame inventory;

2. Evaluate whether to establish an opticaldispensary in the ophthalmic practice;

3. Enumerate what to look for in vendors andtheir impact on a successful practice.

The decision for an ophthalmic practice tobecome involved with the dispensing of eye-glasses is covered in depth. Planning space foran optical dispensary is presented along withcapital budget planning and frame inventoryplanning. Determining which optical lab andother vendors to work with, and how best towork with them is also covered. At the conclu-sion of this symposium the professionalshould have beginning knowledge on gettingstarting in optical dispensing and what thiswill mean to the ophthalmic practice.

1:00pm - 1:12pmShould I Start Dispensing?George A. Stern, MD, MBA

1:12pm - 1:24pmPlanning the Optical Dispensary SpaceJoseph L. Bacotti, MD

1:24pm - 1:36pmCapital Budgeting: Will This Really Be aProfit Center?George A. Stern, MD, MBA

1:36pm - 1:48pmPlanning the Frame InventoryArthur DeGennaro

1:48pm - 2:00pmChoosing and Working with a LabJoseph L. Bacotti, MD

2:02pm - 2:15pmBreak

2:15pm - 2:27pmStaffing Your Dispensary: What to Look for in OpticiansRaymond Dennis

2:27pm - 2:39pmWorking with VendorsJoseph L. Bacotti, MD

2:39pm - 2:51pmDoes Quality Limit Profit?Arthur DeGennaro

2:51pm - 3:15pmAudience Q&A

1:00pm - 2:00pmContact Lenses in the Corneal SurgeryPatient SymposiumCoronado F, G

23-302Bruce H. Koffler, MD, Moderator

Level II, For: MD, OD, technician

Prerequisites: A knowledge of contact lens fitting, basic understanding of corneal surgeryand corneal physiology.

Objectives: After attending this symposiumthe participant should be able to:

1. Describe the refractive surgery complica-tions that require the correction of contactlenses;

2. Evaluate therapeutic lens use followingcorneal surgery practice;

3. Enumerate different fitting approaches tothe abnormal cornea.

Abnormal corneal topography after cornealtransplant, corneal trauma, and post-refractivesurgery changes may call for the utilization ofcontact lenses. Many types of corneal surgerymay require a contact lens fitting to be doneafter the surgery is completed and the patientstabilized. This symposium discusses many ofthe uses for contact lenses after corneal sur-gery, including post-refractive surgery.

1:00pm - 1:10pmFitting Approaches to the Abnormal CorneaPatrick Caroline, FCLSA, FAAO

1:10pm - 1:20pmCosmetic Contact Lenses After Corneal TraumaRichard Shugarman, MD

1:20pm - 1:30pmFitting the Post-Corneal Transplant PatientMichael Ward, MMSC, FCLSA

1:30pm - 1:40pmFitting the Post-Refractive Surgery PatientBruce Koffler, MD

1:40pm - 1:50pmTherapeutic Lens Use Following Corneal SurgeryGary Foulks, MD

1:50pm - 2:00pmAudience Q&ASpeaker Panel

Contact Lens and Eyecare Symposium 41

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42 Contact Lens and Eyecare Symposium

1:00pm - 2:00pmSOBLEC SymposiumCoronado C

23-303Hamilton Moreira, MD, Moderator

Level II, For: All eyecare professionals

Prerequisites: The participant should be familiar with basic ocular terminology andphysiology. Basic contact lens fitting knowledge is needed.

Objectives: After attending this symposiumthe participant should be able to:

1. Describe some ocular surface disordersresulting from contact lens wear;

2. Discuss complications of extended wearcontact lenses

3. Understand contact lenses from a Brazilianperspective.

The Brazilian Ophthalmological Society ofContact Lenses and Cornea (SOBLEC) wasinvited to put on this special InternationalSymposium. Well-known ophthalmologistsfrom Brazil will present various scientificpapers. Topics include complications of extend-ed wear lenses, contact lens fitting after pene-trating keratoplasty, hybrid contact lenses, andocular surface disorders.

1:00pm-1:12pmContact Lens Fitting After PenetratingKeratoplastyCésar Lipener, MD

1:13pm-1:25pmComplications of Extended Wear ContactLensesPaulo Ricardo de Oliviera, MD

1:26pm-1:38pmHybrid Contact LensesOrestes Miraglia, MD

1:39pm - 1:51pmOcular Surface Disorders and Contact LensesAdamo Lui Neto, MD

1:56pm-2:00pm Audience Q&A, Speaker Panel

2:15pm – 3:15pmTherapeutic Contact Lenses SymposiumCoronado F, G

23-402William Ehlers, MD, Moderator

Level II, For: MD, OD, technician

Prerequisites: The participant should be famil-iar with a basic understanding of therapeuticcontact lenses and their use in the ophthalmicpractice.

Objectives: After attending this symposium theparticipant should be able to:

1. Describe uses for therapeutic contact lensesin corneal and conjunctival disease;

2. Discuss the use of therapeutic lenses forocular trauma;

3. Enumerate complications from the use oftherapeutic contact lenses.

Therapeutic contact lenses and their varioususes in treating ocular conditions are discussed in this symposium. Therapeutic con-tact lenses for corneal and conjunctival disease and for ocular trauma are also covered,along with complications from the use of therapeutic lenses and the management ofpatients in such cases.

2:15pm - 2:20pmIntroductionWilliam Ehlers, MD

2:25pm - 2:40pmTherapeutic Lenses for Corneal andConjunctival DiseaseGary Foulks, MD

2:40pm - 2:55pmTherapeutic Lenses for Ocular Traumaand Specialty LensesPeter Donshik, MD

2:55pm - 1:10pmComplications of Therapeutic Lenses and Patient ManagementJeanine Suchecki, MD

3:10pm - 3:15pmQ&A, Speaker Panel

2:15pm - 3:15pmThe Best of CLAO Research Symposium –Anterior Segment Coronado R, S

23-403Peter R. Kastl, MD, PhD, Moderator

Level II, For: MD, OD, technician

Prerequisites: The participant should be famil-iar with basic ocular terminology.

Objectives: After attending this symposiumthe participant should be able to:

1. Describe a typical peripheral sub-epithelialscarring;

2. Discuss the results of a multicenter trial onconductive keratoplasty for correctingspherical hyperopia

3. Compare and contract measurement tech-niques for anterior chamber width.

This symposium consists of chosen postersubmissions whose authors present their workin a symposium format, in addition to theposter presentation at the 2003 CLAO AnnualMeeting at CLES. This eclectic symposium covers measurement of anterior chamberwidth, recent results of a US multicenter trialon conductive keratoplasty for correctingspherical hyperopia, peripheral subepithelialscarring and infectious keratitis followingrefractive surgery.

2:15pm - 2:25pmMRSA Infectious Keratitis FollowingRefractive SurgeryRenée Solomon, MD

2:25pm - 2:27pmAudience Q&A

2:27pm - 2:37pmUS Multicenter Trial on ConductiveKeratoplasty for Correcting SphericalHyperopia: Recent Results of Two Year Follow-upPenny Asbell, MD

2:37pm - 2:39pmAudience Q&A

2:39pm - 2:49pmAtypical Peripheral Sub-Epithelial ScarringHeather A. Maust, MD

2:49pm - 2:51pmAudience Q&A

2:51pm -3:01pmSummary of US Results of the Treatment of Presbyopia with Conductive KeratoplastyShamim Haji, MD

3:01pm - 3:03pmAudience Q&A

3:03pm - 3:13pmReproducibility and Agreement ofCaliper, Ultrasound, and OrbscanMeasurement of Anterior Chamber WidthSatya.V. Reddy, MD

3:13pm - 3:15pmAudience Q&A

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Contact Lens and Eyecare Symposium 43

FRIDAY, January 24, 2003 7:45am - 8:45am

ECLSO/H. Jonathan Kersley, MDSymposium: Silicone Hydrogel Lenses forTherapeutic Use and MicroscopicChanges Detectd by Confocal Microscopy Coronado F, G

24-101Jane Sparholt, MD, Moderator

Level II, For: All eyecare professionals

Prerequisites: The participant should be famil-iar with contact lens materials.

Objectives: After attending this symposium theparticipant should be able to:

1. Describe therapeutic uses of silicone hydrogel lenses;

2. Discuss corneal changes resulting from 30-night wear of high-Dk silicone lenses;

3. Understand basic uses for the confocalmicroscope in evaluating the human cornea.

The European Contact Lens Society ofOphthalmologists (ECLSO) was invited to put on this special International Symposium. Fourwell-known ophthalmologists from Europe willpresent papers on the therapeutic use of sili-cone hydrogel contact lenses and present dataon cellular changes after contact lens wear uti-lizing confocal microscopy.

7:45am - 7:50amIntroductionJane Sparholt, MD

7:50am - 8:05amTherapeutic Use of Silicone Hydrogel LensesJane Sparholt, MD; René Mely, MD

8:05am - 8:20amCorneal Response to 30-Night Wear ofHigh-Dk Silicone Hydrogel Contact Lenses(PureVision vs. Focus Night and Day):Evaluation of Cellular Changes UsingQuantitative in vivo Confocal MicroscopyTorben Müller-Pedersen, MD, PhD

8:20am - 8:35amConfocal MicroscopyGudrun Bischoff, MD

8:35am - 8:45amAudience Q&A, Speaker Panel

2:30pm - 4:45pmThe Problem Contact Lens PatientSymposium including the Oliver H.Dabezies, Jr., MD, Lectureship by JamesE. Key, II, MDCoronado F, G

24-201A, 24-301BWilliam T. Driebe, Jr., MD, Moderator

Level II, For: MD, OD, technician

Prerequisites: The participant should havebasic knowledge of anterior segment anatomyand pathology, and contact lens fitting

Objectives: After attending this symposium theparticipant should be able to:

1. Understand the diagnosis and managementof contact lens related ulcerative keratitis;

2. Understand the current management ofCLPC, dry eyes, blepharitiis and solutionproblems in the contact lens patient;

3. Understand the current management ofpresbyopia with contact lenses;

This symposium is designed to provide theparticipant with the latest information regard-ing managing the problem contact lens patient.Keratitis, CLPC, KCS, Blepharitis, SolutionProblems, Post-Refractive Surgery Fitting, andPresbyopia Management are addressed. Thehighlight of this two-hour symposium is theOliver H. Dabezies, Jr., MD., Lecture. This pres-entation covers the various ways to meet thechallenge of fitting contact lenses for a patientwith presbyopia.

2:30pm - 2:45pmContact Lens Related Keratitis: Diagnosisand ManagementWilliam T. Driebe, Jr., MD

2:45pm - 3:00pmManaging the Allergic Contact Lens PatientPeter Donshik, MD

3:00pm - 3:15pmDry Eyes and Blepharitis: How to MakeContact Lenses WorkGary N. Foulks, MD

3:15pm - 3:30pmTrouble-Shooting Contact Lens Solution ProblemsZoraida Fiol-Silva, MD

3:30pm - 3:45pmBreak

3:45pm - 3:48pmIntroduction of the Oliver Dabezies LectureBruce Koffler, MD, CLAO President

3:48pm - 4:13pmOliver H. Dabezies, Jr., MD, Lecture:Meeting the Challenge of Presbyopiawith Contact LensesJames E. Key, II, MD

4:13pm - 4:15pmPresentation of Lectureship AwardBruce Koffler, MD

4:15pm - 4:30pmPost-Refractive Surgery Contact Lens FittingBruce Koffler, MD

4:30pm - 4:45pmQuestions for Speaker Panel

5:00pm - 6:00pmGlaucoma Symptoms – 2003 Update onMedical Treatment SymposiumMonterrey 1

24-401Mary Fran Smith, MD, Moderator

Level II, For: MD, OD, technician

Prerequisites: A basic knowledge of the condi-tion of glaucoma, and familiarity with ocularanatomy and physiology.

Objectives: After attending this symposium theparticipant should be able to:

1. Describe the use of hypotensive lipids inthe treatment of glaucoma;

2. Discuss how aqueous suppressants areused in the treatment of Glaucoma;

3. Identify future options for the managementof glaucoma.

This symposium provides an update discussionon the medical treatment options for glaucoma.The use of hypotensive lipids, combinationdrops, and aqueous suppressants are covered.The value of alpha agonists and neuroprotec-tion also are discussed, as are future treatmentoptions for glaucoma.

5:00pm - 5:12pmHypotensive LipidsMary Fran Smith, MD

5:12pm - 5:24pmAlpha Agonists and NeuroprotectionJ. William Doyle, MD, PhD

5:24pm - 5:36pmAqueous SuppressantsMary Fran Smith, MD

5:36pm - 5:48pmCombination Drops and Future Optionsfor TreatmentJ. William Doyle, MD, PhD

5:48pm - 6:00pmAudience Q&A, Speaker Panel

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44 Contact Lens and Eyecare Symposium

5:00pm - 6:00pmJapanese Contact Lens Society Symposium Coronado D

24-404Atsushi Kanai, MD, Moderator

Level II, For: All eyecare professionals

Prerequisites: The participant should be famil-iar with basic ocular terminology and physiolo-gy. Basic contact lens fitting knowledge isneeded.

Objectives: After attending this symposium theparticipant should be able to:

1. Describe some of the contact lens complica-tions found through a joint survey in Japan;

2. Discuss applications of a piggyback lenssystem for dry eye;

3. Understand the trends of contact lens usagein a country other than the United States.

The Japan Contact Lens Society (JCLS) wasinvited to put on this special InternationalSymposium. Well-known ophthalmologistsfrom Japan present scientific papers rangingfrom contact lens research in Japan to hyper-opia after refractive surgery. Application of apiggyback contact lens system for dry eyes andthe clinical evaluation of short wavelengthblocking contact lenses for a patient with pig-mentary retinal dystrophy is also discussed.

5:00pm - 5:10pmTrends of Contact Lenses in JapanAtsushi Kanai, MD; JCLS President

5:10 pm - 5:20pmA Clinical Survey of Contact LensComplications in Japan: A Joint Study bythe JCLS, Japan Medical Association, andJapan Contact Lens AssociationMotozumi Itoi, MD; Kiichi Ueda, MD; KenjiOkano,MD; Yoshikazu Utsumi, MD; and HiroshiYoshida, MD

5:20pm - 5:30pmThree Aesthenopic Cases Due toHyperopia After Refractive Surgery andtheir Management/Treatment by Glassesand/or Contact LensesMasayoshi Kajita, MD

5:30pm - 5:40pmClinical Evaluation of Short WavelengthBlocking Contact Lenses for a Patientwith Pigmentary Retinal DystrophyHiroki Fujita, MD; Kenji Sano, MD; ShujiSasaki, MD; and Manabu Mochizuki, MD

5:40pm - 5:50pmApplications of a Piggyback Lens Systemfor Dry EyesKenji Sano, MD

5:50pm - 6:00pmQuestions for Speaker Panel

SATURDAY, January 25, 2003 8:00am - 9:00am

Kerataconus Symposium Fiesta 5

25-101Henry Perry, MD, Moderator

Level II, For: MD, OD, technician

Prerequisites: A basic knowledge of the condi-tion keratoconus, corneal surgery and cornealphysiology.

Objectives: After attending this symposium theparticipant should be able to:

1. Describe when corneal transplantation isindicated for keratoconus;

2. Discuss how Intacs may be utilized in thetreatment of keratoconus;

3. Identify the management techniques forkeratoconic post-keratoplasty astigmatism.

An in-depth discussion on the surgical optionsfor keratoconus occur during this symposium.Management of keratoconus post-keratoplastyis discussed. The use of Intacs for keratoconusalso is reviewed. LASIK and PRK for post-ker-atoplasty astigmatism is covered.

8:00am - 8:12amWhen Is Corneal TransplantationIndicated for Keratoconus?George A. Stern, MD

8:12am - 8:24amIntacs for KeratoconusPenny Asbell, MD

8:24am - 8:36amManagement of Keratoconus Post-Keratoplasty Astigmatism: RelaxingIncisions and Compression SuturesDavid Meisler, MD

8:36am - 8:48amManagement of Keratoconus Post-Keratoplasty Astigmatism: LASIK vs. PRKHenry Perry, MD

8:48am - 9:00amAudience Q&A, Speaker Panel

8:00am - 9:00amRunning A Profitable Contact LensPractice SymposiumCoronado E

25-104Joseph L. Bacotti, MD, Moderator

Level I, For: All eyecare professionals

Prerequisites: None

Objectives: After attending this symposium theparticipant should be able to:

1. Describe contact lens practice managementconcerns and strategies;

2. Evaluate the significance of contact lensesto a comprehensive practice;

3. Enumerate the differences between a solocomprehensive practice compared to a com-prehensive large group practice.

Today, in order to service a community, a contact lens service is required by many visionplan contacts in order to attract large groups ofpatients. Also today, patients and their familyare exposed to all the newest contact lenses as an alternative to eyeglasses and refractivesurgery for social, sport, and occupationalneeds. However, whether a contact lens serviceis within a small practice, multiple doctors or multiple office locations, it must be operatedprofitably and provide a true service topatients. Lenses must all be offered for cos-metic daily or extended wear, astigmatism,bifocal, irregular cornea, keratoconus, and postrefractive surgery in order to offer the patientthe best functional visual acuity. This sympo-sium covers facility, personnel, advertising,management protocol, order and reorder policies, patient information, patient trainingand other practice aspects. The specific needsof a solo practitioner, as well as those of agroup practice, are discussed. Also, special concerns of a practice with multiple locationsare considered.

9:30am - 9:35amIntroduction and OverviewJoseph L. Bacotti, MD

9:35am - 9:50amThe Solo Comprehensive Doctor withLimited Contact Lens ServicesJoseph L. Bacotti, MD

9:50am - 10:05amA Large Group Practice with TotalContact Lens ServicesCraig Norman, CO, FCLSA

10:05am - 10:20amA Group Practice with Multiple Officesand Total Contact Lens ServicesJames E. Key, II, MD

10:20am - 10:30amAudience Q&A

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Contact Lens and Eyecare Symposium 45

8:00am - 9:00amThe Best of CLAO Research Symposium –Optics and Contact Lenses Coronado B

25-102Zoraida Fiol-Silva, MD, Moderator

Level II, For: All eyecare professionals

Prerequisites: The participant should be famil-iar with basic contact lens terminology.

Objectives: After attending this symposium theparticipant should be able to:

1. Describe what economic and social factorsimpact patient compliance with their con-tact lens care routines;

2. Discuss an effect of GP lenses on ani-sometropic amblyopia;

3. Compare treatments for lysozyme removalon high water ionic contact lenses.

This symposium consists of chosen postersubmissions, whose authors present theirwork in a symposium format. This is in addi-tion to their poster presentation at the 2003CLAO Annual Meeting at CLES. This eclecticsymposium covers contact lens solutions, GPcontact lenses, optical wavefront analysis ofcontact lens corrected vision, contact lens com-pliance and lysozyme removal from high watercontact lenses.

8:00am - 8:10amEvaluation of Corneal Staining andPatient Preference with Use of ThreeMulti-Purpose Solutions and Two Brandsof Soft Contact LensesKenneth Lebow, OD

8:10am - 8:12amAudience Q&A

8:12am - 8:22amAn Effect of Suny Boston Rigid GasPermeable Contact Lens onAnisometropic AmblyopiaLi Yuan-yuan, MD

8:22am - 8:24amAudience Q&A

8:24am - 8:34amA Comparison of Treatments forLysozyme Removal from High WaterIonic Contact LensesMike Christensen, OD, PhD

8:34am - 8:36amAudience Q&A

8:36am - 8:46amDo Economic and Social Factors Play an Important Role in Relation to theCompliance of Contact Lens CareRoutines?Marcelo Sobrinho, MD

8:46am - 8:48amAudience Q&A

8:48am - 8:58amOptical Wavefront Analysis ofUncorrected and Contact Lens-CorrectedVisionJames McHale, MD

8:58am - 9:00amAudience Q&A

2:30pm - 4:45pmThe Future of Refractive SurgerySymposium including the Richard L.Lindstrom, MD, Lectureship by Raymond M. SteinFiesta 6

25-201A, 25-301BDavid. M. Meisler, MD, Moderator

Level II, For: All eyecare professionals

Prerequisites: The participant should be famil-iar with the basic precepts of refractive sur-gery, in particular, laser refractive surgery.

Objectives: After attending this symposium theparticipant should be able to:

1. Compare and contrast microsurgical tech-niques to enhance refractive outcome ofLASIK surgery;

2. Discuss wound healing modifiers in refrac-tive surgery;

3. Understand the lasted knowledge in thefield of phakic IOLs and lensectomy forrefractive correction.

This symposium covers the latest topics in thefield of refractive surgery. Phakic IOLs andlensectomy for refractive corrections are cov-ered. Wound healing modifiers, post-LASIKdry eye, and pupil size ramifications for refrac-tive surgery all are discussed. This symposiumincludes the Richard L. Lindstrom, MD,Lecture. This special presentation covers inno-vative microsurgical techniques that mayenhance the outcome of refractive surgery.

2:30pm - 2:45pmPhakic IOLs: The FutureWilliam Lahners, MD

2:45pm - 3:00pmThe Future of Wound Healing Modifiersin Refractive SurgeryParag Majmudar, MD

3:00pm - 3:05pmIntroduction of Lindstrom LectureDavid M. Meisler, MD

3:05pm - 3:30pmThe Richard Lindstrom, MD, Lectureship:Innovative Microsurgical Techniques toEnhance Refractive OutcomesRay Stein, MD

3:30pm - 3:35pmPresentation of Lindstrom AwardDavid. M. Meisler, MD

3:35pm - 3:50pmThe Future Role of Pupil Size in Refractive SurgerySam Omar, MD

3:50pm - 4:05pmNew Approaches to the Post-LASIK Dry EyeRichard Eiferman, MD

4:05pm - 4:20pmThe Future of Lensectomy for Refractive CorrectionsMark Packer, MD

4:20pm - 4:45pmAudience Q&A, Speaker Panel

5:00pm - 6:00pm Pharmacology Symposium – CurrentStatus of FluoroquinolonesCoronado M, N

25-404David Meisler, MD, Moderator

Level II, For: MD, OD, technician

Prerequisites: The participant should have abasic knowledge of ocular physiology.

Objectives: After attending this symposium theparticipant should be able to:

1. Understand the use of the various flouro-quinolones presently available;

2. Discuss the case for levofloxacin;

3. Identify future fluoroquinolones that maybecome available.

This symposium provides an update discussionon the current status of the group of ocularpharmaceuticals collectively known as theflouroquinolones. New such pharmacologicalagents in this same group that are promisingare also discussed.

5:00pm - 5:12pmThe Case for CiprofloxacinRichard Eiferman, MD

5:12pm - 5:24pmThe Case for OfloxacinHenry Perry, MD

5:24pm - 5:36pmThe Case for LevofloxacinCharles Slonim, MD

5:36pm - 5:48pmNew Fluoroquinolones in the PipelineFrancis Mah, MD

5:48pm - 6:00pmAudience Q&A, Speaker Panel

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46 Contact Lens and Eyecare Symposium

Contact Lens Society of America

The Contact Lens Societyof America (CLSA) is avoluntary membership

organization providing education on contact lens subjects for professionals in ophthalmology,optometry and opticianry. The organizationaccomplishes this through the education provided at its annual meeting, regional hands-on training at the Clinical Contact Lens Courses,and through home study programs. The CLSApublishes basic, intermediate and advanced levelmanuals and texts on contact lens fitting, as wellas the The Photo Atlas, a CD Rom compilation ofcontact lens images, including a test of yourknowledge of the images.

The CLSA publishes EyeWitness, a quarterlymagazine for members. The CLSA membershipspans the globe with members in 20 countries.

Visit the CLSA Member Resources Booth#112/114 located in the exhibit hall for moreinformation and to view its educational materials.

Headquarters Office441 Carlisle DriveHerndon, VA 20170(703) 437-5100(800) 296-9776(703) 437-0727 faxemail: [email protected]: clsa.infoTina M. Schott, Executive Director

Board of DirectorsOfficersPresidentDiane Broe, FCLSA, Park Nicollet Clinic3900 Park Nicollet BoulevardSt. Louis Park, MN 55416(952) 993-4831email: [email protected]

Immediate Past PresidentKeith W. Harrison, FCLSA,Harrison Optical ServicesThe Toronto Hospital399 Bathurst Street, Room EC7-014Toronto, Ontario, Canada M5T 2S8(416) 603-5474email: [email protected]

President-ElectMarcus P. Soper, FCLSASoper Brothers1213 Hermann Drive, Suite 320Houston, TX 77004(713) 521-1263email: [email protected]

Secretary/TreasurerWoody Linn, FCLSAP.O. Box 10951Portland, OR 97296(503) 552-9093email: [email protected]

DirectorsDonna Anderson, FCLSA, COAPremier Medical Eye Grou3701 Dauphin StreetMobile, AL 36608(334) 341-3350

Patrick B. Goughary, FCLSACamden County CollegeP.O. Box 200, College DriveBlackwood, NJ 08012(856) 374-5058email: [email protected]

Larry E. Harper, FCLSA, NCLC-ACCook Inlet Eyewear534 West 2nd AvenueAnchorage, AK 99501(907) 276-1021email: [email protected]

Karin Harrison, FCLSA929 Alexandria WayBel Air, MD 21014(410) 893-9458email: [email protected]

Lorne Kashin, ROThe Eyeglass Factory104 Doncaster AvenueThornhill, Ontario, Canada L3T 1L3(905) 881-1276email: [email protected]

B.W. Phillips, Jr., FCLSADuke University Medical CenterContact Lens Service, Box 3802Durham, NC 27710(919) 684-2905email: [email protected]

Bruce Springer, FCLSASpringer and Lee Optical, Inc.4917 Brownsboro RoadSemonin SquareLouisville, KY 40222(502) 425-8530email: [email protected]

Al Vaske, BA, NCLCAssociate Member DirectorLens Dynamics, Inc.44998 West 6th Avenue, Suite 830Golden, CO 80401(303) 237-6927email: [email protected]

CLSA Foundation OfficersChairmanMarcus P. Soper, FCLSASoper Brothers1213 Hermann Drive, Suite 320Houston, TX 77004(713) 521-1263email: [email protected]

Vice ChairmanKeith W. Harrison, FCLSAHarrison Optical Services

The Toronto Hospital399 Bathurst Street, Room EC7-014Toronto, Ontario, Canada M5T 2S8(416) 603-5474email: [email protected]

Secretary/TreasurerWoody Linn, FCLSAP.O. Box 10951Portland, OR 97296(503) 552-9093email: [email protected]

DirectorsBruce Springer, FCLSASpringer and Lee Optical, Inc.4917 Brownsboro Road, Semonin SquareLouisville, KY 40222(502) 425-8530email: [email protected]

Al Vaske, BA, NCLCLens Dynamics, Inc.8600 West 14th Avenue, Suite 2Lakewood, OH 80215(303) 237-6927email: [email protected]

CLSA CommitteesAdvertising CommitteeBruce Springer, FCLSA, Chairman

By-Laws CommitteeMarcus Soper, FCLSA, Chairman

Education CommitteeKeith W. Harrison, FCLSA, Chairman

Fellow Committee, 6 Year Terms Phyllis L. Rakow, FCLSA, ChairmanExpiring 2004Patrick Goughary, FCLSAExpiring 2007Karin Harrison, FCLSAExpiring 2006Lee Hewitt, FCLSAExpiring 2007Timothy O. Koch, FCLSAExpiring 2006Woody Linn, FCLSAExpiring 2006Carole L. Mobley, FCLSAExpiring 2005Laurie Parkhill, FCLSAExpiring 2004Buddy Russell, FCLSAExpiring 2003Andrew A. Taddeo, FCLSAExpiring 2003Matt Venard, FCLSAExpiring 2005Maggie Walsh, FCLSAExpiring 2006

Management Review CommitteeWoody Linn, FCLSA, ChairmanKeith W. Harrison, FCLSAMarcus Soper, FCLSA

Membership CommitteePatrick Goughary, FCLSA, Chairman

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Contact Lens and Eyecare Symposium 47

CLSA Distinguished Members

Past PresidentsHerbert L. Ridgeway, Jr. 1955-57Robert A. Danker 1957-59H. Lyle Duerson, Jr. 1959-61Joseph L. Bitonte 1962Kenneth V. Swanson 1963Joseph W. Soper 1964Ralph T. Sutton 1965-67Frank B. Sanning 1967-69Louis S. Heyman 1969-71Thomas J. Cogger 1971-73Stanley A. Harper 1973-75Jon H. Durkin 1975-77Donald L. Klauer 1977-79Dwayne J. Broe 1979-81Robert E. Graves 1981-83Linda J. Rhodes 1983-85Thomas V. Appler 1985-87Donald M. Knudsen 1987-89Paulette S. Kays 1989-91Michael A. Ward 1991-93Joseph S. Thoma 1993-95Jean Ann Vickery 1995-97John F. Deering 1997-99Keith W. Harrison 1999-2001Diane Broe 2001-2003

Honorary MembersFrederick J. DankerRobert A. DankerLoran B. Morgan, MDPhillip L. SalvatoriAnna Ruth Vincler

Kenneth V. Swanson Merit Award RecipientsE. Paul Kuhwald 1980Joseph W. Soper &

Frank B. Sanning 1982Jon H. Durkin 1984James Tannehimm 1986Linda J. Rhodes 1988Thomas V. Appler 1990John E. “Jack” Springer 1992Donald M. Knudsen 1994Carl Moore 1996William J. Ackman 1998Joan G. Johnson 2000Phyllis Rakow 2002

Joseph W. Soper Award for Excellence inEducationPatrick J. Caroline 1995Susan L. Connelly 1998Linda J. Rhodes 2000

Kevin Tuohy Memorial Lecture PresentersCharles Slonim, MD 1991Jack Moore 1992Neal Bailey, OD 1993William Mathers, MD 1994Craig W. Norman 1995Michael DePaolis, OD 1996Susan L. Connelly 1997Michael A. Ward 1998Peter Bergenske, OD 1999William Winegar 2000Carl Moore 2001Jean Ann Vickery 2002Edward Bennett, OD 2003

Honored Fellow Members of the ContactLens Society of AmericaThomas V. Appler, FCLSAJane J. Beeman, FCLSAA. Joseph Bitonte, FCLSAJane Buckland, FCLSAThomas J. Cogger, FCLSARosemary R. Corbly-Hoffmeyer, FCLSAJohn F. Deering, FCLSAKeith W. Harrison, FCLSAR. Lee Hewitt, FCLSARonald F. Krajewski, FCLSARobert Lawner, FCLSAC. Jeffrey Machemer, FCLSACarole L. Mobley, FCLSACarl Moore, FCLSAPhyllis L. Rakow, FCLSA, COMT, NCLC-ACLinda J. Rhodes, FCLSARene Rivard, FCLSALarry Simmons, FCLSANick C. Siviglia, ScD, PhD, FCLSABernard V. Stewart, FCLSA, MAJoseph S. Thoma, FCLSAWilliam B. Underwood, FCLSAJean Ann Vickery, FCLSAMichael A. Ward, MMSc, FCLSA, FAAOWilliam Winegar, FCLSA

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48 Contact Lens and Eyecare Symposium

Participant FinancialDisclosure IndexThe CLAO Board of Directors has determinedthat financial interest should not restrict expertscientific, clinical or non-clinical presentation orpublication, provided that appropriate disclosureof such interest is made. As a sponsor accreditedby ACCME, CLAO must insure balance, inde-pendence, objectivity and scientific rigor in all itsindividually sponsored educational activities.

Financial interest is defined as an entityrelated directly or indirectly to the manufactureor distribution of contact lenses, contact lenssolutions, pharmaceutical, medical devices orinstruments or vision care products or servicescommonly utilized by ophthalmologists.

The following is an explanation of the cate-gory of financial interest as well as a listing ofeach specific company with which the speakerhas an interest.

Categories of Financial Interest1. I, or a member of my family, or my profes-

sional partnership or corporation, currentlyhave or within the preceding twelve (12)months have had a proprietary or financialinterest in a Designated Company, or a finan-cial relationship or advisory capacity with anyDesignated Company or entity related to mypresentation, poster or submitted manuscript.I have placed a mark below next to each line-item which currently is or within the preced-ing twelve (12) months has been applicable tome, a member of my family or my profession-al partnership or corporation.

2. Financial interest in a Designated Companygreater than five percent (5%) of the out-standing securities of any class or FiftyThousand Dollars ($50,000).

3. Engaged as a compensated or non-compensated Consultant or Advisor by aDesignated Company.

4. Received research funds from a Designated Company.

5. Received travel stipend or honorarium whichis associated with my CLAO presentation,poster or manuscript from a DesignatedCompany.

6. Participated as a member of an advisory panelfor a Designated Company.

Statement of Financial InterestAlexander Aizman, MD3 (Transitions Optical), 4 (Transitions Optical),

6 (Vistakon)

Mark P. Andre3 (CooperVision, Alcon)

Penny A. Asbell, MD4

Patrick J. Caroline, FAAO3 (Paragon)

Clement J. Cheng, MD4 (Transitions Optical), 6 (Vistakon)

Mike Christensen, OD1,2 (Alcon)

Arthur L. DeGennaro, BS5 (Compulink)

Peter C. Donshik, MD1,3, 4 (CIBA Vision), 6 (Vistakon)

Richard Eiferman, MD5 (Alcon)

Shamim A. Haji, MD1,4

Bruce H. Koffler, MD3 (Paragon)

Kenneth A Lebow, OD3 (Alcon)

Mark Packer, MD3 (Pharmacia),

Henry D. Perry, MD4 (Allergan, Alcon, Santen)

Charles B. Slonim, MD3 (Bausch and Lomb, Santen) 6

Susan M. Stenson, MD3 (Transitions Optical), 4 (Transitions Optical) 6(Vistakon)

Loretta B. Szczotka, OD, MS, FAAO4 (Allergan, Menicon, CooperVision), 6(Menicon, CIBA Vision)

Paul J. Weber, JD1 (OMIC)

Frank J. Weinstock, MD, FACS3

DisclaimerThe objective of the Educational Partners(Partners) of CLES, including CLAO, CLSA, AOAand CLI, is to provide opportunities for the freeexpression and interchange of ideas and infor-mation for educational purposes. The Partnersdo not accept responsibility for any opinions,positions, or statements contained or expressedin the presentations or material provided as partof CLES and such opinions, positions, and state-ments are not necessarily those of the Partners.

Courses and hands-on workshops are intendedto provide instructions leading to new knowl-edge and/or skills. The Partners do not certifycompetence upon completion of the courses.

FDA Status DisclaimerSome material may include information on usesof drugs or devices that are not considered com-munity standard, that reflect indications or con-ditions of use not included in approved U.S.Food and Drug Administration (FDA) labeling,or that are approved for use only in restrictedresearch settings. This information is providedfor educational purposes only, and it should notbe considered in any way to be an endorsementor promotion of such drug or device uses. It isthe responsibility of each practitioner to exercisehis or her best judgment in prescribing or dis-pensing therapies or products for his or herpatients in conformity with applicable ethical,medical and legal standards.

The Partners of CLES are providing the opportu-nity for material to be presented for educationalpurposes only. The material represents theapproach, ideas, statements, or opinion of thepresenter and/or author, not necessarily the onlyor best method or procedure, nor the position ofany of the Partners. The material is not intendedto replace a practitioner’s own judgment or givespecific advice for case management. ThePartners are not responsible for any claims thatmay arise out of the use of any technique,demonstrated or described in any material byany presenter and/or author, whether suchclaims are asserted by a practitioner or any other person.

Page 51: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

Thank you CLES Platinum Sponsors!

Page 52: MEETING PROGRAM ContactLens and Eyecare Symposium · including the Richard L. Lindstrom, MD, Lecture. For complete descriptions of all CLAO Symposia, see pages 41-45. CLAO Annual

See you next year

at CLES 2004!

Save the date now:

CLES 2004

January 21-25, 2004

Disney's Coronado Springs Resort

Orlando, Florida