Looking Beyond VEGF Suppression: Optimizing the Patient Journey was held on Saturday, June 17 from 6:30 – 8:00 am ET at the 2023 COS Annual Meeting.

Our host, Dr. Wai-Ching Lam, joined by four international experts, discussed the following objectives:

• Outline the role of the Tie-2/ang pathway in DME and nAMD and how it may impact patient outcomes
• Identify the important biomarkers on structural OCT that can help predict treatment response in DME and nAMD
• Discuss real-world case presentations and when to switch patients from one agent to another

International Experts

• Shaheer Aboobaker, MD
  • Toronto, ON
  • Case presentations
• Diana Do, MD
  • Stanford, CA
  • Update on faricimab in diabetic macular edema and neovascular AMD
• Sunir Garg, MD
  • Philadelphia, PA
  • Emerging treatments for neovascular AMD
• SriniVas Sadda, MD
  • Los Angeles, CA
  • Biomarkers to help predict treatment response in DME and nAMD

Click Here to View Video

Click Here to View Video

The Lions of Canadian Ophthalmology gathered on Friday, June 16 from 6:30 – 8:00 am ET at the 2023 COS Annual Meeting & Exhibition to judge three research presentations related to retinal disease.

Dr. Diana Do delivered a keynote lecture on Clinical Innovations: From Bench to Bedside  ̶  The Future is Now.  

Lions of Canadian Ophthalmology:

1. Eric Tourville, MD (Chair)

1. David Maberley, MD
2. Cynthia Qian, MD
3. Geoff Williams, MD

International Speaker:

1. Diano Do, MD
2. Stanford, CA

Canadian Researchers:

1. Gareth Mercer, MD, PhD
2. Marko Popovic, MD, MPH
3. Matthew Quinn, MD, PhD

The Innovation in Retina Research Award is being offered by the Canadian Ophthalmological Society (COS) with the support of Bayer Inc. for clinical trainees (residents or fellows) for a research project proposal related to retinal disease, with preference being given to research that has the potential to advance knowledge about or improve the care of patients. To determine final standing, the top three selected submissions will present their research proposal during this virtual symposium and respond to questioning by our judging Lions.  The symposium audience will also be able to vote for its choice of the top pitch.

CANMEDS Roles: Medical expert, Scholar

This symposium was co-developed by the Canadian Ophthalmological Society and Bayer Inc. and was planned to achieve scientific integrity, objectivity and balance.

First Prize $35,000

• Dr Gareth Mercer
• Department of Ophthalmology and Vision Sciences, Sunnybrook Health Sciences Centre, University of Toronto
• Microinvasive Suprachoroidal Buckling: Research and Development of a Novel Device and Technique for Retinal Detachment Repair

Second Prize $22,500

• Dr Matthew Quinn
• Department of Ophthalmology, University of Ottawa
• Dysbiotic Events and the Risk of Neovascular Age-related Macular Degeneration: A Population-based Study
• Audience Choice Award Winner: Additional $5,000

Third Prize $12,500

• Dr Marko Popovic
• Department of Ophthalmology and Vision Sciences, University of Toronto
• A Prospective Matched Cohort Study of Intravitreal Topotecan in the Repair of Rhegmatogenous Retinal Detachment with Proliferative Vitreoretinopathy

Congratulations to our winners and thank you to all of our applicants! The future of retinal research certainly looks bright.

Click Here to View Video

February 23 – 25, 2024 – JW Marriot Orlando Bonnet Creek Resort & Spa – Orlando, Florida

Course Directors:  Sophie Bakri, M.D., Richard TenHulzen, M.D. and Joanne Shen, M.D.

This three-day live and livestream conference offers comprehensive updates in ophthalmology and optometry that can be immediately applied to clinical practice. Topics will include neuro-ophthalmology, glaucoma, retina, cornea and external disease, oculoplastic and orbital surgery, and more.

Target Audience

Ophthalmologists, Optometrists, Physicians, Residents, Fellows, Scientist Researcher PhD, Health Professionals

Learning Objectives

Upon completion of this activity, participants should be able to:

• Describe the evaluation and management of patients with macular degeneration
• Describe common eyelid, lacrimal and orbital disorders
• Identify appropriate management of patients with glaucoma

Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.

Click here to register.

The August 2023 CJO is now available online. Here are some of the highlights:

Resident Perspectives + visual abstract: Our talented team of residents have summarized 5 articles with a focus on what’s most relevant to ophthalmology learners here in Canada and around the globe, including the article featured in our August visual abstract, Ten-year analysis of traumatic open-globe injuries in Edmonton, Canada, from 2009–2018.

Original research articles:
• Prevalence and predictors for being unscreened for diabetic retinopathy: a population-based study over a decade
• Efficacy of patient-sided breath shields for slit-lamp examination
• Ontario Cataract Quality Outcome Initiative: appropriateness and prioritization of cataract surgery
• Comparison of netarsudil and latanoprostene bunod as adjuncts to maximum medical therapy in primary open-angle glaucoma
• Quality of life associated with no light perception vision
• Bidirectional tightening of the anterior lamella for involutional lower eyelid entropion

Research letters, photo essays, and case reports:
• Evaluating the effect of assessment form design on the quality of feedback in one Canadian ophthalmology residency program as an early adopter of CBME [research letter]
• Optic nerve drusen causing hemorrhages in three retinal layers [photo essay]
• Extensive concomitant optic nerve sheath and sclerochoroidal calcifications [photo essay]
• Serous retinal detachment following non-small cell lung cancer immunotherapy [photo essay]
• Hydroxychloroquine toxicity unmasking an occult retinitis pigmentosa carrier [case report]
• Demarcation laser photocoagulation extinguished PET/CT avidity for choroidal melanoma [case report]
• Two cases of ocular needle injury presenting with endophthalmitis in a Canadian inner-city population [case report]

Follow the CJO on social media:

Facebook: CanJOphth

Instagram: @cjo_jco

LinkedIn: CJO – JCO

Twitter: @CanJOphth

AstigMATIC is a free standalone application for automated standardized astigmatism vector analyses in corneal and intraocular refractive surgeries. AstigMATIC allows the simultaneous display and analysis of astigmatism magnitude and axis.

The software produces the four following graphs according to current journal standards: 1-Target-Induced Astigmatism Vector, 2-Surgically-Induced Astigmatism Vector, 3-Difference Vector and 4-Correction Index. Vector means with standard deviations are automatically calculated and displayed on the corresponding single-angle vector plots (0 to 180°). The standard graphs can be easily exported as high-resolution TIFF images for figures to use in production and presentations.

The software can be downloaded at:
https://www.lasikmd.com/media/astigmatic/index.php.

The software was thoroughly tested, peer-reviewed and published in BMC Ophthalmology, the paper about the software is available at: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-018-0920-1 

For more information about the authors please visit their Research Unit website:
https://www.refractivesurgery.ca/

CJO: June 2023 Issue Highlights

The June 2023 CJO is now available online. Here are some of the highlights: 

Resident Perspectives + visual abstract: Our talented team of residents have summarized 5 articles with a focus on what’s most relevant to ophthalmology learners here in Canada and around the globe, including the article featured in our June visual abstract, Comparative evaluation of four Descemet membrane endothelial keratoplasty graft preparation techniques.

Original research articles:
• Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
• Eye protection following cataract surgery: a systematic review
• Optic disc cupping after circumpapillary Pd-103 slotted plaque radiation therapy
• Assessment of peripapillary choroidal thicknesses and optic disc diameters in idiopathic intracranial hypertension
• Yield of investigations in patients with questionable nonglaucomatous optic neuropathy
• Trends in horizontal periocular asymmetry

Research letters, photo essays, and case reports:
• Hockey as an advance organizer for oculoplastics teaching [research letter]
• Regional trends in ophthalmic surgical wait times in Ontario, Canada [research letter]
• Wellness perspectives in the Department of Ophthalmology and Vision Sciences at the University of Toronto [research letter]
• Iatrogenic retinal damage and vitreous hemorrhage secondary to YAG laser [photo essay]
• T-cell acute lymphocytic leukemia with bilateral optic nerve head infiltrates [photo essay]
• Culture positivity among donor corneas: a single eye bank series [case report]
• Vitrectorhexis for anterior capsulotomy in an intumescent cataract [case report]

Follow the CJO on social media:

Facebook: CanJOphth

Instagram: @cjo_jco

LinkedIn: CJO – JCO

Twitter: @CanJOphth

mEYEstro is a user-friendly software that automatically generates standardized graphs for refractive surgery outcomes – as prescribed by JRS, JCRS, and Cornea Journals.

The software produces the following 11 standard graphs; Efficacy: 1. Cumulative uncorrected (UDVA) and corrected visual acuity (CDVA), 2. Difference between UDVA and CDVA, Safety: 3. Change in line of CDVA, Accuracy: 4. Spherical equivalent (SEQ) to intended target, 5. Attempted vs. achieved SEQ, 6. Defocus equivalent (DEQ) accuracy, 7. Refractive astigmatism accuracy, 8. Target-induced astigmatism vs. Surgically-induced astigmatism, 9. Correction index histogram, 10. Angle of error histogram, Stability: 11. SEQ stability over time. Percent proportions, means, standard deviations, Cohen’s d effect sizes, and p-values are calculated and displayed on each graph. All graphs can be easily exported as high-resolution TIFF images for figures to use in scientific manuscripts and presentations.

The software can be downloaded at https://www.lasikmd.com/media/meyestro/index.php, and a tutorial is available at https://www.youtube.com/watch?v=NFlRRHx6ZaI.

Please note that our software was recently thoroughly tested, peer-reviewed and published in BMC Ophthalmology, the paper about the software is available at: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-023-02904-6

The second issue of the 2023 Video Journal of Cataract, Refractive, & Glaucoma Surgery is out! This 90 minute issue is entitled: A Smorgasbord of Delicious Cases and represents 27 of the video highlights of the ESCRS meeting in Milan.

The VJCRGS is completing its 39th year of providing the highest quality of education to anterior segment surgeons around the world. With a new issue every quarter, the Journal is a free benefit for being a member of COS, allowing access to all 39 years of content. Please consider making it available to your membership by publishing the table of contents and the website www.vjcrgs.com.

Thank you,

Robert H. Osher, MD
Professor of Ophthalmology, University of Cincinnati College of Medicine
Medical Director Emeritus, Cincinnati Eye Institute
Founder & Editor, Video Journal of Cataract, Refractive, & Glaucoma Surgery

Table of Contents Volume 39, Issue 2, 2023

Highlights of the ESCRS

A Smorgasbord of Delicious Cases

PREOPERATIVE CHALLENGES

Persistent Fetal Vasculature………………………………………………………………. Dr. Priya Narang, India

Proximal Zonules…………………………………………………………………………. Dr. Hatem Ammar, Egypt

Microspherophakia…………………………………………………………………… Dr. Hazem El Nashar, Eqypt

Ectopia Lentis……………………………………………………………………….. Dr. Meriem Ouederni, Tunisia

Extreme Hyperopia…………………………………………………………………. Dr. Evripidis Sykakis, Greece

Cloudy Cornea…………………………………………………………………………. Dr. Sanjay Chaudhary, India

Pseudoexfoliation Syndrome………………………………………. Dr. Maria Jesus Quiroz-Quiroga, Spain

Morgagnian Cataract……………………………………………………………. Dr. Yehia Salah Mostafa, Egypt

PK with Small Pupil…………………………………………………………. Dr. Diane Silveira-Silva, Portugal

IOFB with Iris Reconstruction…………………………………………………………… Dr. Alvaro Silva, Spain

ICL with Traumatic Aniridia………………………………………….. Dr. Belen Alfonso-Bartolozzi, Spain

INTRAOPERATIVE COMPLICATIONS

Epithelial Bulla……………………………………………………………………………… Dr. Ashraf Armia, Egypt

Blue Vitreous…………………………………………………………………………………. Dr. Pritam Rajput, India

Iris Prolapse……………………………………………………………………………… Dr. Alokesh Ganguly, India

Argentinian Flag……………………………………………………………….. Dr. Hassan Khaled, Saudi Arabia

Capsular Puncture……………………………………………………………………. Dr. Nishant Gupta, Australia

Capsular Snag………………………………………………………………………………… Dr. Vaishal Kenia, India

Double Tear……………………………………………………………………………………… Dr. Sheetal Brar, India

Fixing Mistakes…………………………………………………………………… Dr. Luciano Perrone, Argentina

Amazing Case!………………………………………………………………………………. Dr. Ahmed Assaf, Egypt

Decisions Decisions…………………………………………………………………………. Dr. Robert Osher, USA

POSTOPERATIVE PROBLEMS

Vaccine Inflammation…………………………………………………… Dr. Lional Raj Daniel Ponniah, India

Refractive Surprise……………………………………………………………….. Dr. Igor Sivec Trampuz, Nepal

IOL Dislocation………………………………………………………………………… Dr. Julio Almeida, Portugal

Flanged Repositioning………………………………………………………………… Dr. Robert Guinand, Aruba

White Cornea…………………………………………………………………………. Dr. Nancy Al Raggad, Jordan

Locked Chamber Mystery………………………………………………….. Dr. Jiri Cendelin, Czech Republic

Click here to watch the latest issue:

Registration for the 2023 Sally Letson Symposium Now Open! 

Join us for the 54th Sally Letson Symposium chaired by Dr. Deepinder K. Dhaliwal, University of Pittsburgh School of Medicine, and Dr. Saama Sabeti (Co-chair), University of Ottawa Eye Institute

This year’s topic is “Cornea, Cataract, and Refractive Surgery: Sculpting The Path Forward”.

Join us on this 2.5-day program focused on Cornea, Cataract, and Refractive Surgery. Discover the cutting edge advancements cornea, including managing endothelial dysfunction, learn key concepts in cataract surgery, with IOL selection and intraoperative technology, and explore innovative refractive surgery techniques with a focus on presbyopia management.

Our esteemed guest speakers will provide engaging lectures and video presentations, guiding you through the material. Plus, special sessions on wellness will equip you with tools to care for yourself and your patients. Don’t miss this opportunity for interactive learning and critical thinking.

Register Today

Preliminary Schedule, Accommodation and Travel Discount Information

Take advantage of our Early Bird rates and register today! We look forward to seeing you September 21-23 at The Westin Hotel in Ottawa.

Early Bird Deadline ends August 15, 2023

QUESTIONS?

Registration
Rita Afeltra
[email protected]

Scientific Program and CPD Credits
Danika Nieuwkoop

[email protected]

Sponsorship
Christine Bruce
[email protected]