Agenda

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Friday November 30, 2018

7:15 Registration and Breakfast
8:00 Intro and Welcome
Sherif El-Defrawy and Allan Slomovic
8:10– 10:40 Co-morbidities: Pearls on common problems the comprehensive ophthalmologist deals with

Glaucoma

Moderator: Devesh Varma
Panel: Matt Schlenker, Ike Ahmed, Yvonne Buys

8:10 – 8:17 Pearls on how to manage Phaco challenges encountered in glaucoma patients
Matt Schlenker
8:17 – 8:27 Pearls on MIGS and cataract surgery
Ike Ahmed
8:27 – 8:29 Debate
Audience Poll: My current technique for managing a patient with an occludable angle (with or without a cataract):

  • Phaco/IOL
  • YAG Laser Peripheral Iridotomy
8:29 – 8:39 The best management for the patient with an occludable angle (with or without a cataract) is:
8:29 – 8:34 Phaco/IOL
Devesh Varma
8:34 – 8:39 YAG laser peripheral iridotomy
Yvonne Buys
8:39 – 8:41 Audience Poll: my current technique for managing a patient with an occludable angle (with or without a cataract)

  • Phaco/IOL
  • YAG Laser Peripheral Iridotomy
8:41 – 8:49 Questions and Answers

Retina

Moderator: Sherif El-Defrawy
Panel: Bonnie Henderson, Varun Chaudhary, Peng Yan, Radha Kohly

8:49 – 8:59 Pearls on managing patients with cataracts and maculopathy
Varun Chaudhary

  • Does cataract surgery make AMD worse?
  • Timing of cataract surgery and intra-ocular injections.
8:59 – 9:09 Refractive cataract surgery in the setting of macular and/or optic nerve pathology – when is it appropriate to implant a specialty IOL?
Bonnie Henderson

  • Should all patients undergoing cataract surgery have a preoperative OCT?
9:09 – 9:16 Questions and Answers

Cornea

Moderator: Allan Slomovic
Panel: Terrence O’Brien, Brandon Ayres, Clara Chan, Bonnie Henderson, Jennifer Liao

9:16 – 9:26 Ocular Surface Disease – implications for vision, biometry and speciality IOLs
Terrence O’Brien
9:26 – 9:33 Fuchs’ Endothelial Dystrophy and cataract surgery
Brandon Ayres

  • Pearls for protecting the corneal endothelium during cataract surgery
  • When to do cataract surgery alone vs combined procedure (DMEK, Phaco, IOL)
9:33 – 9:38 Primary Descemetorhexis: A new treatment for Fuchs’ endothelial dystrophy
Clara Chan
9:38 – 9:45 Toric IOLs for irregular corneas (Keratoconus, Corneal Transplants, etc.)
Bonnie Henderson
9:45 – 9:52 Tiny hero against the evil axis
Video Presentation
9:52 – 9:59 PROSE lens for irregular corneas
Jennifer Liao
9:59 – 10:09 Questions and Answers

Oculoplastics, Neuro-ophthalomology, and Uveitis

Moderator: Lawrence Weisbrod
Panel: Harmeet Gill, Edsel Ing, Myrna Lichter, Ted Rabinovitch, Marisa Sit

10:09 – 10:15 Pearls for cataract surgery in patients with oculoplastics disease: blocked NLD, ectropion, entropion, ptosis
Harmeet Gill

Neuro-ophthalmology and strabismus

10:15 – 10:24 AION and Strabismus after cataract surgery
Edsel Ing
10:24 – 10:31 Helping marginalized patients access appropriate quality care
Myrna Lichter

Uveitis

10:31 – 10:38 Cataract management in uveitic patients
Ted Rabinovitch
10:38 – 10:43 Questions and Answers
10:43 – 11:23 Break and visit the Exhibits

Incorporating Advanced Technologies and Pharmacology to Optimize Patient Outcomes

Moderator: Rosa Braga-Mele
Panel: Terrence O’Brien, Matt Schlenker, Bonnie Henderson, Steve Arshinoff, Neera Singal

11:24 – 11:26 Debate
Audience poll: FLACS is the future of cataract surgery

  • Yes
  • No
11:26 – 11:33 My current technique and why FLACS is the future of cataract surgery
Terrence O’Brien
11:33 – 11:40 My current technique and why FLACS will never be the future of cataract surgery
Matt Schlenker
11:40 – 11:42 Audience poll: FLACS is the future of cataract surgery

  • Yes
  • No
11:42 – 11:49 Pharmacology – Pre and post Phaco: NSAIDS/Steroids – evidence, when not to use NSAIDS and when to start earlier and extend
Bonnie Henderson
11:49 – 11:56 Strategies to prevent infection
Terrence O’Brien
11:56 – 12:06 Questions and Answers
12:06 – 12:10 Update on EyeVan 5
Steve Arshinoff
12:10 – 1:16 Lunch and visit the Exhibits
Moderator: Jeff Martow
Panel: Dean Ouano, Brandon Ayres, Mitchell Weikert, Devesh Varma, Bonnie Henderson
1:16 – 1:25 This years’ most important paper in cataract surgery and why

  • Dean Ouano
  • Brandon Ayres
  • Mitchell Weikert
1:25 – 1:32 Toric IOL Marking Techniques
Devesh Varma
1:32 – 1:42 Intraoperative Aberrometry. Is this technology the comprehensive ophthalmologist needs to incorporate into their practice
Bonnie Henderson
1:42 – 1:47 Questions and Answers

Challenges and Controversies

Astigmatism Management

Moderator: Kylen McReelis
Panel: Mitchell Weikert, Bonnie Henderson, Georges Durr, Graham Trope

1:47 – 1:57 GRAHAM TROPE LECTURE
Toric IOL implantation in complicated situations
Bonnie Henderson
1:57 – 2:04 How to optimize Toric IOL implantation outcomes: pearls on biometry calculations and surgical technique
Mitchell Weikert
2:04 – 2:14 Biometry in patients with axial length extremes
Mitchell Weikert
2:14 – 2:19 Nanophthalmos case
Georges Durr
2:19 – 2:26 Strategies for biometric success following excimer laser refractive surgery and radial keratotomy
Mitchell Weikert
2:26 – 2:36 Questions and Answers

Surgical Correction of Presbyopia

Moderator: Amandeep Rai
Panel: Mitchell Weikert, Bonnie Henderson, Dean Ouano, Brandon Ayres

2:36 – 2:38 Debate
Audience Poll: The best approach to treating presbyopia is

  • Monovision
  • EDOF IOL
  • Trifocal IOL
  • Mixing and matching EDOF, MFIOLs and Trifocals
2:38 – 2:48 My approach to the surgical correction of Presbyopia

  • Preoperative workup (patient selection and who should not have a MF IOL, macular OCT, topography, etc.)
  • Surgical approach (is FLACS important in optimizing outcome)?
  • Postoperative management
    Mitchell Weikert
2:48 – 2:55 Mixing and matching EDOF and MFIOLs and Trifocals
Bonnie Henderson
2:55 – 2:57 Audience Poll: The best approach to treating presbyopia is

  • Monovision
  • EDOF IOL
  • Trifocal IOL
  • Mixing and matching EDOF, MFIOLs and Trifocals
2:57 – 3:04 Approach to patients with PXE – small pupil/ zonular weakness
Dean Ouano

  • Would you implant a Toric or presbyopic IOL?
  • Small pupils, IFIS, PXE, iris prolapse
3:04 – 3:11 Cataract surgery in patients with previous retinal surgery (scleral buckles, silicone oil, post vitrectomized eyes)
Brandon Ayres
3:11 – 3:41 Questions and Answers
3:41 – 4:11 Break and visit the Exhibits
Moderator: Joshua Teichman
Panel: Steve Arshinoff, Mitchell Weikert, Brandon Ayres , Bonnie Henderson, Georges Durr
4:11 – 4:21 Black and white cataracts
Steve Arshinoff
4:21 – 4:31 Management of refractive surprises
Mitchell Weikert
4:31 – 4:41 Management of the unhappy MF patient. When to do a YAG PC
Brandon Ayres
4:41 – 4:51 Management of dysphotopsias
Bonnie Henderson
4:51 – 4:56 Case of dysphotopsia. High myope with large pupil
Georges Durr
4:56 – 5:06 Ergonomics
Amandeep Rai
5:06 – 5:16 Questions and Answers

Saturday Dec 1, 2018

7:15 – 8:15 Breakfast with the Experts*

  • Vitrectomy
    George Beiko
  • Customizing your pre/post-op cataract routine
    Bonnie Henderson
  • Management of dislocated/subluxed IOL
    Dean Ouano
  • Yamane technique
    Brandon Ayres
  • FLACS
    Terrence O’Brien
  • Astigmatism/biometry
    Mitchell Weikert

*All sessions are currently full. To have your name added to the waitlist, please email facmed.registration@utoronto.ca with the session you want to attend. You will be contacted should space open up.

Complication Management

Moderators: Ike Ahmed and Sherif El-Defrawy
Panel: Dean Ouano, Brandon Ayres, Rajeev Muni, Mitchell Weikert

8:30 – 8:40 Torn Capsule
Tear in Anterior Capsule
Dean Ouano

  • How to prevent extension to posterior capsule
  • How to rescue a “rogue” anterior capsulorhexis that has a mind and direction of its own
  • Would you put in a specialty lens?
  • If yes, would you do anything different
8:40 – 8:50 Management of posterior capsular tear
Brandon Ayres

  • Approach to unplanned vitrectomy surgery for the anterior segment surgeon
  • Management of the IOL
  • Would you put in a specialty IOL
8:50 – 9:00 Dropped nucleus/dropped IOL
Rajeev Muni

  • Making the best of a bad situation
9:00 – 9:10 Pearls for in the bag IOL exchange
Mitchell Weikert
9:10 – 9:25 Questions and Answers
Moderators: George Beiko and Kylen McReelis
Panel: Terrence O’Brien, Dean Ouano, Nupura Bakshi
9:25 – 9:35 Update on TASS
Terrence O’Brien
9:35 – 9:42 UGH Syndrome (is reverse optic capture a concern)
Dean Ouano
9:42 – 9:49 Atypical corneal infections with cataract surgeries
Terrence O’Brien
9:49 – 9:56 Management of chronic postop inflammation; what to do when the operation was successful and patient still on topical steroids 2 months postop
Nupura Bakshi
9:56 – 10:11 Question & Answers
10:11 – 10:41 Break and visit exhibits

Anterior Segment Reconstruction

Moderators: Amandeep Rai and Lawrence Weisbrod
Panel: Brandon Ayres, Dean Ouano, Ike Ahmed

10:41 – 10:51 Dislocated IOL
Double Needle (Yamane) technique – posterior chamber IOLs in the absence of capsular support
Brandon Ayres
10:51 – 11:01 As comprehensive ophthalmologist what are my options in the face of insufficient posterior capsular support: leave the eye aphakic and refer, sew in a PC IOL, Scleral Fixate a PC IOL, AC IOL
Dean Ouano
11:01 – 11:11 Panel Discussion – Is ACIOL still an option?
11:11 – 11:21 How to repair an abnormal iris (from polycoria to a totally absent iris)
Ike Ahmed
11:21 – 11:31 Questions & Answers

Controversial Issues

Moderators: Joshua Teichman and Jeff Martow
Panel: Terrence O’Brien, Brandon Ayres, Dean Ouano, Bonnie Henderson, Mitchell Weikert

11:31 – 11:40 Advanced surface ablation as a tool to improve satisfaction in pseudophakia
Terrence O’Brien
11:40 – 11:47 How far is too far with anterior vitrectomy
Brandon Ayres
11:47 – 11:54 Innovative IOL technology. Postoperative non-invasive modifying the refractive power and focal point(s) of the intraocular lens
Terrence O’Brien
11:54 – 12:09 Questions and Answers
12:09 – 12:39 A potpourri of Interesting Cases (including unusual UGH syndromes and upside down ACIOLs and PCIOLs)
Dean Ouano and Panel
12:39 – 12:45 Conclusion, Evaluations
Meeting Adjourned